Intake Form Top Sport Settlement Rotterdam UAS

Personal Information

First name *

Surname *

Initials *

Date of birth *

Student number

Address *

ZIP code *

Place of residence *

Living situation *

With parents

alone

together

student house

Phone number *

Email *

Pre-education and profile *

Current / new study RUAS *

Current / new institute RUAS *

Contact person RUAS study programme *

Email contact person RUAS *

Phone number contact person RUAS *

RUAS study coach (Slc) *

Email study coach (Slc) *

Phone number study coach (Slc) *

RUAS Location *

Class (code) *