GLOBELICS MEMBERSHIP - 2019
Membership is individual. And it is open to all those who fulfill the following requirement:
     You must have participated in at least one network activity (GLOBELICS or Regional LICS Conferences, GLOBELICS or Regional LICS Academy).
Note: The new membership forms will be processed at the end of every month.

1. First name *
2.  Last name *
3. Gender *
4. Date of birth (mounth/day/year) *
MM
/
DD
/
YYYY
5. Nationality *
6. Academic degree (indicate only the highest degree ) *
7. Year graduation *
8. Name of the hosting university for this degree *
9. Current employer *
10. Position
11. If your permanent affiliation/employer differs from the current affiliation/employer, please, indicate permanent affiliation/Employment.
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