Ivelin Roussev Information Services Officer REED Project Coordinator=====================================================================
================== =REED EXPERT FORM= ================== 1) Name: _________________/__________________/______________ last first middle 2) Title: [] Mr. []1Ms. [] Dr. [] Prof. [] Other: __________________ 3) Position: _____________________ 4) Organization name: ______________________________________________ 5) Organization type: [] Academic [] Business [] Government [] NGO [] Other: _____________________ 6) Department: Department description in keywords: (broad terms) ______________________ _______________________________ ______________________ _______________________________ 7) Mailing Address: _____________________________________________________________________ (street, number) _____________________________________________________________________ (city, postal code, country) 8) Telephone: __________/______________/_____________ __________/______________/_____________ Fax: __________/______________/_____________ country code) (city code) (number) 9) E-mail address: Internet e-mail: _____________@_____________________ (user ID) (node) Other network e-mail: _____________________________________________ 10) Internet host address of your organization (if available): gopher://___________________________, telnet://______________________ http://_____________________________, ftp:// ________________________ 11) Area of expertise in keywords: Example: A)Category: Energy b)Sub-category: Energy production and use c)Term within Sub-category: Energy Efficiency Category Sub-category Term 1: a) ____________ b) ______________ c) __________________ 2: a) ____________ b) ______________ c) __________________ 3: a) ____________ b) ______________ c) __________________ 12) Native Language ___________________________________________________________ 13) Other languages, that you can read and speak: 8.1) _________________________ 8.2) _________________________ 14) Education: ________________________ __________________ ____________________ (Name of University) (Specialisation) (Year Completed/Degree) ________________________ __________________ ____________________ (Name of University) (Specialisation) (Year Completed/Degree) 15) Additional Information: (specific activities; publications; awards; memberships; please attach an additional sheet of paper if you require more space) _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Your signature below indicates that you agree to appear in this expert database. Thank you for your participation. ___________________ ______/_______/199____ (signature) (Date)The Regional Environmental Center for Central and Eastern Europe (REC) is an independent, non-profit, international organization. The REC was established in 1990 by the United States, the European Commission, and Hungary. Nine other countries have since become sponsors. The REC's mission is to promote cooperation among diverse environmental groups and interests in Central and Eastern Europe; to act as a catalyst for developing solutions to environmental problems; and to promote the development of civil society.
Mr. Ivelin Roussev The Regional Environmental Center for Central and Eastern Europe Miklos ter 1, Budapest 1035, Hungary Tel: (36 1) 250 3401 Fax: (36 1) 250 3403 E-mail: rec-info@rec.hu REC Home Page: http://www.rec.hu REED Data Entry Form Page: http://www.rec.hu/REC/Databases/REED/REEDAdd.htmlBACK TO *********************************************************************