Open Registration for the EMSA Autumn Assembly 2017
2nd - 7th September 2017, Budapest/Hungary

Please note that all spots with accommodation are full at the moment, and you will be put into a wait list if you apply for a spot with accommodation. There are several spots available without accommodation.

Please check the FMO List before applying as a Local Coordinator: www.goo.gl/cG6XUx

Email address
Name
Your answer
Surname
Your answer
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
If you are an external guest invited by the organisers or EMSA Europe, please specify your organisation here:
Your answer
Your position in EMSA at the time of Autumn Assembly 2017
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
Nationality
e.g. Irısh
Your answer
Phone number
Don't forget to add your country code, e.g. +90 for Turkey
Your answer
Emergency contact
Name, relation and phone number of your emergency contact
Your answer
Your level of English
Estimate your English level for us (no certificate is requested, we just want to get an overview of our participants’ average English level)
Have you ever attended a European EMSA Meeting? If yes, please specify the name of the meeting(s)
Your answer
What is your motivation to attend the AA'17? (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?
Do you want to attend with or without accommodation?
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