Netherlands Association for Latin American and Caribbean Studies Membership Form

p/a CEDLA, Roetersstraat 33, 1018 WB Amsterdam, e-mail: info@nalacs.nl
Email address *
JOIN NALACS now!
Please fill in to become a member of NALACS.
NALACS is an association for everyone in the Netherlands who is engaged with Latin America and/or the Caribbean. NALACS mission is to promote knowledge and debate on issues related to Latin America and the Caribbean. Please, fill in our form to help us build a database of professionals and academics in the Netherlands who are interested on Latin American and the Caribbean. This database will help us direct our activities and will be made available to those seeking partnerships for research and other activities.
First name *
Your answer
Surname *
Your answer
Gender *
Titles (Academic or other) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Current position: I work in one or more of the following sectors *
Affiliation *
Institution or company you work for?
Your answer
My profession/ position *
What is your position at the institution you work for?
Your answer
Work address *
Your answer
Postcode *
Your answer
City *
Your answer
Country *
Your answer
Telephone number *
(your phone number won't be shared in our website)
Your answer
Email *
Your answer
Your academic background *
Disciplines you are specialised in
Your answer
Your specialisation in Latin America and the Caribbean *
Specific topics you study in relation to LAC
Your answer
Countries you are interested in *
Specific countries of interest (not necessarily your expertise)
Your answer
Topics you are interested in *
Specific topics of interest (not necessarily your expertise)
Your answer
Membership type *
In case you are a student, when is your expected graduation date ?
MM
/
DD
/
YYYY
The membership is valid from the 1st of January to the 31st of December. Once you become a member you will receive an invoice for the ongoing year. After that you will receive an invoice every November for the upcoming year.
Nalacs is working on an online database of its members to make it easier for members to connect, but also to offer them a platform where they can be found by anyone interested in topics regarding Latin America and the Caribbean.
We would like to include data submitted in this form (with the exception of mobile phone numbers) in this database and make it visible on the website. Please, do let us know if you wish to leave out other details. *
I declare that all information above is true.
Payment
After submitting this form, you will receive an email with instructions for the payment of the membership fee. Please, keep a receipt or a screenshot of the payment for your administration.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms