Alumni Registration Form

We are committed to keeping former participants in touch with each other and to establishing links between them. Our aim is to weave a global network of support and we ask you to help make it grow and keep it alive.

If you have not registered at the end of your course, you still have the chance to do so by filling in the registration form below. You can indicate if you want to be included in the Alumni Directory (which is published on the web-site and accessible to the public), if you are interested in serving as an IPT Focal Point (see section “Focal Point") in your country/region or if you would like to serve as a career contact for current IPT participants and fellow Alumni. Please indicate also if you would like to assist planning IPT participants‘ reunions, or if you would like to interview prospective participants on their suitability for attending IPT.

 

Surname: Highest Degree:
First Name:    
Home Address: Home Phone:
Home Fax: Employer´s Name:
Work Address: Work Phone
E-Mail-Address: Personal URL:
Work Fax: Attendance of Core Course (year/month) 
Attendance of Specialization Course  (year/month)
Press CTRL-key for multiple selections
Type of Specialization Course
Press CTRL-key for multiple selections

Would you like your E-Mail and Web-address included in the online alumni directory?

(accessible by the public)

Yes

No

Please check off any volunteer opportunities you would like to learn more about:

Serving as career contact for current IPT participants and fellow alumni

Helping plan regional participants’ meetings

Interviewing prospective participants on their suitability for attending the IPT Program

Serving as an IPT focal point in your country/region