www.gotothinktank.com Open in urlscan Pro
198.49.23.145  Public Scan

Submitted URL: https://www.surveymonkey.com/tr/v1/te/akU_2BQc2vAhAsa_2B264x1g64LBLb7_2BjL1UXvOHeBZ1MUg5vNYTqPqvm_2FI_2FoC_2BqBGARNGcWbKcOfFA...
Effective URL: https://www.gotothinktank.com/2021-mena-summit
Submission: On November 17 via manual from JP — Scanned from JP

Form analysis 1 forms found in the DOM

POST https://gotothinktank.squarespace.com

<form data-form-id="611a85ceb9b00b77a56d869c" data-success-redirect="" autocomplete="on" method="POST" action="https://gotothinktank.squarespace.com" novalidate="" onsubmit="return (function (form) {
  Y.use('squarespace-form-submit', 'node', function usingFormSubmit(Y) {
    (new Y.Squarespace.FormSubmit(form)).submit({
      formId: '611a85ceb9b00b77a56d869c',
      collectionId: '611a85ceb9b00b77a56d869e',
      objectName: 'page-611a85ceb9b00b77a56d869e'
    });
  });
  return false;
})(this);">
  <div class="field-list clear">
    <fieldset id="name-yui_3_17_2_1_1592319292043_3742" class="form-item fields name required">
      <legend class="title"> Name <span class="required" aria-hidden="true">*</span>
      </legend>
      <div class="field first-name">
        <label class="caption">
          <input class="field-element field-control" name="fname" x-autocompletetype="given-name" type="text" spellcheck="false" maxlength="30" data-title="First" aria-required="true">
          <span class="caption-text">First Name</span>
        </label>
      </div>
      <div class="field last-name">
        <label class="caption">
          <input class="field-element field-control" name="lname" x-autocompletetype="surname" type="text" spellcheck="false" maxlength="30" data-title="Last" aria-required="true">
          <span class="caption-text">Last Name</span>
        </label>
      </div>
    </fieldset>
    <div id="text-yui_3_17_2_1_1592316158102_83240" class="form-item field text required">
      <label class="title" for="text-yui_3_17_2_1_1592316158102_83240-field"> Title <span class="required" aria-hidden="true">*</span>
      </label>
      <input class="field-element text" type="text" id="text-yui_3_17_2_1_1592316158102_83240-field" aria-required="true">
    </div>
    <div id="text-yui_3_17_2_1_1592319671621_28951" class="form-item field text required">
      <label class="title" for="text-yui_3_17_2_1_1592319671621_28951-field"> Organization <span class="required" aria-hidden="true">*</span>
      </label>
      <input class="field-element text" type="text" id="text-yui_3_17_2_1_1592319671621_28951-field" aria-required="true">
    </div>
    <div id="email-yui_3_17_2_1_1592319292043_3743" class="form-item field email required">
      <label class="title" for="email-yui_3_17_2_1_1592319292043_3743-field"> Email <span class="required" aria-hidden="true">*</span>
      </label>
      <input class="field-element" id="email-yui_3_17_2_1_1592319292043_3743-field" name="email" type="email" autocomplete="email" spellcheck="false" aria-required="true">
    </div>
    <div id="text-yui_3_17_2_1_1592319292043_3744" class="form-item field text required">
      <label class="title" for="text-yui_3_17_2_1_1592319292043_3744-field"> Country <span class="required" aria-hidden="true">*</span>
      </label>
      <input class="field-element text" type="text" id="text-yui_3_17_2_1_1592319292043_3744-field" aria-required="true">
    </div>
    <div id="textarea-0df74ca5-9927-4cd7-8779-333e1799e7bb" class="form-item field textarea">
      <label class="title" for="textarea-0df74ca5-9927-4cd7-8779-333e1799e7bb-field"> Comments and suggestions for how we can enhance the programs and publications we provided for the global think tank community. </label>
      <textarea class="field-element " id="textarea-0df74ca5-9927-4cd7-8779-333e1799e7bb-field"></textarea>
    </div>
    <fieldset id="radio-68ed2b59-bc56-4914-aff4-fa2b35190d0d" class="form-item field radio required" aria-required="true">
      <legend class="title"> Are you able and willing to serve on the Summit Planning Committee for the MENA Think Tank Summit? <span class="required" aria-hidden="true">*</span>
      </legend>
      <div class="option"><label><input type="radio" name="radio-68ed2b59-bc56-4914-aff4-fa2b35190d0d-field" value="No"> No</label></div>
      <div class="option"><label><input type="radio" name="radio-68ed2b59-bc56-4914-aff4-fa2b35190d0d-field" value="Yes"> Yes</label></div>
    </fieldset>
    <fieldset id="radio-72de359f-7c83-458b-a19d-e523a4a205ba" class="form-item field radio required" aria-required="true">
      <legend class="title"> Our think tank would be willing to serve on the TTCSP International Advisory Committee? <span class="required" aria-hidden="true">*</span>
      </legend>
      <div class="option"><label><input type="radio" name="radio-72de359f-7c83-458b-a19d-e523a4a205ba-field" value="No"> No</label></div>
      <div class="option"><label><input type="radio" name="radio-72de359f-7c83-458b-a19d-e523a4a205ba-field" value="Yes"> Yes</label></div>
    </fieldset>
    <fieldset id="radio-788b53ba-88dd-41bc-b5f9-d5af629277f4" class="form-item field radio required" aria-required="true">
      <legend class="title"> Have you received both vaccination doses (or one dose for single-dose vaccines like Janssen COVID-19 Vaccine) for COVID-19? <span class="required" aria-hidden="true">*</span>
      </legend>
      <div class="option"><label><input type="radio" name="radio-788b53ba-88dd-41bc-b5f9-d5af629277f4-field" value="Yes"> Yes</label></div>
      <div class="option"><label><input type="radio" name="radio-788b53ba-88dd-41bc-b5f9-d5af629277f4-field" value="No"> No</label></div>
      <div class="option"><label><input type="radio" name="radio-788b53ba-88dd-41bc-b5f9-d5af629277f4-field" value="I am partially vaccinated"> I am partially vaccinated</label></div>
    </fieldset>
  </div>
  <div data-animation-role="button" class="
          form-button-wrapper
          
