Liz Arnanz 30 March 2017 Please fill in the registration form below. If you are a PHAP member, log in to the right in order to have the form pre-filled. Registration information First Name * Last Name * E-mail * Job Title * Employer Country primarily based in * - Select -AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic of theCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Questions for the speaker [Optional] If you have any questions that you would like to see discussed during the event, please submit them below. Do you have any questions for the speaker regarding the topic of the session? ICVA May we share your contact information submitted in this form with the co-host of this event, the International Council of Voluntary Agencies (ICVA)? * Yes No Membership in PHAPPHAP is the only individual-based professional association bringing together all parts of the humanitarian sector. Several of the association's events are open to the public. However, if you are interested in membership in the association, please indicate so below. Are you currently a member of PHAP? Are you a PHAP member? * Yes, I am a PHAP member No, but I would like to apply for membership No, and currently not interested in membership Membership application Would you like to submit your membership application form together with your event registration? Yes No, I will submit it later Additional information needed for membership application PHAP is the only member-governed, non-profit association of professionals engaged in humanitarian assistance and protection with a global member network encompassing the full spectrum of institutional affiliations and professional backgrounds in the humanitarian sector. Membership in PHAP is open to individuals with a minimum of two years of professional experience in the humanitarian sector. The annual member dues have been set by the General Assembly to €80. Visit the membership benefits and dues page for more info. To submit your membership application for review, please fill in the additional info below. Gender * Female Male Birth date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017 Phone (primary) * Phone (other) Citizenship * - Select -AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe If multiple citizenships, select the one you consider your primary citizenship Languages (professional fluency) * To select multiple values, hold down your CTRL key (Windows) or CMD key (Mac). EnglishFrenchArabicSpanishRussianMandarin ChineseAfarAfrikaansAja-GbeAkanAlbanianAmharicAniiArmenianAssameseAymaraAzerbaijaniBalantaBambaraBaribaBassariBedikBelarusianBengaliBerberBhojpuriBialiBislamaBokoBomuBosnianBozoBudumaBulgarianBurmeseCatalanCebuanoChhattisgarhChichewaChitagonianChokweComorianCzechDagaareDagbaniDangmeDanishDariDekhniDendiDhivehiDioulaDogonDutchDzongkhaEstonianEwe-GbeFijianFilipinoFinnishFon-GbeFoodoFulaFulfuldeGaGan ChineseGen-GbeGeorgianGermanGonjaGourmanchéGreekGuaraníGugaratiGujaratiHaitian CreoleHakka ChineseHaryanviHassaniyaHausaHebrewHiligaynonHindiHiri MotuHungarianIcelandicIgboIlokanoIrishItalianJapaneseJavaneseJin Yu ChineseJolaKabyeKalangaKannadaKanuriKasemKazakhKhmerKhoisanKikongo-KitubaKimbunduKinyarwandaKirundiKissiKoreanKpelleKurdishKwanyamaKyrgyzLaoLatinLatvianLingalaLithuanianLukpaLuxembourgishMacedonianMadureseMagadhiMalagasyMalay/IndonesianMalayalamMalinkeMalteseMamaraMandinkaMankanyaManx GaelicMaoriMarathiMarshalleseMarwariMbelimeMin Bei ChineseMin Nan ChineseMongolianMontenegrinMossiNambyaNateniNauruanNdauNdebeleNepaliNoonNorthern SothoNorwegianNzemaOniyanOriyaOromoOssetianPalauanPapiamentoPashtoPersianPolishPortuguesePunjabiQuechuaRomanianRomanshSafenSamoaSangoSaraikiSenaSerbo-croatianSererSeychellois CreoleShonaSindhiSinhalaSlovakSloveneSomaliSonghay-ZarmaSoninkeSothoSundaneseSusuSwahiliSwatiSwedishSyenaraTagalogTajikTamasheqTamilTammariTasawaqTatarTebuTeluguTetumThaiTigrinyaTok PisinTomaTongaTonganTshilubaTsongaTswanaTurkishTurkmenTuvaluanUkrainianUmbunduUrduUyghurUzbekVendaVietnameseWaamaWaci-GbeWameyWelshWolofWu ChineseXhosaXiang ChineseXwela-GbeYobeYomYorubaYue Chinese (Cantonese)Zhuang ChineseZulu Professional experience (total) * - Select -0 yearsLess than 1 yearBetween 1 and 2 years2-5 years6-10 years11-15 years16-25 years26+ years Professional experience (humanitarian) * - Select -0 yearsLess than 1 yearBetween 1 and 2 years2-5 years6-10 years11-15 years16-25 years26+ years Brief description of minimum of two years relevant experience * Upload CV (optional, but facilitates application review) Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt. By submitting your application, you agree to the following: I have read and accept the PHAP bylaws (see the official Bylaws in French or the unofficial English translation). I understand that, if accepted as a member of PHAP, my membership will not be considered activated until my first annual membership dues, currently set to 80€, have been paid. Membership Type Yes, I agree
