Become a member of the Close the Gap network

* indicates a required field.

Become a member of the Close the Gap network

Title

First Name

Last Name

Form of Address (which pronouns would you like us to use when addressing you? e.g., she/her, he/his, they/their?)

Higher Education institution

Status

Academic Background / Subject Area

Family Responsibilities

Children
Caregiver
n/a

I am most interested in

Workshops, lectures, and courses
Networking within the network
News and information

I want to talk with others about the following topics (academic career, balancing academic careers and family life, etc.)

What do you want from the network

Comments

24 + 15 =

Copy of form

I consent to my data being used to send the following information by email for the purpose of responding to my inquiry:

Copy of my request

yes no

Data protection

I consent to the University of Hamburg, in this case: , using my data for the following purpose(s): Inclusion in the network. The data will be deleted 28 days after processing is completed.I understand that I may withdraw my consent from at any time with future effect. Revocation of my consent does not affect any previous processing of data and information.
More information on data processing.