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
Date Format: DD slash MM slash YYYY
Expected end date of your PhD
Date Format: DD slash MM slash YYYY
Preferred starting date of your membership*
Date Format: DD slash MM slash YYYY

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