Application Details

IMPORTANT: after completing this form you will receive an email to create an account in Mobility Online. You will need this account to complete extra questions and finalise your application.

Type of applicant *

Incoming

Outgoing

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Type of person *

Students

Teacher

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Exchange Programme *

Please fill out this mandatory field.

Academic year *

Please fill out this mandatory field.

Antwerp Summer and Winter University

Country of Host Instititution *

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Host Institution *

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Summer school - Winter school *

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How did you hear about this programme? *

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Do you need a visa to attend the programme? *

yes

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Personal details

Please don't use all caps when filling in the form, only the first letter of a name/word can be capitalized.

Family name *

All personal data must match the information on your passport or national ID card, otherwise your application cannot be processed.

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First name *

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Other First Names

Legal Sex *

Male

Female

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Date of birth (dd.mm.yy) *

Please fill out this mandatory field.
Please enter a date in the format DD.MM.YYYY

Country of birth *

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Place of Birth *

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Nationality *

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Other nationality?

E-mail address *

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Information about contact person in case of emergency

Last name *

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First name *

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E-mail address *

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Mobile phone number *

The mobile phone number may not start with a zero. Use '+' and your country code. For instance: +32 488 654 321.

The length should be between 1 and 25 characters.

Type of relationship to student *

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Educational Background

Are you currently a student? *

yes

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What is your current job? *

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Currently employed at *

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Country of the Home Institution *

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Previously obtained degree (relevant to the summer or winter school)

Name of the degree

Institution

Faculty

Date of graduation

Please enter a date in the format DD.MM.YYYY

Previous Work Experience (relevant to the summer or winter school)

Company / Institute

Dietary requirements

Vegetarian *

yes

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Vegan *

yes

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Gluten free *

yes

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Other

Declaration

The University of Antwerp is collecting this data only for your application, it will not be shared with third parties. More info on our privacy policy: www.uantwerpen.be/disclaimeren

Are you currently enrolled at the University of Antwerp as a student or staff member? *

yes

Please fill out this mandatory field.

Have you been enrolled as a University of Antwerp student (full degree, exchange programme, summer/winter school) in the past? *

yes

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I confirm that the information I have given above is correct to the best of my knowledge. *

IMPORTANT: YOUR APPLICATION IS NOT COMPLETE YET. You will now receive an email with further guidelines on completing your application (check your spam folder if you haven't received a message).

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Application form of the University of Antwerp

Application Details

Antwerp Summer and Winter University

Personal details

Information about contact person in case of emergency

Educational Background

Dietary requirements

Declaration

Cancel application