EPSA Alumni Contact Update

EPSA Alumni Contact Update

We would kindly thank you for taking the time to complete this questionnaire about your current contact details. We will update your details if you have already informed us previously, and amend any changes that you share with us. Feel free to update this form at any point throughout the year when you know that your information changes, such as contact information, job, etc.In EPSA we would like to remain in contact with those former colleagues from each mandate, past officials of EPSA, with the intention to create opportunities to engage with current students of Pharmacy in Europe. We appreciate your work and hope we can stay in touch.
Name*

First NameLast Name
Country of residence*
Email*
example@example.com
Facebook link to profile*
LinkedIn link to profile*
Twitter link to profile*
Skype name*
Involvement in EPSA:*

EPSA Team MemberLiaison SecretaryNational IMP CoordinatorEPSA TrainerEPSA Reception Committee for eventOther
In what mandate(s) were you EPSA Team?*
e.g. 2016/2017
What whas your position in the EPSA Team?*
e.g. IT Coordinator
When were you LS and for which association?*
e.g. 2017/2018 for VFSO Belgium
When were you National IMP Coordinator and for which association?*
e.g. 2017/2018 for VFSO Belgium
Since when are you an EPSA Trainer?*
e.g. since 2015
For which event(s) were you Reception Committee?*
e.g. EPSA AC 2017, Slovenia
Professional Area*

Community PharmacyHospital PharmacyPharmaceutical IndustryAcademiaAuthority/GovernmentOther
Professional Title(s) and Employer(s)*
What you do professionally and for whom. Please also include previous posts.
Other comments
Please use this space to comment on anything you'd like related to EPSA.
I agree with the European Pharmaceutical Students' Association (EPSA) collecting the data I provided above and will store the following data: my name, surname, my email address, my country of residence, my Skype ID and my employment area in the EPSA database. I consent to receive regular email correspondence from EPSA, including alumni newsletters and other requests. I am informed that EPSA will not delete the above-mentioned data unless I request so and that I can request to delete above-mentioned data at any time.I am informed that EPSA Data Protection Officer is the EPSA Secretary General.*

I agree
Should be Empty: