Application for Science Survival Kit 2019
Please fill out this application form to apply for the Science Survival Kit 2019. Of course we will never share your information with a third party outside of the strict needs of organizing the Science Survival Kit Summer School.
At the end of the form you will find mandatory data protection questions, according to the GDPR regulations, to approve that you comply with the collection of your data.

If you have any questions or experience any problems with submitting this form, please contact us at contact@rhizomeacademy.org

First of all, please share with us your e-mail address:

Email address *
Family name *
Your answer
First name *
Your answer
Date of Birth *
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Gender *
You are *
Briefly list any diplomas you may have (high school, university, other) *
Your answer
If you are enrolled at the university, please state which and to which program / If you are working, please state where you are working *
Your answer
Country of residence *
Citizenship *
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