YECMM aplication

Personal data applicant

1. Candidate Information

Candidate First Name

Candidate Last Name

Title

Date of birth

Specialty

Years of professional working in this specialty

Organization

Department/Division

Address 1

Address 2

Zip Code

City

Country

Email Address

Verify Email Address

2. Academic Background and Employment history

Please note (multipe entries possible)

Academic Background:

Institution
Year of Graduation
Degree

Employment history:

Institution
Position held
Years of service

max 150 words*

Short Bio to be displayed on YECMM website upon application success

Motivation to join YECMM

Max. 200 words

Photo

Please share below your ORCID and/or google scholar and/ or link to your publications in PubMed

PubMed

3. Membership in a National Mycological Society/Mycology Chapter

Name of Society and if applicable Chapter:

Member Number

Member since

4. Preferred payment schedule

See ECMM website for fee amounts

Preferred payment schedule

By registering, you (the delegate) agree that your personal data will be processed for registration and handling purposes, as well as to send you information in connection with this fellowship. Any personal data will be solely used in accordance with current EU data protection legislation(GDPR) and will not be disclosed to a third party without the delegate’s written consent.
If you do not submit the data indicated as “required”, we cannot complete your registration.

*I accept the terms of the data use agreement

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Application form to become a member of the Young ECMM

Personal data applicant

2. Academic Background and Employment history

Short Bio to be displayed on YECMM website upon application success

Motivation to join YECMM

3. Membership in a National Mycological Society/Mycology Chapter

4. Preferred payment schedule

Thank you for your application

Application form to become a member of the Young ECMM

Personal data applicant

2. Academic Background and Employment history

Short Bio to be displayed on YECMM website upon application success

Motivation to join YECMM

Add/Replace Photo

3. Membership in a National Mycological Society/Mycology Chapter

4. Preferred payment schedule

Thank you for your application

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