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User registration form

Fields marked with (*) are required

User detail

1. Name *
2. Surname *
3. Sex * M F
4. Country * ... Austria Belgium Bulgaria Cyprus Czech Republic Denmark Estonia France Finland Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden Turkey United Kingdom

Contacts

1. Email *
2. Telephone
3. FAX

Job information

1. Job Title/Position ... Head of Department / Agency General Director Director Manager Technician Administrative Other
2. Please specify
3. Organisation ... NGO Civil Protection Department / Agency Consultant Civil Protection School Governamental Body (i.e. Minister) Private University Other
4. Please specify

Education and Training Information

1. Did you participate to the Community Mechanism Training Programme? *

   Yes No
2. Which Course(s) did you attend? *

   1. Community Mechanism Induction Course (CMI)
      ... 2005 PELASTUSOPISTO 2004 PELASTUSOPISTO 2005 INESC 2004 INESC 2006 THW 2005 THW 2004 THW 2006 CIRPS - Univ. Rome "La Sapienza" 2004 CIRPS - Univ. Rome "La Sapienza" 2004 CEFRIEL - Politecnico di Milano 2004 SRSA (Sweden)/DEMA(Denmark) 2004 SRSA (Sweden) Partecipate as teacher
   2. Operational Management Course (OPM)
      ... 2004 BMLV/ABC- Abwehrschule 2005 INESC 2004 INESC 2006 THW 2004 THW 2006 SRSA (Sweden)/DEMA(Denmark) 2005 SRSA (Sweden)/DEMA(Denmark) 2004 SRSA (Sweden)/DEMA(Denmark) Partecipate as teacher
   3. Staff Management Courses
      ... 2006 SRSA (Sweden)/DEMA(Denmark) Partecipate as teacher
   4. Assessment Mission Course (AMC)
      ... Cyprus Civil Protection Agency 2006 THW and The Johanniter Partecipate as teacher
   5. High Level Co-ordination Course (HLC)
      ... 2004 INESC 2006 BBK 2005 BBK 2006 AKNZ 2006 SRSA (Sweden)/DEMA(Denmark) 2005 SRSA (Sweden)/DEMA(Denmark) 2004 SRSA (Sweden)/DEMA(Denmark) 2004 SRSA (Sweden) Partecipate as teacher
   6. High Level Co-ordination - Refresher Courses (HLCR)
      ... 2006 SRSA (Sweden)/DEMA(Denmark) Partecipate as teacher
   7. I attended other International Courses
   8. I have attended no International Training Courses yet
3. Did you participate to one or more simulation exercises among those
   listed below? *

   COMMON CAUSE (2002-DEMA, DK) EURATOX 2002 (2002- Civipol, FR) FLORIVAL II (2003 - Ministry of Interior, BE) FOREST FIRE (2004 -Entente, FR) EUDREX (2004 - Federal Ministry of Interior, AT) EU ESCEX (2004 - FI) EURATECH (2005 - Civipol, FR) EUPOLEX (2005 - PL) PO (2005 - IT) EUROSOT (2005 - IT) EUDANEX (2006 - DEMA, DK) MESIMEX (2006 - IT) I participated to other International Exercises I have never attended to any International Exercise
4. Please specify
5. Did you participate to the Exchance of Experts
   Programme in the Field of Civil Protection Programme (EUCIVEX)?

   Yes No
6. If Yes, in which year? ... 2000 2001 2002 2003 2004 2005 2006
7. where? ... Austria Belgium Bulgaria Cyprus Czech Republic Denmark Estonia France Finland Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden United Kingdom
8. how long? ... 1 - 2 Weeks 3 - 4 Weeks 5 - 6 Weeks 7 - 8 Weeks 9 - 10 Weeks 11 - 12 Weeks 13 - 14 Weeks 15 - 16 Weeks 17 - 18 Weeks 19 - 20 Weeks 21 - 22 Weeks 23 - 24 Weeks
9. Activity areas ... Operational Staff Administrative staff Other
10. When did you participate, last time, in an international training/education activity?

    ... 2000 2001 2002 2003 2004 2005 2006

EVA Service Program

1. Which service would you like to subscribe?

   Receive the Monthly EVA Newsletter by e-mail Receive the EVA weekly Tip/News by e-mail
2. Do you agree to be contacted in future for further survey?

   Yes No

EVA Portal access

1. User *
2. Password(5 chars min.) *
3. Confirm password *

Treatment of personal data

Disclaimer According to article 13 of D.Lgs. n. 196 of 30 June 2003, CEFRIEL - Società consortile a Responsabilità Limitata treats data voluntarily furnished to activate services in conformity with norms in force and in full compliance with fundamental rights and liberties, as well as personal dignity, with special reference to the privacy, accuracy, legitimacy and right to protection of personal identity. Holder of the treatment of data is CEFRIEL - Società consortile a Responsabilità Limitata, based in Via R. Fucini 2, I-20133, Milan, Italy. In order to exercise rights of vision, modification and cancellation of personal data, as foreseen by art. 7 of D.Lgs.196/2003, the interested party must present a written request to CEFRIEL - Società consortile a Responsabilità Limitata - Via R. Fucini, 2 - I-20133 Milan, Italy - or to the e-mail address info@cefriel.it - to the attention of the officer in charge of treatment of personal data.

1. Consent Privacy * Authorize Do not authorize

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