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**Registration

form Volunteer**
To be completed and subscribe by email to goldschmidt2012.recruitment@gmail.com before March 30th!


Register now!
First name:____________________ Last name:____________________ Institution: ____________________ Level and field of study:__________ ____________________________ Address: _____________________

In which activity are you interested?


(Maximum of 3 choices)
Make badges and bags Welcome desk, registration and administration Be responsible for the computer, projector, and audio equipment in a lecture room (set up presentations, provide assistance to the speaker, etc.) Social events (tickets at the door, checking names on the lists) Accompany trips (travel to region) Others: _________________________

Your availability* ?
(Indicate Yes or No)
AM Day
Sunday 24th June Monday 25th June Tuesday 26th June Wednesday 27th June Thursday 28th June Friday 29th June (8-12h)

PM
(13-19h)

Phone number: ________________ E-mail: _______________________ Spoken language:

English French Others

______________

*Note: - Compulsory pre-conference formation(s) (date to confirm) - Minimum of 3-5 hours per day - Minimum of 25 hours in total

Your size for the t-shirt:__________

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