Global Health Education Erasmus (GHEE) REGISTRATION
When your are interested in participating in one of our Global Health Education initiatives, please use this form to register with Global Health Education Erasmus (GHEE).
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
What is your reason to register with GHEE?
*
Please check all reasons that apply.
Minor Global Health
Clinical Electives
Public Health Electives
Research Electives
GHEE student team
Other:
Required
Your preferred GLOBAL HEALTH EDUCATION ERASMUS Email Address
*
Please choose the email address you prefer as
NAME@globalhealtheducation.nl
Your answer
Your temporary password
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Please choose your temporary password (minimum of 8 characters) to register with 'Global Health Education Erasmus'. You will need to change this temporary password at first login.
Your answer
Your UNIVERSITY Email Address
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Your answer
Your PERSONAL Email Address
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Your answer
Your MOBILE PHONE number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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