Application to become Farmaceutkompis

* = mandatory fields.

Type of friend *

Agreement


Contact details

E.g. 1979

Gender

In which city would it be most ideal to meet up with your new Pharmacist Friend? *

Countries lived in & languages spoken

Social life and interests

Do you have a partner?

Do you have kids?

Interests

Do you practice or wish to learn any of these sports?

Education & professional experience

What is your highest level of education? For example Bachelor in pharmacy, Bachelor in biochemistry, etc.

Occupation

Use this field if your current occupation is not found in the dropdown list above
In which area(s) do you have working experience?

Pharmacist friend / Farmaceutkompis

Motivate why you want to participate in Pharmacist Friend initiative?
What are your expectations on participating in Pharmacist Friend initiative?

I accept that pictures of me taken at Farmaceutkompis events or meetings can be used by Farmaceutkompis, in public relations and communication purposes to benefit Farmaceutkompis mission and Farmaceutkompis participants.

    

Personal data agreement