Student Volunteer Registration

Please fill out this form if you wish to apply to become a student volunteer for MICCAI 2015. You will be granted free access to the most prominent international event in the field of Medical Imaging.

Name * First Last
Email *
Phone Number * - ### - ### ####
Course of study *
Language skills *
English German Other
Size of clothing *

For staff shirts
List unavailabilities during summer 2015 *
I confirm that i will be available at least 12 days in the period from September 28th to October 11th 2015. *
Yes