Registration form

Profilehre registration

Title

Academic title

First name

Last name

Faculty

I am actively engaged in teaching with the following number of semester periods per week (SWS)

at the chair of

Work address (street, house number, postal code, city)

E-mail

I would like to register for the following course(s) (title, date):

Payment method

Teachers of the University of Würzburg:
Please select “internal billing” if your chair covers the continuing education costs.

External participants, teachers at UKW and teachers who cover the fees themselves:
Please select “bank transfer” and additionally enter your home address below, which we need for initiating the booking process and for issuing the payment confirmation.

Home address (street, house number, postal code, city)

Further comments

I have read and agree to the participation and payment conditions.

Confirmation of participation and payment conditions:

I consent

I consent to the processing of my data as described under the link privacy policy.

Privacy policy confirmation:

I consent

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