WURth-while_registration

Application form WURth-while course

This form is designed for refugee students coming from outside Wageningen University and Research who want to participate in a WURth-while course.
The fields labeled with * are required.

If you have problems filling this form, please contact WURth.while@wur.nl

PERSONAL DATA

First name: *

Last name: *

Date of birth: *

mm/dd/yyyy

Gender:

Female

Male

Other

Email address: *

Phone number:

Country of origin: *

Level of English*

Beginner

Intermediate

Advanced

Native language:

Address: *

Postal code: *

City: *

How did you hear about WURth-while? *

PREVIOUS EDUCATION AND WORK EXPERIENCE

Home university: *

Field of study: *

Year / level (bachelor / master): *

Scan of your diploma(s) and grade list(s), if available:

Please upload short CV: *

I WANT TO REGISTER FOR THE FOLLOWING COURSE
Please read How to apply for WURth-while before you fill this form.

In which course would you like to participate? *

Course code

Starting period

Why do you want to participate in this course? *

Motivation letter: *

Comments by student: