Registration Form
1. Name
First name :
Surname:
2. Personal Information
Place of birth
Date of birth:
Age:
Nationality :
Sex: Male
Female
3. University Department
Department:
University :
Street :
Number :
Postal Code :
Town :
Country :
Web site:
Completed the
semester (give a number)
Courses taught :
Zoology:
(number)
Botany:
(number)
Ecology:
(number)
Biodiversity:
(number)
Ecological economics:
(number)
Other:
4. Correspondence (permanent) address
Street:
Number:
Postal Code:
Town:
Country:
Phone(optional):
Fax(optional):
E-mail:1.
2.
optional
5. Languages
Mother tongue:
English:
poor
sufficient
good
very good
excellent
Indicate English degree obtained*
Knowledge of other languages (level):
Language1.
Level
Language2.
Level
6. Motivation.
Please explain in no more than 300 words the main reasons why you would like to join the Greek Summer School
The number of words you have already used:
7. Profile.
Please describe in no more than 300 words yourself, including reasons why you should be selected (e.g. awards etc)
The number of words you have already used:
8. Membership
Are you already a member of international NGOs
, national NGOs
, scientific societies
(give a number)
please explain
9 References
Please give the names, e-mail address and titles of the two university professors willing to provide you with a letter of reference.
1. Name:
Title:
Email:
2. Name:
Title:
Email:
Please fill the sting in the box :
* verification will be required after selection