University Pioneers

Registration form for students

Personal data

May we add you to our Whatsapp group? *

Are you a first-generation student? That is: one of the first in your family to pursue higher education in the Netherlands *

The following questions are about your (expected) situation in the coming academic year

In what stage of your education are you in? *

Do you expect to be unavailable to participate in UP's events and activities for more than one period during the academic year, outside teaching free and holiday periods?

What type of meetings are you interested in? *

Monthly meetings with a mentor that suits you

Free participation in activities to advance your career (e.g. networking, training or workshops)

Free participation in social events (e.g. informal get-togethers, informative excursions or symposiums)

If you are interested in contacting a mentor, what are your preferences?
A mentor is a (senior or alumni) role model with whom the first-year student should be able to identify. This identification comes about partly through similarities when it comes to personal interests, characteristics and/or preferences (e.g. hobbies, cultural background, field of study, etc.). Tick the matches that are important to you (including explanations if applicable). Please note that we cannot guarantee that you will actually be matched with someone with these match(s).

Study (or a related theme), namely

City, namely

Ethnic, cultural and/or religious background, namely

Hobby(s), namely

Other personal interest, namely

Overige vragen

Have you previously dealt with an education support programme (e.g. HTU, U-talent, StartNuu!, Kick-Start or other)?

Yes, namely

How did you find UP? *

Final question: We would like UP to be carried by and for first-generation students in the future. Would you like to contribute to the UP Community behind the scenes? This is not a requirement to join the programme and completely optional. *

Yes, at the events committee (organising inclusive and diverse events)

Yes, at the newsletter committee (monthly UP-date with inspiring stories)

Yes, at the recruitment committee (giving presentations to high school students and at induction days)

Yes, in another way namely:

By signing up, I consent that University Pioneers may use my data to match me with a mentor on that basis and may use it for any statistics. In addition, project staff and mentors or ambassadors may receive my email address and phone number to contact me as part of the UP community. I know that participation in the fun and educational community meetings with other participants of the programme is on a voluntary basis. In addition, it is possible to be paired with a mentor for a certain period without any obligation. *

If you experience any problems submitting the form, please contact us at c.bouhamou@uu.nl or universitypioneers@uu.nl

* = Invoer verplicht