Registration Externship Workshop Advanced Family Systems Care

Please note that your enrolment is binding.

Personal details

Participant*

First Name *

Last name *

Date of birth (DD.MM.YYYY) *

Mobile Phone (incl. country code) *

Address *

ZIP Code *

City *

Hometown (Heimatort)/Nationality *

Email *

Organisation

Organisation name *

Organisation address *

ZIP code *

City *

Billing address

To which address should the invoice be sent?*

Private Address

Employer*

*If your invoice is to be sent to your employer: please enter the appropriate invoice address below.

Email for the invoice *

Qualifications

Please specify your knowledge in the subject of Family Systems Care*

Remarks

Please enter your comments here (Leave your comment here.)

Personal information

I agree*

that my personal information will be used in connection with this continuing education course. (To be included in course lists for the distribution to participants and teaching staff, on mailing lists for information on further courses available)

Use of your data

I allow ZHAW to include my contact information in the ZHAW mailing list for internal promotional purposes during and after completion of the continuing education course. No contact information will be given to third parties.

Confirmation

«General terms of admission and participation of continuing education at the Zurich University of Applied Sciences (ZHAW)»

I confirm*

that I have read the General Terms of Admission and Participation and agree with it.

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