DTA B#9 Application

APPLICANT

*First Name

*Last Name

*Sex
—Please choose an option—FemaleMaleDiverse

*Date of Birth

*Idm-Kennung

*Field of Study

*Faculty
—Please choose an option—Faculty of Humanities, Social Sciences and TheologyFaculty of Business, Economics and LawFaculty of MedicineFaculty of SciencesFaculty of Engineering

*Study Level
—Please choose an option—BachelorMasterPhDState ExaminationOther

*Semester during DTA

*E-Mail

*Languages Known

*Interests

*Your Motivation (max. 200 words)

*How did you hear about DTA?

*I hereby grant the Friedrich-Alexander-Universität Erlangen-Nürnberg to take photographs and/or make film recordings of me (including sound recordings, image and/or film material) in the event. The produced photo and/or film material may be published without any restrictions in terms of time, space, subject matter and content. I irrevocably grant the Friedrich-Alexander-Universität Erlangen-Nürnberg the right to reproduce and distribute the photographic and/or film material, including in electronic form, and to make it publicly available, free of charge. This also includes the right to use the visual material in all media, print and online products, social platforms, for self-promotion as well as for commercial use. The Friedrich-Alexander-Universität Erlangen-Nürnberg is authorized to optimize the image and / or film material for a print and to make changes or editing (cutouts, montages, photo-technical or computer-aided post-processing or alienation) of the image and / or film material. The naming of the contributors is at the discretion of Friedrich-Alexander-Universität Erlangen-Nürnberg. I waive royalties in any form and do not raise any claims. German law applies. Verbal side agreements are not made, changes must be in writing.

*I hereby confirm the processing of the personal data from the input mask for the exclusive processing of my participation in the event. Please find more information under Privacy Policy.