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
Attention: Do not use special characters such as " or '
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