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Form for Symposium on Language Policies -- Georgetown
Registration Form -- Symposium on Language Policies in the 21st Century: Galician, Portuguese, and Spanish
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Title
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Ms.
Mrs.
Mr.
Dr.
Last Name
*
Your answer
First Name
*
Your answer
Email address
*
Your answer
Phone number
Your answer
Profession
Your answer
Affiliation (university, company, organization, etc.)
*
Your answer
Department
*
Your answer
What language(s) do you speak?
*
Catalan / Català
English
Galician / Galego
Portuguese / Português
Spanish / Español
Other:
Required
What languages do you study?
*
Catalan / Català
English
Galician / Galego
Portuguese / Português
Spanish / Español
I do not currently study languages
Other:
Required
I would like my certificate of participation to be in:
Galician / Galego
Portuguese / Português
Spanish / Español
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