Online form questions - institutions

Mandatory sections are marked with *

Name*
Username*

Enter password*
Confirm password*

Address



Telephone number
Fax number

E-mail address* ("this e-mail address will be used to inform you of future activities within the U.S. Affiliates Community should you choose so at the end of the form")

URL

Contact person

Short description of institution*

Affiliation of institution to U.S. government and/or institutions involved in higher education: (more than one option is allowed) *
Croatian association of U.S. alumni
Croatian institution financially supported by U.S. government
Croatian institution cooperating with U.S. government and/or U.S. higher education institutions

Would you like to receive e-mail updates of latest U.S. Affiliates Community Forum posts and upcoming U.S. Affiliates Community activities?*


Would you like to be available for e-mail enquiries from interested individuals or institutions about your alumni program, field of study and/or main area(s) of expertise?*



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Are you an alumnus/alumna of a U.S. university or a U.S. government - sponsored program?



Are you a representative of an association of Croatian U.S. alumni?



Does your institution cooperate with U.S. higher education institutions or the U.S. government?



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