EMAS 2023 Volunteer Recruitment Form

EMAS 2023 Volunteer Recruitment Form

May 3 -5 2023 | Florence, Italy
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
YesNo
How would you like to be referred to?
(she/her, he/him, they/their, other-please specify)
Do you have accessibility needs? Please include them here.
Emergency Contact*
What is your employment status?*
Researcher, doctor, resident, student, retired, etc.
How much work experience do you have?*
0-5 years; 6-10 years; 11-20 years; More than 20 years
Have you ever attended or volunteered at an EMAS Congress?*
If yes, which year?
Do you have any other volunteer experience?*
Please list all you think might be relevant
What are your language proficiency levels?*
Basic-Working level-Proficient/Mother-tongue
Please add any skills you have that you think might be useful as a volunteer. *
S/MM/LL/XL
I agree
Should be Empty: