WHO Watch Volunteer Registration First Name *Last Name *Gender *MaleFemaleOtherDate of birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Country of residence *City *Preferred Email *Skype IDProfession?Institutional Affiliation/sActivism *Please describe your involvement with PHM country circles and current health activism.Interest in WHO Watch *Please explain why do you want to participate to WHO Watch?InterestsLanguages *What is your mother tongue? What other languages do you speak?English Writing Skills: *ExcellentGoodModeratePoorComputing: *ExcellentGoodModeratePoorParticipation: *Entire period of workshop + Watching EB/WHAOnly workshopPreference would be given for applications who will attend both workshop and WHO Watch NameRegister
