Application Form

By filling this form you will apply for membership of the Swiss Network for Dementia Research. Thank you for supporting our network!

Membership types

Senior Member: CHF 100 per year
Independent Scientists, Medical Doctors, Emeritus and Others

Associate Member: CHF 50 per year
Postdoctoral Research Fellows, Medical Residents

Student Member: CHF 25 per year
PhD Students, Undergraduates

E-Mail-Address *

First name *

Surname *

Gender *

Female

Male

Other

Street and number *

Post Code *

Place *

Birth Date *

Mobile *

Affiliation/Organisation *

Position *

Clinician

Principal Investigator

Postdoctorl Researcher

PhD Student

Other

Membership type *

Senior Member

Associate Member

Student Member

Please select your membership type.

What is your primary field of expertise?

Clinician research

Basic research

Diagnosis and treatment

Care

Describe your motivation to join the network community platform (max. 50 words).

In which way would you like to contribute to the activities of the network (max. 50 words)?

How did you hear about the Swiss Network for Dementia Research?

Social Media

Online Search

Recommendation

Events

Terms and Conditions *

By submitting this application form, I agree to abide by the rules and regulations set forth by the Swiss Network for Dementia Research, including the understanding that membership fees are non-refundable. Additionally, I consent to the use of my data in

ADDRESS

Swiss Network for Dementia Research

Josefstrasse 92

8005 Zürich

Switzerland

OPENING HOURS

Mon - Fri: 9:00 am - 5:00 pm

Research