JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration form
WORKSHOP of DOGWISE Summit
:
Dialogue on Global Stray Dog-Associated One Welfare Initiatives, Strategies, and Education.
* Indicates required question
Email
*
Record my email address with my response
📆
Day: 2023.12.02(Sat.) AM 09:30 - PM 12:30 (09:15 Start of registration)
📑
Organizer:National Chung Hsing University USR StrayLOHAS Program
📝
If there is a questionnaire filled out after the conference , the certificate can be issued.
Contact person :
Irene Hsieh
E-Mail:
key262@email.nchu.edu.tw
Phone:(+886) 0973260668
1.Name
*
(For making certificates, please fill in the name on passport)
Your answer
2.Gender
*
Male
Female
Other
3. Date of birth (ex. 1996/09/11)
*
Your answer
4. Contact number
*
Your answer
5. Contact e-mail
*
Your answer
6. Have you ever worked as an intern at USR? When is the internship period?
*
Your answer
7. Can you tell me why you are interest in this workshop?
Your answer
8. If you have any questions, please feel free to let us know.
Your answer
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 國立中興大學.
Report Abuse
Forms