Members Registration Form


Name	*
Surname	*
Address	*
Mail address (if different from the above)	*
Date of birth	*
e-mail	*
Telephone	*
Are you a member of a similar organization?	*	YES NO
Do you have relevant experience regarding humanitarian aid and international development cooperation?	*	YES NO
If YES, where and for how long?(up to 500 words)
Level of education	*	Elementary Secondary Ed. BA/BSc-ΜΑ/MSc PhD Other
Fields of study/specialization	*
Languages(please fill out which languages you speak/read/write rating with 1=basic knowledge to 5=fluently	*
Are you interested for active support of PLATO?	*	YES NO
		(Fields with * are required!)