Application Form Master of Clinical and Genetic Epidemiology

#portlet("/PM-LMU2/kontaktstandard2" "222389933" ${__null__} false) providerName: providerEmail: phd@ibe.med.uni-muenchen.de bccEmail: sendCsv: ja sendCsvFile: sendXmlUtf8File: sendXmlIsoFile: subject: Application Master of Clinical and Genetic Epidemiology subjectPrefix: sendConfirm: confirmEmailSubjectPrefix: confirmEmailSubject: confirmEmailText: okText: jsonData: { "showToc": false, "enableSendCopy": true, "hideFieldsetLabels": false, "labelSubmit": "send", "labelSendCopy": "send copy to me", "fieldsets": [ { "name": "personal information", "label": "Personal information", "layout": "table", "fields": [ { "name": "title", "label": "Title", "type": "select", "blankOptionLabel": "--- please select ---", "options": [ { "value": "Mr" }, { "value": "Ms" }, { "value": "Mrs" } ] }, { "name": "firstname", "label": "First Name", "type": "text", "required": true, "emailAttr": "firstName" }, { "name": "lastname", "label": "Last Name", "type": "text", "required": true, "emailAttr": "lastName" }, { "name": "birth", "label": "Date of birth (dd.mm.yyyy)", "type": "text", "required": true }, { "name": "nationality", "label": "Nationality", "type": "text", "required": true }, { "name": "address", "label": "Mailing Address", "type": "text", "dataType": "adress", "required": true }, { "name": "email", "label": "E-Mail", "type": "text", "dataType": "email", "required": true, "emailAttr": "fromAddress" }, { "name": "phone", "label": "Telephone", "type": "text", "required": true } ] }, { "name": "education", "label": "Education / work experience", "layout": "table", "fields": [ { "name": "degree", "label": "Highest attained degree", "required": true, "type": "select", "blankOptionLabel": "--- please select ---", "options": [ { "value": "Bachelor" }, { "value": "Master" }, { "value": "PhD" }, { "value": "other" } ] }, { "name": "specification of degree", "label": "if other: please specify", "type": "text" }, { "name": "major", "label": "Degree: Major", "type": "text", "required": true }, { "name": "location", "label": "Location", "type": "text", "required": true }, { "name": "from degree", "label": "From", "type": "text", "required": true }, { "name": "until degree", "label": "Until", "type": "text", "required": true }, { "name": "degree", "label": "Specification of degree", "type": "text", "required": true }, { "name": "occupation", "label": "Occupation", "type": "text", "required": false }, { "name": "employer", "label": "Employer", "type": "text" }, { "name": "from degree2", "label": "From", "type": "text" }, { "name": "until degree2", "label": "Until", "type": "text" }, { "name": "experience", "label": "Experience", "type": "text" }, { "name": "other qualifications", "label": "Other relevant qualifications", "type": "text", "required": false }, { "name": "institution", "label": "Institution", "type": "text" }, { "name": "from degree3", "label": "From", "type": "text" }, { "name": "until degree3", "label": "Until", "type": "text" } ] }, { "name": "motivation", "label": "Motivation to apply", "layout": "block", "fields": [ { "name": "motivation", "label": "Motivation to study epidemiology", "type": "textarea", "required": true, "size": 100 }, { "name": "interest", "label": "My area of interest in clinical and genetic epidemioogy is:", "type": "textarea", "required": true, "size": 100 }, { "name": "experiences", "label": "Practical experiences in epidemiology, clinical and / or genetic epidemiology", "type": "textarea", "required": true, "size": 100 }, { "name": "careergoals", "label": "My career goals are", "type": "textarea", "required": true, "size": 100 }, { "name": "findout", "label": "How, or from whom, did you find out about this programme of study?", "type": "text", "required": false } ] }, { "name": "language", "label": "Language skills", "layout": "table", "fields": [ { "name": "english", "label": "English", "required": true, "type": "select", "blankOptionLabel": "---please select---", "options": [ { "value": "Fluent" }, { "value": "Good" }, { "value": "Basic Knowledge" } ] }, { "name": "german", "label": "German", "required": false, "type": "select", "blankOptionLabel": "---please select---", "options": [ { "value": "Fluent" }, { "value": "Good" }, { "value": "Basic Knowledge" } ] }, { "name": "other", "label": "Other, please specify", "type": "text" }, { "name": "level", "label": "Level", "type": "select", "blankOptionLabel": "---please select---", "options": [ { "value": "Fluent" }, { "value": "Good" }, { "value": "Basic Knowledge" } ] }, { "name": "other2", "label": "Other, please specify", "type": "text" }, { "name": "level2", "label": "Level", "type": "select", "blankOptionLabel": "---please select---", "options": [ { "value": "Fluent" }, { "value": "Good" }, { "value": "Basic Knowledge" } ] } ] }, { "name": "mathematics", "label": "Basic Skills in mathematics and statistics", "layout": "block", "fields": [ { "name": "acquired", "label": "The Clinical and Genetic Epidemiology Programme has a strong analytical and methodological focus.Therefore,basic skills in mathematics and statistics are required and are part of the application test.<br><br>Please indicate how you acquired your knowledge:", "required": true, "type": "select", "blankOptionLabel": "---please select---", "options": [ { "value": "Advanced mathematics course in high school(A-levels)" }, { "value": "Mathematics course at University" }, { "value": "Statistics course at University" }, { "value": "Other" } ] }, { "name": "math_other", "label": "If 'other', please specify", "type": "text" } ] }, { "name": "computers kills", "label": "Knowledge and experience with computer programmes", "layout": "table", "fields": [ { "name": "word", "label": "Word processing", "type": "text", "required": true }, { "name": "statistical software", "label": "Statistical Software", "type": "text", "required": true }, { "name": "programming", "label": "Programming", "type": "text", "required": true } ] }, { "name": "certification", "label": "Certification", "layout": "block", "fields": [ { "name": "correct", "label": "correct", "hideLabel": true, "type": "checkbox", "required": true, "options": [ { "value": "correct and complete", "label": "Thereby I certify that all information provided above is correct and complete" } ] } ] }, { "name": "attachments", "label": "Attachments", "layout": "block", "fields": [ { "name": "documents", "label": "Please attach the following documents", "type": "file", "fileLabels": [ "CV", "Degrees and grade lists", "Publications (if applicable)" ] } ] } ] } sendReferer: ja refererUrl: https://www.internetdienste.verwaltung.uni-muenchen.de/funktionen/formulare/medizin/med-application-cgepi_alt/index.html enableTimeCheck: ja privacyUrl: #{end}