BioSB membership enrollment | BioSB research school

Please fill out the membership enrollment form below. You can read more about our membership model on the Membership Page.

Membership enrollment form

Name*
First Last
Email*
Gender*
- Male
- Female
Department*
Organisation*
Address*
Street Address Address Line 2 City ZIP / Postal Code
Phone*
I am applying as a*
- PhD student
- Other researcher (non PhD)
Starting date of your PhD
Expected end date of your PhD
Preferred starting date of your membership*

Please fill in the preferred starting date of your membership (the first of each quarter (Jan 1, April 1, July 1, Oct 1)). The duration of the membership is 2 years, see: Membership page
Membership of other PhD/research schools
Please indicate if you are also member of other research schools (e.g. ASCI, ....)
Supervisor information
You supervisor/ has to agree with your membership, therefore please fill out the fields below.
Name*
First Last
Organisation*
Email*
Letter of approval:*
Accepted file types: pdf.
Please upload a letter (PDF) of approval signed by your supervisor
Title of your research project*
Please provide us with a short description of your current research project*
What BioSB courses / topics / activities are you interested in?
Payment information
We will send you or your organisation an invoice (PDF) by e-mail to pay for the course. NB: please check with your organisation what invoice address we should use for the invoice!
Use the address mentioned above for billing
- Yes
- No
Billing address
Please fill out the form below to provide us with the correct billing address.
Name
Email
Department
Organisation
Address
Street Address Address Line 2 City ZIP / Postal Code Country
V.A.T. number (if applicable)
Project code of your finance department (if needed)
Please provide us with any comments and remarks about your membership
Comments & remarks
please indicate here if you are coordinator of a BioSB course
For our information
Please tell us how, where, from whom, via what mail list or website you found us?
I found the research school via:
Application procedure
Applicant (you) will receive a confirmation of receipt of this enrollment. Please note that only fully filled-out forms will be considered. After a positive review by the BioSB office a confirmation of your application will be sent to you by e-mail. An invoice will also be sent by e-mail which you are required to pay within 14 days.
Please check here:*
- I have read and do agree with the above