JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Membership Application Form Public Participation Center
For questions regarding the membership, please contact us at: m.a.radulescu@rug.nl
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Groningen.
Does this form look suspicious?
Report
Forms