TWINNET Registration

Name of Twinnet Coordinator *

First Name Last Name

E-mail of Twinnet Coordinator *

Type of project *

Twinnet Threen Quatrino

What association is hosting? *

What association is visiting? *

2nd visiting association

3rd visiting association

Hosting city *

Visiting City(es) *

Estimated month of Twinnet *

If you do not yet know the exact start and end date of your Twinnet, you can fill in just the month or approximate start date of your Twinnet and fill in the exact dates later on.

Exact Start date

Month Day Year

Exact End date

Month Day Year

Twinnet Topic *

Number of participants per country *

How will you fund the Twinnet? *

Are you interested in receiving EPSA's help to organise EPSA trainings in your programme? *

Yes No

Are you interested in receiving EPSA's help to organise a science excursion in your programme? *

Yes No

Are you interested in receiving EPSA's help to organise a public health campaign in your programme? *

Yes No

Are you interested in EPSA helping you to find speakers? *

Yes No

Are you participating in Interprofessional Twinnet Project? *

Yes No

If yes, which Students' Organization will you collaborate with?

Any other comments?

EPSA Twinnet Coordinators group

The EPSA Twinnet Coordinators group is a platform to connect with and promote yourself as a Twinnet partner to other coordinators in EPSA member countries. Join us!

Twinnet Guidelines

Remember that EPSA can help connect you with Twinnet partners, with setting up your educational and social programme, provide trainers and give advice on funding and grants. Contact the EPSA Mobility Coordinator for more information.

*

I give my consent to EPSA (European Pharmaceutical Students' Association) to process the data I have provided for the purpose of contact in regards to and promotion of the Twinnet Project. I also give consent for my personal data to be available on the EPSA website for the aforementioned purpose. The provided data will be deleted upon my disengagement from the activity I am applying to OR when deemed appropriate by EPSA. Alternatively, the provided data shall be deleted immediately upon my request.