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?
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