In publica commoda

Appointment form “Barrier-free studying”

Counseling on studying with a disability / chronic illness

You can use the following form to register for a personal appointment (in the office, by telephone or via BBB). After receiving your request, I will contact you by e-mail and schedule an appointment with you.

The counseling session is subject to confidentiality. Personal data and the content of the conversation will not be passed on. Anonymous counseling is also possible.
To do this, enter “anonymous” in the first name and surname fields. However, it is necessary to provide a working e-mail address or telephone number in order to schedule an appointment and conduct the consultation.
Appointment request

First and last name
Your e-mail address *
your phone number
Your preferred pronouns
I am...
Appointment wishes
An appointment at these times would usually suit me well: (multiple entries possible)
My questions about studying with a disability/chronic illness concern: (multiple entries possible)
Please briefly describe your query (the question / situation / problem) on which you would like to receive consultation. Please refrain from providing health data, such as diagnoses. *
If applicable, you can indicate any special requirements for the appointment here. Please refrain from providing health data, such as diagnoses:
Consent for data processing *

By submitting this form, you confirm that you have read and accept the notices under Article 13 of the GDPR.

By submitting this form, you confirm that you have read and accept our Privacy Policy.



* Mandatory field