Registration form 'Summer School German (and) Theology' 2022The data you enter into this form are transmitted via an encrypted SSL connection.Dear Sir or Madam, to sign up for the „Summer School German (and) Theology“ from 4 July – 22 July 2022, please fill out all mandatory fields and confirm your registration by ticking the following box: I hereby sign up for the 'Summer School German (and) Theology' 2022. Company/University* (Mandatory field) Mr./Mrs./Other* (Mandatory field) Title First Name* (Mandatory field) Last Name* (Mandatory field) Preferred Name Street* (Mandatory field) Postal Code* (Mandatory field) City* (Mandatory field) Country* (Mandatory field) Nationality* (Mandatory field) Phone Number* (Mandatory field) Date of Birth (MM/DD/YYYY)* (Mandatory field) Email Address* (Mandatory field) Level of German Which languages do you speak? Do you need to apply for a visa? (please check your country’s visa conditions) Yes No If yes: Please insert the address you want the invitation letter sent to (e.g. your country’s embassy/consulate or your home address). Please note that we will send the invitation letter only once. Please ensure that the address you entered is valid and can be found by the postal service. Do you have any health conditions or physical disabilities that require special accommodation of some sort (e.g. vision impairment, paraplegia, diabetes)? If yes, please specify in the box below: Are you taking any medication for physical or mental health reasons? If yes, please specify in the box below: Do you suffer from any allergies? If yes, please specify in the box below: I understand that I am personally responsible for the safekeeping of my passport/visa and other travel documents, currency, or other valuables. I understand that the Johannes Gutenberg University and the ZWW are not responsible in any way in the event of loss or theft of personal items. I understand that Johannes Gutenberg University and the ZWW are in no way liable for anything that should occur to me during travel to, and participation in the course. I agree to take over all costs that might arise due to a spontaneous need for any extra service related to a medical condition. Please enter adjacent code here. Thank you! [ Another image ]
Registration form 'Summer School German (and) Theology' 2022The data you enter into this form are transmitted via an encrypted SSL connection.Dear Sir or Madam, to sign up for the „Summer School German (and) Theology“ from 4 July – 22 July 2022, please fill out all mandatory fields and confirm your registration by ticking the following box: I hereby sign up for the 'Summer School German (and) Theology' 2022. Company/University* (Mandatory field) Mr./Mrs./Other* (Mandatory field) Title First Name* (Mandatory field) Last Name* (Mandatory field) Preferred Name Street* (Mandatory field) Postal Code* (Mandatory field) City* (Mandatory field) Country* (Mandatory field) Nationality* (Mandatory field) Phone Number* (Mandatory field) Date of Birth (MM/DD/YYYY)* (Mandatory field) Email Address* (Mandatory field) Level of German Which languages do you speak? Do you need to apply for a visa? (please check your country’s visa conditions) Yes No If yes: Please insert the address you want the invitation letter sent to (e.g. your country’s embassy/consulate or your home address). Please note that we will send the invitation letter only once. Please ensure that the address you entered is valid and can be found by the postal service. Do you have any health conditions or physical disabilities that require special accommodation of some sort (e.g. vision impairment, paraplegia, diabetes)? If yes, please specify in the box below: Are you taking any medication for physical or mental health reasons? If yes, please specify in the box below: Do you suffer from any allergies? If yes, please specify in the box below: I understand that I am personally responsible for the safekeeping of my passport/visa and other travel documents, currency, or other valuables. I understand that the Johannes Gutenberg University and the ZWW are not responsible in any way in the event of loss or theft of personal items. I understand that Johannes Gutenberg University and the ZWW are in no way liable for anything that should occur to me during travel to, and participation in the course. I agree to take over all costs that might arise due to a spontaneous need for any extra service related to a medical condition. Please enter adjacent code here. Thank you! [ Another image ]
