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

Please fill out this mandatory field.

Type of person *

Students

Teacher

Please fill out this mandatory field.

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 *

Please fill out this mandatory field.

Host Institution *

Please fill out this mandatory field.

Summer school - Winter school *

Please fill out this mandatory field.

How did you hear about this programme? *

Please fill out this mandatory field.

Do you need a visa to attend the programme? *

yes

Please fill out this mandatory field.

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.

Please fill out this mandatory field.

First name *

Please fill out this mandatory field.

Other First Names

Legal Sex *

Male

Female

Please fill out this mandatory field.

Date of birth (dd.mm.yy) *

Please fill out this mandatory field.

Country of birth *

Please fill out this mandatory field.

Place of Birth *

Please fill out this mandatory field.

Nationality *

Please fill out this mandatory field.

Other nationality?

E-mail address *

Please fill out this mandatory field.

Information about contact person in case of emergency

Last name *

Please fill out this mandatory field.

First name *

Please fill out this mandatory field.

E-mail address *

Please fill out this mandatory field.

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 *

Please fill out this mandatory field.

Educational Background

Are you currently a student? *

yes

Please fill out this mandatory field.

What is your current job? *

Please fill out this mandatory field.

Currently employed at *

Please fill out this mandatory field.

Country of the Home Institution *

Please fill out this mandatory field.

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

Name of the degree

Institution

Faculty

Date of graduation

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

Company / Institute

Dietary requirements

Vegetarian *

yes

Please fill out this mandatory field.

Vegan *

yes

Please fill out this mandatory field.

Gluten free *

yes

Please fill out this mandatory field.

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

Please fill out this mandatory field.

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).

Please fill out this mandatory field.

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