Last name:

First name:

(This information is optional; you may also contact us anonymously.)

Phone/mobile number: *

(Required in case we have to contact you at short notice to postpone/cancel our meeting.)

Email: *

Do you have any preference concerning who your counsellor should be? : *

Yes, I’d prefer a female counsellor
Yes, I’d prefer a male counsellor
No, I have no preference

Declaration of consent to the usage of personal data

The data provided in the contact form is only used to process your request for an appointment with the Student Advice and Counselling Centre (ZSB) of the University of Münster (Data protection policy). Your data will not be used for advertising or any other commercial purposes. You may withdraw your consent to the usage of your data at any time without stating a reason. The data usage up to that point will remain legal. From the moment you withdraw your consent, your personal data will no longer be processed and will be deleted. Upon submitting this contact form, you grant your consent to having your personal data processed for the purposes mentioned above and confirm that you understand your rights to the revocation of your consent.

I consent *