EU-PROMENS Final Conference - EU-PROMENS

Type of participation *

Contact information

First name (in Latin Alphabet) *

Please indicate your name as indicated in your passport

Last name (in Latin Alphabet) *

Please indicate your last name as indicated in your passport

Country of Residence *

Please note that you must be resident in one of the 27 EU Member States, Iceland or Norway in order to apply. A total of 150 participants will be selected, with quotas assigned to sending countries based on their population size and active engagement in the mental health sector.

E-mail *

Please confirm by entering your Email address twice.

Confirmez le champ précédent *

Téléphone portable *

Professional Information

Please select your professional profile: *

Institution/Organisation *

Official Job Title *

Please give your official Job Title

Role in EU-PROMENS *

Travel and logistics

How do you prefer to travel to the destination?

All modes of transport will be booked by you and reimbursed after completion of the Training Programme.

Please choose your starting airport (in your home country)

Travel agency data sharing consent

I agree that my data (name, surname, mobile, email, date of birth) will be shared with the travel agency for flight booking.

Accomodation dates Please indicate your accommodation check-in and check-out dates, in line with your travel dates.

Check-in date (as per travel)

Check-out date (as per travel)

Please select the date you will check out of your accommodation and depart.

Emergency Contact Please provide the name and phone number of an emergency contact.

Full Name

Email Address

Confirmez le champ précédent *

Phone Number

Relationship

Special Needs & Arrangements

Do you have any medical conditions or pathologies that we should be aware of? If yes, please provide details.

Please also provide details on arrangements that should be made by our side.

Do you have any dietary restrictions or special requirements?

Do you need any special arrangements due to disabilities or special needs? Please specify.

Information on Data storage

I have read and understood the Consent for Data Protection Notice on the Training Programme. *

Consent for photography

I hereby agree to be part of pictures taken during the visit for reporting and communication purposes.

Our contact email for questions:

Martina Rienzi

✉ martina.rienzi@gfa-group.de

☎ +39 392 877 4984

Registration fees

Registration to this event

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