COME Membership Professional

Do you hold a degree in osteopathy (D.O., DO)? * YES NO

Year of graduation * 19701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022

Highest academic degree * BScMScPhDDOPTMDOther

Profession * OsteopathPhysiotherapistNurseOccupational TherapistPhysicianSpecialist PhysicianPsychologistOtherNone

Which other Profession? (optional)If "Profession" is other, please enter manually

Areas of professional interest (please select one or more options) You can select the areas of interest you would like to work in and collaborate with when you will become a member of the Foundation * Research - scientific and/or clinical research study Research - Collaborate on an existing project Research - Set-up a new project Training (participation in promoted courses and webinars) Events Social-Humanitarian Projects Communication Fundraising Networking

Please select if you have any experience in contributing, running, or leading projects in: * Research Education Social-Humanitarian projects Events None

Please select if you have any particular skills and/or experience in: * Communication Fundraising Networking None

Are you interested in contributing to one or more of the COME projects? * YES NO

Wich one of the COME projects are you interested in? (optional) BIOMECHO CAMEO Clinimetrics COME to AFRICA COME to WORK COSMOS EnActive Inference HEVO MASCOT MIRROR NEMO NOI OPERA PERCEPTIO Placebo PRESS RACE Across LIMITS RAISE SAME HANDS Touch Virtual Reality WATER

How did you come to know the Foundation? (more than one possible answer) * Website Social media Friends Colleagues I attended an event I have already collaborated on a COME project Other

By filling out this registration form, you consent to the processing of your personal data according to the terms of Italian National Law and the GDPR (EU regulation 2016/679) *

Note (optional)(max. 200 characters)