Welcome to step one of the application process for H-QM: The registration.

We will review your registration based on the information you provide and contact you with further questions and information.

If you have technical problems with the registration please contact info@hgs-hire.de

Please use the following form to register:

Part 1: Personal Information
Personal Data
My last name:
My first name:
My middle name: *
My gender:	male female
My date of birth:	day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month 01 02 03 04 05 06 07 08 09 10 11 12 year 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999
My place of birth (city):
My place of birth (country):
My citizenship:
Address Data
My email address:
My street and house number:
My city:
My postal code:
My country:
My telephone number: *
My telefax number: *
	* = this information is optional
Part 2: Previous Education
Bachelor Degree
I hold a bachelor degree:	yes no
	If 'Yes' is specified all fields in this block must be filled out.
Major field(s) of study
Degree was awarded:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Title of thesis
University:
City:
Country:
Supervisor:
Master Degree
I hold a master degree:	yes no
	If 'Yes' is specified all fields in this block must be filled out.
Major field(s) of study
Degree was awarded:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Title of thesis
University:
City:
Country:
Supervisor:
Diploma Degree
I hold a diploma degree:	yes no
	If 'Yes' is specified all fields in this block must be filled out.
Major field(s) of study
Degree was awarded:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Title of thesis
University:
City:
Country:
Supervisor:
Other Degree
I hold another degree:	yes no
	If 'Yes' is specified all fields in this block must be filled out.
Major field(s) of study
Degree was awarded:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Title of thesis
University:
City:
Country:
Supervisor:
Summary
My highest academic degree is	a bachelor degree This summary should be supported by the detailed information above a master degree a diploma degree a different degree I don't have an academic degree, yet
Part 3: Current Situation
If you are currently	- working on your diploma/master/bachelor thesis to obtain a degree so you can start a PhD - already working on a PhD project please complete the applicable blocks in this part.
Qualifying Studies
	I am currently working on my thesis to obtain a degree so I can start my PhD. yes no If 'Yes' is specified all fields in this block must be filled out.
Field of study
Title of thesis
Type of thesis:	bachelor thesis master thesis diploma thesis
Supervisor:
Degree expected:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 2012 2013 2014 2015 2016
University:	Technische Universität Darmstadt Goethe Universität Frankfurt other:
Doctoral Studies
	I already started as a PhD student yes no If 'Yes' is specified all fields in this block must be filled out.
Field of study
Working title of thesis
Starting date:	month 01 02 03 04 05 06 07 08 09 10 11 12 year 2005 2006 2007 2008 2009 2010 2011 2012
Supervisor:
University:	Technische Universität Darmstadt Goethe Universität Frankfurt other:
Part 4: My Application
Type of application
I would like to apply	to participate in the program of the school to participate in the program of the school and to receive a scholarship.
My PhD Project:	I plan to continue with the PhD project as stated in Part 3. yes no I did not start, yet
My Supervisor:	Skip this question if you answered the previous question with 'Yes': I am already in contact with a specific supervisor. Name of Supervisor: University: Technische Universität Darmstadt Goethe Universität Frankfurt other:
Part 5: Miscellaneous
I learned about H-QM	via the Internet a poster or flyer friends or colleagues a professor a university journals or newspapers other