MAX Mentoring: Registration form

* Mandatory fields

Participation in the program

* required

Registration for period

Information about you

Surname / Family name

* required

First name

* required

Gender

* required

e-mail

Confirm email

* required

Nationality

Degree program / subject

* required

Study level

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

Start of studies

* required

End of studies (expected)

* required

Language skills

Language	Level	Operations
Language	Level

* required

Please indicate the languages you speak. Be sure to include your native language! You can add more lines.

Study interests

Regardless of your degree program, you can provide information here on the areas that are of particular interest to you.

Gender of the MAX partner

Further comments on the choice of partner

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

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