Application Form

We look forward to receiving your intern or therapist application. Interns may only work from the beginning of May through July or from the beginning of August through October. Applicants preferably come from the fields of medical therapy, social education or caregiving.

Please complete the following form.

All fields marked with an * are mandatory.

    First name*

    Last name*

    Address*

    Phone*

    Fax

    Email*

    Country*


    Place of birth*

    Date of birth*

    Nationality*

    ID picture* (max. 2MB, permitted file types: JPG, PNG, GIF)

    What type of education / profession do you parents have?*

    How many siblings do you have?*

    What is your highest completed education?*

    Did you complete a professional education?*

    If not, what is you desired professional goal?

    Did you complete a college degree or are you currently enrolled in one?*

    If yes, please state your faculty, major and amount of completed semesters.

    Do you have an academic degree?

    Do you have practical professional experience? If yes, where and how long?

    Have you completed other internships? If yes, where and how long?

    What other training and experience do you have?

    What languages do you speak?*

    Do you have experience and stays abroad?

    What volunteer activities did you complete?

    What other talents do you have?*

    What are your hobbies?*

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    Your data will be saved for the purpose of processing your application as well as for possible follow-up questions. Through sending the form you agree to our data privacy policy.