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MAX Mentoring: Application form

*mandatory fields

Please select *



Registration for period *

I. Personal information

Name *

Gender *







E-Mail *

Nationality

Degree program or subjects *

Level of study

(e.g. which semester, post-doc, etc.)

Expected period of my studies *

Start

End

Language skills *

(Language 1 = mother tongue)

Mother tongue / Language 1:

*
Language 2:


Language 3:

Study interests

II. Preferences for your MAX-Partner

Partner's Gender *



Remarks

Consent to data processing

I have read the conditions for data processing and data protection and declare that I agree with them.