Your browser does not support javascript. This is required for using the requested form.
First name:
*
Last name:
*
Email:
*
Organisation:
*
Faculty:
*
<please choose one>
Faculty of Arts
Faculty of Behavioural and Social Sciences
Faculty of Economics and Business
Faculty of Law
Faculty of Medical Sciences
Faculty of Philosophy
Faculty of Science and Engineering
Faculty of Spatial Sciences
Faculty of Theology and Religious Studies
Not applicable
Position:
*
<please choose one>
Research Master student
PhD student
Postdoc
Other (please specify below)
If you chose 'Other' at the previous question, please specify:
Research topic:
*
I want to join Aletta's Talents Network for one or more of the following reasons:
*
Learning opportunities
Career opportunities
Networking opportunities
Being able to present at seminars
The professional assistance and research opportunities of the Aletta Jacobs School of Public Health
Other (please specify below)
If you chose 'Other' at the previous question, please specify:
'I am Aletta'
.
You may use my contact details to keep me updated with news about the Aletta Jacobs School of Public Health. (Please check the box.)
*
=
Input is required