Application form

Program you are applying to *

Preferred date of entry *

Year of entry *

First name (given name) *

Last name (family name) *

Date of birth (day/month/year) *

Gender *

Country of citizenship *

Country of residence *

Home address *

Current address (if different from home address)

Telephone numbers (including country code and area code) - Please give also additional phone numbers of persons whom we can contact if we are unable to reach you directly. *

Email address *

Additional email addresses

Native language *

Other languages (please indicate excellent, good or fair)

Mention the higher education degrees you have obtained so far, including respective title, academic field, date, institution and country *

Mention your working experiences, including respective position, organization, date and duration *

Indicate any other experience (volunteer work or others) you consider to be relevant to your application

Mention two persons able to give references on your ability for the study program, including their name, position, organization, e-mail address and telephone number. DO NOT include reference letters, we will request them directly if necessary *

WPA SCHOLARSHIPS. A limited number of partial scholarships (worth 7.500 CHF each, 50% of the fees) are available. If you wish to apply for one, please respond to below two requests.
1) Carefully explain your personal economic circumstances.
2) Mention how you will fund the remaining 50% of the course fee and your living expenses in Basel.

If you do not apply for a WPA scholarship, please confirm here that you have secured funding.

Comments. Please add any other information that you think we need to know

How did you hear about the program? *

Agreement *