Application form of the University of Antwerp
All fields marked with (*) must be completed.
Application Details
Type of applicant
 *
Type of person
 *
Exchange Programme *
Academic year *
Antwerp Summer University
Country of Host Instititution *
Host Institution *
Summer School *
Where did you hear from this summer school? *
Do you need a visa to come to Belgium?
 *
Are you currently residing in Belgium as a refugee?
 *
Personal details
Family name *
First name *
Other First Names
Legal Gender
 *
Date of birth (dd.mm.yy) *
Country of birth *
Place of Birth *
Nationality *
Other nationality?
E-mail address *
All information provided in this form must match the information as displayed on your passport or national ID card. In a later step you are required to upload a copy of that official ID. If this information does not match, your application cannot be processed.
Please do not use all caps when filling in the form.
Same e-mail-address for verification *
Information about contact person in case of emergency
Last name *
First name *
E-mail address *
Telephone number *
Dit veld mag niet met een nul beginnen. Gebruik een '+' en je landencode. Bv. '02 333 44 55' wordt '+23334455'.
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This field may not start with a zero. Use a '+' and your country code. For instance. '02 333 44 55' becomes '+23334455'.
Type of relationship to student *
Educational Background
Are you currently a student?
 *
What is your current job? *
Currently employed at *
Previously obtained degree (relevant to the summer school)
Name of the degree
Institution
Faculty
Date of graduation
Previous Work Experience (relevant to the summer school)
Company / Institute
Dietary requirements
Vegetarian
 *
Vegan
 *
Gluten free
 *
Other
Declaration
I confirm that the information I have given above is correct to the best of my knowledge.  *
The University of Antwerp (summeruniversity@uantwerpen.be) collects these data for your registration at the university. These data will not be shared with third parties. More info on our privacy policy: www.uantwerpen.be/disclaimeren
Do you already have a University of Antwerp account (as a student or staff member)?
 *
Have you been enrolled as a University of Antwerp student (full degree, exchange programme, summer school) in the past?
 *
Attention! Please note that your application is not complete yet. Filling out this form was just the first step. Please check your email to find out the further guidelines to complete your application before the deadline. Don't forget to check your spam folder in case you haven't received a message. Please contact summeruniversity@uantwerp.be if you have any questions.
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