Application Form

General Information

Title (Dr/Mr/Mrs/Miss/Ms)* :

First Name*

Family Name*

Middle Initial(s)

Date of Birth :

Course Preference *
 Qualitative Content Analysis - Prof. Dr. Udo Kuckartz

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Course Preference

Home Address (including postcode)*

Country

University / Business address (including postcode)

Country

To which address should mail be sent?
 Home Address Work Address

Email (*must be supplied*)

Work Phone

Home Phone

Job Status
 Participant Researcher Consultant Other Phd Student

Present place of work or study

Are you?
 Male Female

Who is paying your fee?
 Self Dept/Employer Other

If other please specify

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Academic Background

Are you enrolled in a graduate programme?
 Yes No

If yes, please specify course

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What is your graduate participant affiliation?

Department

Institution