Application form of the University of Antwerp

for program Antwerp Summer and Winter University

Institution Logo

Application Details

Type of applicant *
Please fill out this mandatory field.
Type of person *
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.

Antwerp Summer and Winter University

Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Do you need a visa to come to Belgium? *
Please fill out this mandatory field.

Personal details

Please fill out this mandatory field.
Please fill out this mandatory field.
Legal Gender *
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.

Information about contact person in case of emergency

Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.

Educational Background

Are you currently a student? *
Please fill out this mandatory field.
Please fill out this mandatory field.
Please fill out this mandatory field.

Dietary requirements

Vegetarian *
Please fill out this mandatory field.
Vegan *
Please fill out this mandatory field.
Gluten free *
Please fill out this mandatory field.

Declaration

Please fill out this mandatory field.
Are you currently enrolled at the University of Antwerp as a student or staff member? *
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? *
Please fill out this mandatory field.