Member Area Membership Application Form for member signup 1 General Information2 Background3 Your Membership4 Payment Details Salutation*Mr.Mrs.TitleDr.Dr. Dr.Prof.Prof. Dr.First Name*Last Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Profile Picture University*Field of Study*Degree*Graduation Year*Professional Status*EmployedSelf-EmployedNot EmployedStudentCompany Institution*Job Title*Past involvement at the German American Conference at Harvard (formerly German Conference)?*YesNoYears* 2008 2009 2010 2011 2012 2013 2014 2015 2016/17 Position*Co-ChairHead-OfTeam MemberPanelist/SpeakerSponsor/PartnerField* Administration Budgeting Catering Fundraising Innovation Lounge IT Gala Dinner Marketing Operations/Logistics Panel Participant Relations Press TED-style Talks Other Field Future GAC Support Contacts to potential speaker Contacts to potential sponsor Engagement in organizing Other form of Engagement Details Membership Type & Fee*Regular Membership (75 €)Student Membership (20 €)How would you like to validate your student status?*Upload CV & Proof of EnrolmentLinkedIn ProfileLinkedIn Profile*Upload CV and Proof of Enrolment* Drop files here or Please upload both documents hereDonationIf you would like to support the Council in addition to the membership fee, please select amount and frequency (You will get a charitable donation certificate automatically)None€ 25€ 50€ 100€ 250Frequency of Donation*This should be a one-time donationThis should be a recurring donation each year (I can withdraw this statement anytime) Bank DetailsPayment Method*Please choose your preferred payment method (Direct Debit or PayPal) for the membership fee. Recurring direct debit (only for EU bank accounts with valid IBAN)Recurring Paypal paymentYou will get a separate confirmation of the SEPA Direct Debit Mandate with our credit identifier DE46ZZZ00001965816.Account Holder*IBAN*BIC*Bank Name*Charter* By submitting this form I acknowledge the Council's charter in its current version. Data Policy* I agree that the Council may use my contact details as required within the Council’s network and publish my name within the context of the Council (personal contact details will only be passed on within the network in case of a prior consent of the member). Newsletter & Updates I would like to receive updates about selected events related to the Council’s activities (e.g. talks of VIP-speakers, networking events, and discussion events). I would like to receive updates about exclusive job listings, workshops, career opportunities and other offerings by the Council’s selected partners. For this purpose, I agree that my CV and contact details can be processed, saved, and shared with selected partners of the Council (e.g. for contacting you regarding individual job opportunities offered by our high-profile partners).