Application form

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(* indicates response required)

  1. Family name*:

  2. Other names*:

  3. Email adress 1*:

  4. Email adress 2:

  5. Instant Messenger 1 & Personal Identifier:

  6. Instant Messenger 2 & Personal Identifier:


  7. May the SVR publish your e-mail address(es) on its website* ?

    Yes
    No

  8. Street Address 1*:

  9. Street Address 2:

  10. Street Address 3:

  11. City*:

  12. Postal Code, Region and Country of Residence*:

  13. Date of Birth (e.g. 15/06/1960)*:


  14. Do you belong to any other Roman, Classical, Civic, Political, Professional, Religious, Artistic or Charitable organisations? If so, please list, together with any offices you may hold*.


  15. Why do you wish to join the Societas Via Romana and what do you think you can contribute to it?


  16. What are your interests in Greek Culture?

  17. Which of the following collegia do you wish to join in order to confirm your membership? (Membership requires active participation in at least one)*:

    Collegium Artium (Roman arts)
    Collegium Graecum (Greek language and culture)
    Collegium Historicum (Roman history)
    Collegium Latinum (Latin language)
    Collegium Philosophicum (Roman Philosophy)
    Collegium Religionis (Roman Religion)
    Collegium Militarium (Roman Army)

     

  18. If you are an adherent to the Religio Romana, or otherwise a religion from the classical era; which gods do you consider your patron gods? If you are not, could you please specify which religion or religious convinction you adhere to?


  19. If female, choose X . What Roman praenomen would you like to use in the Societas Via Romana?*
    For more information on Roman names: click here

     

  20. If male, choose X . What Roman praenomen would you like to use in the Societas Via Romana?*  
    For more information on Roman names: click here

     

  21. What Roman family name (nomen) do you wish to use in the Societas Via Romana?*
    If you want an other name, select other and specify below.
    For more information on Roman names: click here

    Other:

  22. What Roman nickname (cognomen) do you wish to use in the Societas Via Romana*?
    For more information on Roman names: click here


  23. I affirm that there is no legal obstacle to my becoming a member of the Societas Via Romana.*

    Yes

    * indicates response required