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APPLICATION FOR MEMBERSHIP - Macedonian American Alumni Association 2018
Building bridges of cooperation between the United States and Macedonia
Name *
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Surname *
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Date of Birth *
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City of Birth *
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Country of Birth *
Your answer
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? *
Your answer
Field of the program attended in the US? *
Your answer
Starting date of your US Department of State Scholarship Program? *
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DD
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End Date of your US Department of State Scholarship Program? *
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YYYY
Employed at? *
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Position? *
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Email *
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Home Address *
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Phone number for contact *
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Interested in? *
Your answer
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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Before clicking SUBMIT please print this form (right click + print), and put your handwritten signature. The scanned version of this form along with your signature should be sent to maaa.macedonia <> gmail <> com. The electronic version will be delivered after you click on the SUBMIT button.
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