Representatives' Registration for the EMSA Autumn Assembly 2019 🦉
Dear EMSAi,

The Organising Committee as well as the EMSA European Board are thrilled to invite you to the EMSA Autumn Assembly 2019 which will take place between 1-6 September 2019, in Parnis, Athens, Greece! The theme will be „A medical Curriculum shaped by Medical Students”. This is the form that you have to complete to register for the event.

#EMSA2019ΑΑ
#owl_be_there

Representatives registrations (12.05-28.05) for members of all FMOs

The participation fee including five nights of accommodation and three course meals and coffee breaks is 200€ .

Accommodation will be in Parnis Palace Hotel Suites, Parnitha Avenue 388-389 and Acharnis Kavallari Hotel Suites, Parnitha Avenue 384 both at Acharnai, Greece. The Parnis Palace Suites hotel will also act as the venue of the GA.


EXTRAS:

Pre-GA NC Meeting: The fee is 15 € and will include accommodation (in host houses), the necessary materials, coffee breaks and meals (dinner on the 31st, breakfast and lunch on the 1st). It will take place in the Athens Medical School Campus, Tetrapoleos 18, Athina 115 27. (ONLY FOR NATIONAL COORDINATORS/ PROXIES)

Post-GA field trip: We have organised a post-GA trip that will give you the opportunity to explore Nafplion, the Greece's former capital and across it the island of Hydra. The duration of the excursion is going to be 2 days/1 night and the cost of it 95€.

Are you staying in Athens a little longer after your check out but you don't have the time to participate in our post-GA trip? We welcome you to join our one-day tour of the city at 6/9, in which you could visit the Parthenon, the beautiful Plaka neighbourhood and maybe other sights of the city centre. The expenses of the trip will have to be covered by you and there won't be an extra fee.

The Registration form consists of 10 sections and take around ~15mins to process properly

Email address *
Name *
Your answer
Surname *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Country *
If your country was missing from the list above, please specify it here
Your answer
Faculty Member Organisation (FMO) *
If your Faculty Member Organisation was missing from the list above, please specify it here:
Your answer
Your position in EMSA at the time of Autumn Assembly 2019 *
For carriers of proxies: Whose voting right will you carry? (For one Faculty Member Organisation, either two Local Coordinators or one proxy carrier is allowed to register at this time.)
Your answer
Phone number *
Don't forget to add your country code, e.g. +30 for Greece
Your answer
Emergency contact *
Name, relation and phone number of your emergency contact
Your answer
Food preference *
Allergies *
If you answered above yes please specify what you are allergic to.
Your answer
Have you ever attended a European EMSA Meeting? If yes, please specify the name(s) of the meeting(s):
Your answer
What is your motivation to attend the ΑA'19? *
(Your motivation letter will be considered for the selection process and has a limit of 250 words.)
Your answer
Do you need an Invitation Letter? *
In which form do you prefer to receive your certificate of attendance? *
Next
Never submit passwords through Google Forms.
This form was created inside of EMSA Europe.