Registration Form

#Begin# {root} {welcometext}Please fill out the following information:{/welcometext} {successtext}

Thank you very much for your interest in our program, designed by the Ludwig Maximilians University Munich.

We have received your application for our Summer German Language Course. If we have still free places we will contact you. Please do not hesitate to contact me if you need more information and inform us immediately if you should need to cancel the course.

Best regards

Mr. Kai Wede
Program Director
Munich Intenational Summer University (MISU)
University of Munich (LMU)
c/o Internationals Affairs
Geschwister-Scholl-Platz 1
80539 Muenchen
contact@lmu-misu.de {/successtext} {errortext}The information you entered is incomplete or wrong. Please verify it.{/errortext} {form id='registration' action='email' mailfrom='formular@ssk-misu.de' mailto='registration@ssk-misu.de' mailsubject='SSK'} {title id='Title1'}Personal Information{/title} {radio id='title' label='Title' validation='required' errortext='Please select a title'} {radiovalue id='Mr' label='Mr.' /} {radiovalue id='Ms' label='Ms.' /} {radiovalue id='Mrs' label='Mrs.' /} {/radio} {textbox id='lastname' label='Family Name' validation='text' minlength='2' maxlength='120' required='yes' errortext='The last name you entered is invalid' /} {textbox id='firstname' label='First Name' validation='text' minlength='2' maxlength='120' required='yes' errortext='The first name you entered is invalid' /} {textbox id='c-o' label='c/o' validation='text' minlength='0' maxlength='120' required='no' errortext='' /} {textbox id='street' label='Street' validation='text' minlength='2' maxlength='120' required='yes' errortext='Street is required' /} {textbox id='number' label='Number' validation='text' minlength='2' maxlength='120' required='yes' errortext='House number is required' /} {textbox id='city' label='City' validation='text' minlength='2' maxlength='120' required='yes' errortext='City is required' /} {textbox id='state' label='State and Postal Code' validation='text' minlength='2' maxlength='120' required='yes' errortext='State and postal code are required' /} {textbox id='country' label='Country' validation='text' minlength='2' maxlength='120' required='yes' errortext='Country is required' /} {textbox id='email' label='Email' validation='email' minlength='5' maxlength='120' required='yes' errortext='The email is invalid or empty' /} {textbox id='phone' label='Telephone' validation='text' minlength='5' maxlength='40' required='yes' errortext='Telephone is required' /} {textbox id='fax' label='Fax' validation='text' minlength='5' maxlength='40' required='no' errortext='Fax format is invalid' /} {textbox id='birthdate' label='Date of Birth' validation='text' minlength='5' maxlength='40' required='yes' errortext='Birthdate is required' /} {textbox id='citizenship' label='Citizenship' validation='text' minlength='5' maxlength='120' required='yes' errortext='Citizenship is required' /} {title id='Title2'}{/title} {title id='Title3'}Academic Information{/title} {textbox id='homecollege' label='Home College / University' validation='text' minlength='2' maxlength='120' required='yes' errortext='Home College / University is required' /} {textbox id='graduation' label='Subject / Faculty' validation='text' minlength='2' maxlength='120' required='yes' errortext='Subjact / Faculty' /} {textbox id='LMUstudy' label='What subject are you reading at the LMU?)' validation='text' minlength='0' maxlength='120' required='no' errortext='' /} {textbox id='scholarship' label='Scholarship / Study Program' validation='text' minlength='2' maxlength='120' required='yes' errortext='Scholarship / Study Program is required' /} {radio id='germanknowledge' label='My German knowledge:' validation='required' errortext='Please select your german knowledge level'} {radiovalue id='None' label='None' /} {radiovalue id='Basic' label='Basic' /} {radiovalue id='Intermediate' label='Intermediate' /} {radiovalue id='Advanced' label='Advanced' /} {/radio} {title}{/title} {title}Course Registration{/title} {radio id='course' label='Registration' validation='required' errortext='Please confirm the application'} {radiovalue id='Accept' label='Please register me in the Summer German Language Course at the MISU LMU (Course Fee EUR 570.00)' /} {/radio} {title}Accomodation{/title} {radio id='staymunich' label='Munich' validation='required' errortext='Please choose the accomodation for Munich'} {radiovalue id='I will find my own' label='I will find my own accomodation' /} {radiovalue id='Reserve single room' label='I wish to reserve a single room at the dorm (EUR 370.00)' /} {/radio}{textbox id='arrival' label='Expected Arrival Date' validation='text' minlength='0' maxlength='120' required='no' errortext='' /} {title}{/title} {title}If you have other questions or comments please write them here{/title} {textarea id='comments' label='Comments' errortext='' /} {/form} {/root} #End#