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Conference Registration Form
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* Indicates required question
First Name
*
Your answer
Last / Family Name
*
Your answer
Country of Residence
*
Your answer
Nationality/ies
*
Your answer
Age
*
Your answer
Gender
*
Your answer
Other identities
Your answer
Occupation
Your answer
Job Title / Role at Work
*
Your answer
Name of Organization / Place of Work
*
Your answer
What does your organization do?
(Short sentence describing the main task of the organization)
Your answer
Mobile Phone
*
Your answer
Preferred Email
*
Your answer
Home Address
*
Your answer
How did you hear about the conference?
*
Please check all that apply. (You may name the previous participant, colleague or friend, under Other)
Previous participant
Colleague / Friend
Email
Facebook
LinkedIn
PAI (IPPA)
I participated in a previous OFEK conference / course/ event
Other:
Required
Previous Group Relations Experience
*
(This question refers to Group Relations conferences NOT other group work or training)
This is my first attendance at a Group Relations conference
I have participated in a full Group Relations conference
I have participated in more than one Group Relations conference
Required
Please fill in details of past conferences
Year, title of conference, duration, location, sponsoring organizations
Your answer
Topics you would like to work on in the conference, if any
Your answer
I am applying for the Training Group
*
Open for application by participants who have attended at least two Group Gelations conferences.
Yes
No
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