Application form

Please fill in the application form:

First and last name of both parents * First and last name

Adress *

E-mail address primary contact * Please enter an e-mail address of one parent.

E-mail address of a second contact person You are welcome to name another contact.

Phone * Please enter a telephone number for queries here.

Name and surname of the child *

Please click if the address of the child and the parents are the same.

In case of different address: Please indicate the child's home address.

Date of birth (child) * If the child is not yet born, please indicate the expected date of birth.

Beginning of day care * At what time is day care desired?

Day care center Please indicate in which center you would like to receive care. Multiple selection is possible.(Keep mouse pointer pressed)

What is the desired amount of care per week? *

Please indicate your TU affiliation: *

Please enter the amount of time you work per week. *

Are you a new employee at TU Dortmund University? (start of contract less than one month ago or in the future) * Please choose.

Have you moved to Dortmund for work reasons? * Please choose:

Are any of your children already in care at another TU facility? Please select (multiple selection possible, keep mouse pointer pressed)

DFG affiliation If part of a DFG project, please name project (SFB,TR, GK) and duration.

Notes: e.g. partner also employed at TU, single parent etc.

For students: Proof of TU affiliation Please upload your current enrollment certificate.

For employees in a DFG project Please upload the signed cost transfer here. (If this is not yet available, please submit it via e-mail).

Information on data protection

By submitting this application form, you provide us with personal data. We store this data in an application list in order to support the application process. (Legal basis Art. 6 para. 1 letter b. - entering into a contract). We also pass this data on to the provider of the large daycare centers in order to be able to allocate places. The provider will contact you by telephone or email if a place is confirmed. You can withdraw your application at any time. If you withdraw your application, your data will be deleted immediately. Your data will be deleted 3 years after receipt of your application at TU Dortmund University or when the purpose of storage no longer applies. You can obtain information about the data stored about you at any time.

Further information on data protection can also be found at: https: //www.tu-dortmund.de/datenschutz

The data is stored in our Family Service:

TU Dortmund University

Equal Opportunities, Family and Diversity Office,

Human Resources Department

August-Schmidt-Straße 1 Room 0.31 B

E-mail: familien-servicetu-dortmundde

If you have any questions, please contact the Family Service staff directly.

If you have any questions about data protection, please also contact TU Dortmund University's data protection officer at datenschutzbeauftragtertu-dortmund.de.

Consent *

I have read and agree to the information on data protection.

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