Registration Form For The Welcome Buddy Program

* indicates a required field.

In order to find an appropriate match, we need some information about you and your wishes. Please fill out the form completely and send it by clicking "send".

First name(s)*:

Last name*:

Age*:

Email address*:

Mobile number with country code:

Email address (spam verification)*:

Gender*:

I want to be connected only to a person of the same gender.*:

I am a student in the:*

Planned degree*:

My country of origin is...*:

Seeking...*:

From when would you like to take part in the Welcome Buddy Program?*

What most interests you about the Buddy Program?

Do you have any special requests and / or expectations regarding the Buddy Program? (optional)

Below you can specify which languages you speak and at what level. We ask you to cite the first language, another language information is voluntary.

I speak...*

...on the following level*:

I speak...

...on the following level:

I speak...

...on the following level:

I agree that the data provided above may be shared with the respective buddy partner (third party) for the purpose of assigning a buddy partner.*

I hereby confirm that the information I have provided is correct and will immediately provide notification by email if I decided to cancel my registration.

Fields marked with a star (*) are mandatory fields.

15 + 5 =

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 Universität Hamburg, in this case: Abt.5, using my data for the duration of 183 days for the following purpose(s): assigning a buddy partner including sharing my data with the respective buddy partner (third party). I understand that I may withdraw my consent from Abt.5 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.