Graduate Program Application

You want to become a member of the Graduate Program of e-conversion?

Please fill and submit this form. We will then ask the responsible e-conversion PI for confirmation.

First Name *

Last Name *

E-Mail Address *

Gender

Topic of the PhD Thesis *

Name of Thesis Supervisor *

Faculty / Department *

e-conversion PI *

Research Area *

Starting Date *

Use of personal data *

I agree that e-conversion will use my personal information to process my application for the Graduate Program. If I am accepted into the program, e-conversion may also use this data to administer my membership and send me up-to-date information about e-conversion.

Alumni Mailing List *

Please add me to the alumni mailing list using my private email address when I leave GP.

I don't want to be added to the alumni mailing list.

Pivate E-Mail Address

Fields marked with an asterisk (*) have to be filled. Upon successful submission you will receive an e-mail message containing the data you submitted.

Please note that submitting the form does not guarantee admission to the Graduate Program.

Captcha

Thank you for your application. A confirmation message has been sent to the e-mail address you submitted. If you don't find a message in your inbox, please also check your spam folder.

There was an error trying to send your application. Please try again later.