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APPLICATION FOR MEMBERSHIP - Macedonian American Alumni Association
Building bridges of cooperation between the United States and Macedonia
Name *
Surname *
Date of Birth *
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City of Birth *
Country of Birth *
Program attended in the US? (Please notice that "Work&Travel in USA" program is NOT ELIGIBLE for MAAA Membership) *
Required
Host University/Institution in the US? *
Field of the program attended in the US? *
Starting date of your US Department of State Scholarship Program? *
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End Date of your US Department of State Scholarship Program? *
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Employed at? *
Position? *
Email *
Home Address *
Phone number for contact *
Interested in? *
Do you agree to receive information about future activities of MAAA through e-mail, post or other means of communication? *
Required
Do you agree that your name and surname, e-mail and fellowship program to be disclosed at MAAA website? *
Required
Date *
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Signature *
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