Apply for membership

IMPORTANT! READ THIS! To become a member of the Center for Heart Failure Research one must be affiliated in one of the 13 groups in the Center. If you want to become a student at PhD School of Heart Research, but are not a member of the Center, please use this form instead: http://www.heartfailure.no/education/application/.

New members must register the information below. It will be published on www.heartfailure.no. A confirming e-mail will be sent to the registered address when the application has been accepted.

* = required field

Name Personal information

First name*:

Last name*:

Phone:

E-mail address*:

Position Position

other (specify):

Department Department


Hint: You can select more than one option using the ctrl-key (command-key on Macintosh)

Current research focus Current research focus

Group Groups

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Choose a password*:

Authorization code Authorization code

To prevent automated responses, please provide the authorization code in the box.

Code*:

 

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