Contact form for Individual Study Support

Required fields are marked with a red square
Application form for individual study support wintersemester 2024/25
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This field is required: Semester
I am interested in (multiple options possible):
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This field is required: I am interested in (multiple options possible):
I want to get more information about the ISU-study-café
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This field is required: Name
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This field is required: Student ID number
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This field is required: Degree programmes
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This field is required: E-Mail (unet-adress)
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This field is required: Telephone
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This field is required: Street, house number
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This field is required: ZIP code
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This field is required: City
Please indicate, which impairments apply to you:
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This field is required: Please indicate, which impairments apply to you:
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This field is required: Please specify and explain your impairments here:
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This field is required: Due to my impairments I experience the following difficulties:
Do you already receive support from other offices/professionals (e.g. personal assistance, psychological counselling, psychotherapy)?
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This field is required: Do you already receive support from other offices/professionals (e.g. personal assistance, psychological counselling, psychotherapy)?
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This field is required: Please summarize, how an individual study supporter could assist you in your daily study routine:
Ich habe eine Sehbeeinträchtigung, wie etwa: Sehbehinderung, Blindheit, eingeschränktes Farb- oder Kontrastsehen, …
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This field is required: Ich habe eine Sehbeeinträchtigung, wie etwa: Sehbehinderung, Blindheit, eingeschränktes Farb- oder Kontrastsehen, …
Is the required individual study support tied to a specific course? This means, for example, having the supporter accompany you to lectures, assist with course-related tasks?"
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This field is required: Is the required individual study support tied to a specific course? This means, for example, having the supporter accompany you to lectures, assist with course-related tasks?"
Do you require support before the official start of the semester?
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This field is required: Do you require support before the official start of the semester?
Please upload your medical certificates here. You can black out sensible aspects of the anamnesis. The certificates can be in german or english.
This field is required
This field is required: Please upload your medical certificates here. You can black out sensible aspects of the anamnesis. The certificates can be in german or english.
I hereby declare my consent to participate in an evaluation of support, in the form of a survey or a conversation