Registration Form – Interdisciplinary College

Personal Information

Please enter your preferred name as it should appear on your name tag. Your name, affiliation, and email will be printed on the participant list if you consent at the end of the form.

Name:

e-Mail:

repeat your e-mail address (this field is just to recognize bots; please do not enter anything):

Affiliation:

Billing address

Please enter your data as it should appear on your invoice. This information will only be used to generate the invoice.

Name:

University/Company/Institution:

Faculty/Department:

Street: House No.:

ZIP Code:

City:

Country:

Conference Fee

Early Bird Registration (until January 8th)

Student Status	Members of supporting institutions¹	Non-Members
Students²	100 EUR	140 EUR
PhD students³	240 EUR	320 EUR
Other	500 EUR	800 EUR

Regular Registration (until February 9th)

Student Status	Members of supporting institutions¹	Non-Members
Students²	120 EUR	170 EUR
PhD students³	300 EUR	400 EUR
Other	600 EUR	1000 EUR

If you are member of the Gesellschaft für Informatik e.V., please provide your membership number:

Legend:
¹ Gesellschaft für Informatik and Gesellschaft für Kognitionswissenschaft.
² Students below the age of 28. Please send a proof of your student status to registration@interdisciplinary-college.org.
³ PhD students with part-time contracts.

Accommodation

External / Self-Organized (300 EUR)

Single room (510 EUR)

Double room (430 EUR)

Triple room (310 EUR)

Names of proposed roommates:

Your total fee is: (not visible due to lack of javascript) EUR.

Payment Type

Bank transfer

Credit card (only MasterCard or Visa!)

In case you wish to pay by credit card, please fill out the following information, print it, and send it to the conference management via fax. This information will not be transmitted to the server.

Credit card payment form

Please repeat your name and institution as listed above in the registration form (this should be filled in automatically if javascript is available).

Participant’s name:

Participant’s institution:

My credit card will be charged with the amount of ____ EUR, which consists of my conference fee ( EUR) and my accommodation fee (____ EUR).

My credit card data is:

Card type: MasterCard Visa

Name on card:

Credit card number:

Expiry Date:

Security Code:

After printing, please sign this form and fax it to the conference management.

Dietary Restrictions

None

Vegetarian

Vegan

Other

Course Preferences

Please select the courses which you would like to visit. We will try to adjust the schedule to enable you to visit as many as possible.

Stipend application

Participants lacking financial support can apply for a scholarship for IK. We provide the following kinds of scholarships:

Bachelor and Master students:
1. full stipends covering both the conference fee (amount for members of supporting organizations, i.e. € 100,-) and the fee for accommodation in a triple room (€ 310,-), total € 410,-
2. partial stipends covering the conference fee (amount for members of supporting organizations, i.e. € 100,-
PhD students:
1. full stipends covering both the conference fee (amount for members of supporting organizations, i.e. € 240,-) and the fee for accommodation in a triple room (€ 310,-), total € 550,-
2. partial stipends covering the conference fee (amount for members of supporting organizations, i.e. € 240,-)

I wish to apply for a stipend.

Please note:

Stipend application deadline is December 31st.
The conference fee is to be paid in advance. The accommodation fee is to be paid with delay. Payment is only required after an official invoice. Scholarships will be reimbursed in cash during the IK.
Depending on our financial scope, we might be able to exempt some stipend recipients from paying the fees in advance if needed. Please explicitly state, if this applies to you, under “Personal Motivation” below.
Only applications which are accurate and complete shall be considered.
Applications will be ranked based on your academic and personal motivation, your active contribution to IK, and take into account travel distance.
If you have any questions about the application process, please contact stipends@interdisciplinary-college.org

Organisations

I am member of the following organisations:

My motivation to participate in the IK

State your academic motivation to take part in this year’s IK. Briefly describe your scientific background and explain how your studies / research relate to the topic / courses of this year’s IK (2000 characters max., including whitespaces).

Personal Motivation and Contribution to IK

State your personal motivation to participate in IK and how you plan to contribute (e.g. presenting a poster, being a Sunshine, other ideas) Explain in 2000 characters max., including whitespaces, and also tick the appropriate boxes below. Contributing actively to IK will give you bonus points in the stipend application.

I volunteer as a sunshine (helping with tasks supporting the organisation of IK, supporting lecturers online and/or on site. In case you volunteer as a Sunshine, you will receive detailed instructions before and at the beginning of IK.) for the following lecturers

I volunteer as a moonshine (co-leading an interaction group and helping participants to navigate the IK)

I will present a poster

I want to give a rainbow course

Travel

I will travel to IK from and expect travel costs in the total amount of €.

Financial Context

I can not participate at IK without receiving a stipend

I can afford participation, but any stipend would be very helpful

Data protection/usage information

We require your contact information (name, e-mail, address) to organize the conference.

At the event, we will provide you with a nametag including your name and affiliation.

I agree that my name, e-mail, and affiliation, as entered in this form, will be given to other participants in form of a participant list:

Yes No

By clicking ‘Submit’ you agree that your entered data is transmitted to the conference organizers with the purpose of organizing the conference.

Note:For spam-prevention purposes, you will not get an automatic confirmation email of your registration. Registration is only confirmed once you get an official invoice from us. Spots at the on-site event are awarded on a first-come/first-serve basis.