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IAH mentor (giver of advice) 2018 registration

All about you

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* 1. What is your name?

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* 2. So that we are able to contact you, please give either your IAH membership number and/or email address:

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* 3. Are you:

Male

Female

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* 4. Where are you based?

City/Town:

Country:

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* 5. What is your native/mother language?

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* 6. Can you understand/speak English with reasonable confidence?

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* 7. Do you speak any other languages? If so, please list below:

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* 8. Approximately how many years experience do you have in groundwater/hydrogeology?

Student/early career

5+ years

10+ years

20+ years

30+ years

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* 9. Your employment:

Work for a university/academic institution

Work for a research organisation

Work for commercial organisation

Work for a government/government agency

Work for a non-government organisation (NGO)

Consultant/self-employed

Student

Retired

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* 10. Do you travel for business or other professional reasons? If so please give brief details of any particular locations, regularity of travel, etc: