INTERDEM Academy application form for membership Name: Country: Workplace: Current Position (e.g. PhD student, post-doctoral fellow): Supervised by or Affiliated with (INTERDEM-member): Main research project and area of expertise (max.170 characters): Mail: Secondairy mail (non-institutional): PubMed Link: Twitter: LinkedIn: Facebook: Picture upload: I hereby give permission to publish my profile on interdem.org YesNo Any other remarks: Captcha quiz 10 * 10