Academic Language Programme

Course registration

I would like to register for *

Family name *

Initials *

First name *

Street *

No. (e.g. 75/75E/75-hs) *

Postal code *

City *

Country *

Pronouns *

First language *

Telephone number *

E-mail address *

Status *

Status: other, namely *

Student number

Type of degree

Name of degree

Institution *

Institution: other, namely *

VUnet-id *

VU-unit *

VU-unit: other, namely *

Supervisor *

Comments

How do you know of the ALP?

Course fee

bedrag_20

bedrag 475

bedrag 300

bedrag 750

bedrag 350

bedrag 255

bedrag 125

bedrag 15

bedrag 1

Total amount

My employer will pay for the course.

The invoice for the course will be sent to your employer.
Please fill in the required information for the invoice.

Organisation / department (please state whether this is a VU department or an external organisation) *

Contact person *

E-mail address contact person *

Reference number
(eg. ordernumber, budget number, WBS-element) *

Address for invoice
(E-mail of postal address) *

I agree with the general conditions. *

* = Input is required