Anmeldung der Promotion

Die mit einem Stern (*) gekennzeichneten Felder sind Pflichtfelder und müssen ausgefüllt sein.

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Personal data

First name*

Last name*

Academic title

Date of birth*

Place of birth*

Nationality (1st)*

Nationality (2nd)

Gender*

How would you like to be adressed?

Street, number*

Postal code*

Town*

E-Mail*

telephone number*

Information about doctoral thesis

Bitte geben Sie an, ob Sie eine Absichtserklärung abegben wollen oder einen Antrag auf Anmeldung des Promotionsvorhabens stellen wollen:*

Absichtserklärung

Antrag auf Anmeldung

Desired degree*

Sponsoring University*

Thesis title*

Please upload support agreement of the University of Potsdam*

First supervision: name, title*

University / Institution / faculty*

second supervision: name, title*

University / Institution / faculty*

Mentoring, name, title

University / Institution / faculty

Please upload the signed contract for supervision of doctoral thesis*

Did you take part in a multidisciplinary qualification programm?*

yes

no

Statistical Information

Have you already begun a doctoral thesis at a different university?*

If yes, please state the name of the university:*

I have....*

Are you currently on leave from a doctoral thesis?*

If yes, please state the support university*

Is your doctoral thesis a result of the scientific internship?*

Are you an employee of one of the support universities of the FGW?*

In which format do you want to write your doctoral thesis?*

Did you obtain your certificate of access to higher education in Germany?*

In wich other country did you obtain your certificate of access to higher education?*

city*

district / county*

federal state*

When did you obtain your certificate for access to higher education?*

Which kind of certificate of access to higher education did you obtain?*

Please state how you obtained your certificate to access of higer education*

Are you registered as a student at one of the support universities of the Faculty of Health Sciences?