Question Title

* 1. Name (Surname, first name)

Question Title

* 2. Your Email Address

Question Title

* 3. City, Country

Question Title

* 4. Organisation | University

Question Title

* 5. Position | Role at Organisation

Question Title

* 6. Are you/ is your Organisation a C-EHRN Member?

Question Title

* 7. Please choose what applies to you...

Question Title

* 8. Have you received a European Harm Reduction Conference Scholarship before?

Question Title

* 9. Have you submitted an abstract?

Question Title

* 10. If you will not be chosen for a full scholarship, are you interested in receiving a scholarship which will cover the conference fee only?

Question Title

* 11. Please share a short bio of you and your field of expertise

T