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Registration Form of the Female Scientists Network

With your registration you will be part of the Female Scientists Network. After sending your registration, you will receive an automatic confirmation via email. Your registration is free of charge and may always be cancelled by writing to maria.rosenbaum@med.ovgu.de.

Mandatory fields are marked with an asterisk (*).

 

Contact information

Title*   
Academic degrees/titles:*   
First Name:*  
Name:*   
Date of birth (dd.mm.yyyy):*    
Postal code:*  
City:*  
Country:*   
Nationality:*   
Contact language:*   
Email:*   
XING (Link to your profile page):   
LinkedIn (Link to your profile page):   

 

Affiliation with Magdeburg

Affiliation with Magdeburg (Please select at least one):*          
Details of your affiliation with Magdeburg (duration of stay(s), study program/ job description, department/ institute/ office):*  
Degree(s) from OVGU Magdeburg:*  

Degree, subject, department, graduation date:

 

 

Additional information

Current Job or Position:*  
Stays abroad, if applicable (where, duration of stay(s), study program/ job description, department/ institute/ office):  
Dual career couple:*  
Children:*  
Awards/Prizes:  
Interested in:  
Register as (Please select at least one):*

 

 

 

 

 

 

Privacy policy agreement*

I consent to the storage of my personal data in the Female Scientists Network database and the collection, processing and use of my data by the participation Alliances of the Female Scientists Network for the purpose of alumni relations and career support. The data will not be passed on to third parties. Data is provided on a voluntary basis. I may revoke my consent at any time with effect for the future by contacting the project coordinator. If consent is revoked, my data will be deleted from the database.

Ich bin damit einverstanden, dass meine personenbezogenen Daten in der Datenbank des Female Scientists Network gespeichert werden und dass meine Daten durch die Teilnahmeallianzen des Female Scientists Network zum Zwecke der Alumni-Arbeit und Karriereunterstützung erhoben, verarbeitet und genutzt werden. Eine Weitergabe der Daten an Dritte erfolgt nicht. Die Angabe von Daten erfolgt auf freiwilliger Basis. Diese Einwilligung kann ich jederzeit mit Wirkung für die Zukunft widerrufen und wende mich dafür an die Projektkoordination. Wird die Einwilligung widerrufen, werden meine Daten aus der Datenbank gelöscht.

 

Message for the project coordinator (not saved in the Database)

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Last Modification: 06.09.2019 - Contact Person: Webmaster