First (given) Name
	
	
	
	Last (family) Name
	
	
	
	Your Email (required)
	
	
	
	Your address
	
	Institution: 
	
	Department: 
	
	Address: 
	
	City: 
	
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I am applying for a position on the GEM&L Administrative Board. I understand that as a member of the GEM&L Administrative Board I can also be a member of the Scientific Committee.
	Upload a short bio (300 words) doc or pdf file:
	
	
	
	or paste your short bio:
	
	
	
	Cover letter
	
 
Please explain here which role you would like to play in the Board
	Paste your cover letter (max. 500 words):
	
	
	
Please choose a position and tick the box of your choice. Several choices are possible.