Transsectoral Summer School: Urban Calloboratory. Constructing Learning Infrastructures

Registration

Please fill in and send this form! The fields marked with a star are mandatory!!
Salutation
* First Name(s):
* Family Name:
Date of birth:
Citizenship:
Phone:
* E-Mail:
Current mailing address
* Country:
* ZIP code:	* City:
* Street/number:
Passport Information
* Do you need a visa for Germany?
If yes, please fill in:
Country issuing passport:
Passport number:
Date of expiration:
Current affiliation (your place of work or study):
Please state any special requirements (vegetarian diet, animal and food allergies, disabilities etc.):
* How did you first find out about the program?



You will be informed about your participation by the 25th of June. Afterwards your personal data will be deleted.
* Please sign me up to receive news on upcoming Ukraine events at the Viadrina!
Please also send in 1) a personal data sheet (CV), 2) your motivation to participate in the Viadrinicum of not more than 2000 signs to viadrinicum@europa-uni.de (preferably in one file)

Contact

Kirill Repin
Project coordinator

repin@europa-uni.de

Stefan Henkel
Project lead

shenkel@europa-uni.de

Große Scharrnstraße 59
15230 Frankfurt (Oder)

Room: LH 105

Tel: +49 - 335 5534 4275