Tools Load unfinished survey Resume later Language: English - English English - English Français - French default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. MEDAE Network Registration Form Thank you for your interest in being part of MEDAE Network. Please fill the form to complete Step 3. Registration form (This question is mandatory) Name of the organization (This question is mandatory) Date of Establishment Date format: mm-dd-yyyy Open date/time selector Format: mm-dd-yyyy 1900-01-01 2187-12-31 23:59:59.999 MM-DD-YYYY (This question is mandatory) Address of principal office (This question is mandatory) City (This question is mandatory) Country (This question is mandatory) Telephone country code Only numbers may be entered in this field. (This question is mandatory) Telephone Number Only numbers may be entered in this field. Website Social Media (Facebook, LinkedIn…) (This question is mandatory) Organization Type Choose one of the following answers Academic Institution (universities, highschools…) Technical Institution Research Institution Non-Governmental Organization (NGO) Network in Agroecology Producer/farmer organization Consumer organization Private sector Local authorities Decentralized governmental institution International organization Other: (This question is mandatory) Geographic Scope Select all that apply Local National Regional (e.g. Mediterranean) Global (This question is mandatory) Country/ies in which organization is active (This question is mandatory) Purpose of Organization (maximum 3 lines) (This question is mandatory) Brief profile (maximum 8 lines) (Please note that this description will be used in MEDAE website) (This question is mandatory) Please describe your main experiences relating to agroecological issues and practices in the Mediterranean (maximum 15 lines). Experience or achievement – Country.ies – Period Experience or achievement – Country.ies – Period … (This question is mandatory) If you have no experience yet in the Mediterranean, please describe what type of action you are planning in the Mediterranean in the short term (next 2 years) (This question is mandatory) Please describe your interest in the MEDAE network, and how you would like to participate in MEDAE activities. (This question is mandatory) Name of the focal point (This question is mandatory) Email of the focal point Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey
