Request edit access
Application for SCAview (AGI members only)
You can only express your interest for SCAview if you are an AGI member. If not, please apply for membership first: https://ataxia-global-initiative.net/governance/membership/
Sign in to Google to save your progress. Learn more
Are you an AGI member?
 *
First name
 *
Family name *
Email *
Affiliation(s) *
your affiliation area(s)
 *
I understand that full use of SCAView may be subject to future license fees for non-academic/industry users. No license fees will be charged without prior information and consent by the user. *
Required
I confirm that I won't give my SCAview access data to another person or organization. *
Required

Data protection declaration

By applying for the access to SCAview, you agree acc. to Art. 6 (1) lit. a GDPR that your (personal) data you have been asked for in this application will be processed by the AGI and SCAview developer DZNE. Your data will be collected, processed and stored exclusively for your access to SCAview. Your data will not be passed on to no other third parties.

You can revoke your consent at any time in writing without giving reasons. Consent revocation leads to the termination of your SCAview access. Please send your revocation to AtaxiaGlobalOffice@med.uni-tuebingen.de.

*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms