REGISTRATION FORM
Dear participant,
We are very happy to welcome you to the Annual General Meeting (AGM) of the European Nursing Student Association (ENSA). The registration for the AGM is for FREE! For attending our AGM in London from October the 19th to the 23rd 2015, please fill this form and send it to no later than the 1st of October.
See you in London!
- ENSA Board
Please fill in the section below
Name :Surname :
Gender :
Country :
E-mail :
University 1 :
1 Please specify the university that you are studying at for now
Degree : / ☐Nursing Student in Nursing School ☐ Nursing Student in Bachelor (University) Degree
☐ Nursing Student in Master Degree ☐ Nursing Student in Doctoral (PhD) Degree
Organization(s) 2 :
2 Please specify the nurses and/or nursing student organization that you are a member of.
If you are in an organization; please specify your position.
☐ Member ☐ I have administrative roles (Please specify): Click here to enter text.
Do you have any special meal preferences?
☐ No, I don’t have
☐ Vegetarian ☐ Muslim ☐ Food allergy (Please specify): Click here to enter text.
Do you want to nominate yourself for the new board of ENSA in 2014-2015 period?
3 You can only be elected if you are from an European country. If you have any questions about being in the ENSA Board please feel free to contact any of the board members or send us an e-mail at .
☐ No, I don’t want ☐ Yes, I want ☐ I have not decided yet 3
IMPORTANT!
Seeing as ENSA is now a legal organization we have procedures about who can vote and how to vote. Only 1 delegate from each country can vote on behalf of the country. If more representatives are present from one country, you need to decide BEFORE coming to the AGM who is the delegate that can vote.
Please answer the question below:
Are you the delegate of your country?
☐ No ☐ Yes
Side 1 af 2