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1st Armenian Students For Liberty Conference and Pre-Conference Essay Contest Award Registration form for the 2013 1st Armenian Students For Liberty Conference and Pre-Conference Essay Contest Award to be held on 14-15 September, 2013.

Information about participant First name Last name Full Name of University City of University Country of University Field(s) of Study Graduation Year Email

Website (Facebook profile and etc.) Phone Number What is your current status as a • student?Academic degree Main • publications, projects • •

High School Student Undergraduate Student Post graduate Student (Includes Masters and PhD) Non-Student

Working languages Organization Name Organization's Website Facebook Page/Group Organization Email Address Mission Are you a leader?

• •

Yes No

• • •

ASFL‘s Facebook Page ASFL’s Facebook Advertisement ASFL’s Blog

If yes, what is your title and responsibility? How did you first find out about this conference?

• • • • • • • •

ASFL’s E-Newsletter ASFL Leader Twitter Tumblr Word of Mouth Flyer On a website or Blog (please specify) Other (please specify)

Further Specification If Necessary By submitting my registration, I agree that I will be a representative of my university, my organization and myself with the purpose of gaining a greater understanding of liberty and how to promote it on campus. To that end, I will attend all lectures, workshops and other conference events. I will show respect towards other conference participants and speakers. I also give permission to the conference to take my photograph and use it for purposes as deemed necessary by Armenian Students For Liberty. I understand and agree.

Applicants should send the filled application form or CV send to the following email address:

Asfl conference application form name surname