Registration 2021Registration Form for the International German Language School: Course Duration August 2 - 27, 2021 (Housing available: August 1 - 31, 2021)The data you enter into this form are transmitted via an encrypted SSL connection. Participants who register until Januar 31, 2021 are guaranteed a room in the student dormitory next to the campus. Please note that all participants have to be at least 18 years old. The deadline for registering for our Summer School program is April 1, 2021. All information is transferred using an encryption (SSL). Please fill out the form below to reserve a place and start your Summer@Uni-Mainz. Fill out all mandatory fields (*) and confirm your registration by ticking the following box: I hereby confirm that I want to participate in the International German Language School of Johannes Gutenberg University Course Duration August 2 - 27, 2021 (Housing available: August 1 - 31, 2021) 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* (Mandatory field) 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 2021Registration Form for the International German Language School: Course Duration August 2 - 27, 2021 (Housing available: August 1 - 31, 2021)The data you enter into this form are transmitted via an encrypted SSL connection. Participants who register until Januar 31, 2021 are guaranteed a room in the student dormitory next to the campus. Please note that all participants have to be at least 18 years old. The deadline for registering for our Summer School program is April 1, 2021. All information is transferred using an encryption (SSL). Please fill out the form below to reserve a place and start your Summer@Uni-Mainz. Fill out all mandatory fields (*) and confirm your registration by ticking the following box: I hereby confirm that I want to participate in the International German Language School of Johannes Gutenberg University Course Duration August 2 - 27, 2021 (Housing available: August 1 - 31, 2021) 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* (Mandatory field) 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 ]
