Passive Member Registration Form 2018-2019
We are very happy that you chose to sign up as a passive member at Enactus EUR. All you have to do now is fill in this information.
* Required
Email address
*
Your email
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What is your phone number?
*
Your answer
What is your nationality?
*
Your answer
What is your birth date?
*
MM
/
DD
/
YYYY
Do you speak Dutch?
*
Yes
No
What do you study?
*
Your answer
Which year are you in?
*
1st year
2nd year
3rd year
4th year
Pre-master
Master
What is your student number?
*
Your answer
Are you a member of these associations?
*
ESN
CSA
STAR case society
Erasmus Involved
No
Next
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of Enactus EUR.
Report Abuse
-
Terms of Service
Forms