            form-button-wrapper--align-left
          
        ">
    <input class="button sqs-system-button sqs-editable-button sqs-button-element--primary" type="submit" value="Register">
  </div>
  <div class="hidden form-submission-text">
    <p class="" data-rte-preserve-empty="true" style="white-space:pre-wrap;"></p>
  </div>
  <div class="hidden form-submission-html" data-submission-html="<hr>
<h2>
Thank you for expressing interest in the 2021 MENA Think Tank Summit.
<br> <br> 
You will receive additional information as the event nears! 
<br>
Best,
TTCSP Staff
</h2>
<hr>"></div>
</form>

Text Content

 * Home
 * About Us
    * History and Mission
    * Meet The Director

 * Summits
    * Upcoming Summits
    * Past Summits & Reports

 * Think Tanks Index
    * 2021 Index
    * Global Go To Think Tank Index
    * Think Tank Ranking Process
    * Update Information

 * Publications
 * Intern Corner
    * Apply
    * Executive Board Members

 * Contact Us

Menu

256 South 37th Street
Philadelphia, PA, 19104
215 573-6267


Your Custom Text Here




 * Home
 * About Us
    * History and Mission
    * Meet The Director

 * Summits
    * Upcoming Summits
    * Past Summits & Reports

 * Think Tanks Index
    * 2021 Index
    * Global Go To Think Tank Index
    * Think Tank Ranking Process
    * Update Information

 * Publications
 * Intern Corner
    * Apply
    * Executive Board Members

 * Contact Us





MENA THINK TANK SUMMIT NOVEMBER 23RD, 2021, 9:00 AM EST-11:00AM EST NEW YORK EST

"Note: This form does not confirm your registration for the MENA Summit and is
meant for you to express interest in attending. Please direct all questions to
Zuha Noor (Summit coordinator) at zuha27@sas.upenn.edu."

Name *
First Name
Last Name
Title *
Organization *
Email *
Country *
Comments and suggestions for how we can enhance the programs and publications we
provided for the global think tank community.
Are you able and willing to serve on the Summit Planning Committee for the MENA
Think Tank Summit? *
No
Yes
Our think tank would be willing to serve on the TTCSP International Advisory
Committee? *
No
Yes
Have you received both vaccination doses (or one dose for single-dose vaccines
like Janssen COVID-19 Vaccine) for COVID-19? *
Yes
No
I am partially vaccinated






 

The Lauder Institute, Second Floor – Admin Office, 256 S. 37th Street
Philadelphia, PA 19104-6330.  

Direct Line: 215 - 746 – 2928
Email: jmcgann@wharton.upenn.edu