Registration COPCA® module | ZHAW Health Sciences

Family name, first name *

Date of birth (DD.MM.YYYY) *

Hometown / Nationality *

To which address should the invoice be sent?*

Private address

Employer*

*If your invoice is to be sent to your employer: please enter the appropriate invoice address below.

I have*

a Bachelor of Science (BSc) degree (from a university of applied sciences, a university or a degree title conversion

a degree from a college of higher education and training

another degree

another degree, namely

Note: Only one active CampusCard is allowed per person. An existing card will be blocked if a new free-of-charge card is to be issued. If a replacement card has to be issued, the applicant will be charged an administrative fee of CHF 50.*

I would like to order a CampusCard for free.

I already have a CampusCard and would like to continue using it.

Please enter your comments here

I agree...*

that my personal information will be used in connection with this continuing education course. (To be included in course list for distribution to participants and teaching staff, on mailing list for information on further courses available)

Use of your data

I allow ZHAW to include my contact information in the ZHAW mailing list for internal promotional purposes during and after completion of the continuing education course. No contact information will be given to third parties.

I confirm...*

that I have read and agree with the General Terms of Admission and Participation.