Continuing Education Course

Online Registration Form

Continuing education course

Course name/description

Start date *

Personal data

Title

Academic title

First name *

Name *

Date of birth *

Home town / canton (for CH citizens); place of birth for all other persons *

AHV no.

Home address

My home address is also my ...

... correspondence address

... billing address

Address line 1 *

Address line 2

P.O. box

Zip code *

Town *

Canton

Country *

Email *

Phone / Mobile *

Business address

My business address is also my ...

... correspondence address

... billing address

Company

Address line 2

P.O. box

Zip code

Town

Canton

Country

Phone / Mobile

Billing address

If the billing address is neither the home address nor the business address.

Further information

Membership in Organization

How did you hear about us?

Remarks

Admission and participation conditions

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

I have ...*

... read and accepted the General Conditions of Admission and Participation for Continuing Education Events at the ZHAW..

Use of your data

By submitting your registration you agree that your contact information will be used in the context of this event (for example, list of participants).

By registering, the organizer will be given permission to take photos and film recordings during the event and to use these recordings in connection with the event for publicity and documentation, both analogue and digital.

Information about our courses*

YES. I would like further information on the courses and events offered at the ZHAW Life Sciences and Facility Management. No data will be passed on to third parties.

NO thanks. I do not wish any further information.

Don't fill this field!