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2022 - 2023 Academic Buddy Program: Intercultural Exchange Sign-up Form
The following information is requested so that the Warm Welcome team can find you a buddy that best suits you.
*Please note that Warm Welcome's Academic Buddy Program (ABP) is now only available for exchange students (incoming and outgoing).
First name:
*
Middle name:
Surname:
*
E-mailadres:
*
What is your nationality?
What is your date of birth?
dd/mm/yyyy
What language is your mother tongue?
*
Which faculty are/will you be studying at?
*
Choose here...
Faculty of Geosciences
Faculty of Humanities
Faculty of Law, Economics, and Governance
Faculty of Medicine
Faculty of Science
Faculty of Social and Behavioral Sciences
Faculty of Veterinary Medicine
University College Utrecht (UCU)
What is your main field of study?
*
What degree are you studying?
*
Bachelor
Master
Are you an
incoming
or
outgoing
exchange student?
(Incoming refers to a student from a different university joining UU on exchange. Outgoing refers to a UU student going on exchange to a different university.)
*
Incoming
Outgoing
What is the name, city, and country of your
home
university?
*
What is the name, city, and country of your
exchange
university?
*
If you chose other, please specify it here:
Which semester are you going on exchange?
*
1st (September - December)
2nd (February - June)
I confirm that I will be present in the first academic buddy event (Meet Your Academic Buddy) on September 1st.
*
By completing this form, I agree to be automatically signed up as an academic buddy.
*
Would you like to be signed up as a language assistant?
*
Yes, I would like to be both an academic buddy and a language assistant.
Yes, but I would only like to be a language assistant, not an academic buddy.
No, I would only like to be an academic buddy.
Would you like to be matched to more than one student?
*
Yes
No
If yes, what are the maximum number of students you would like to be matched with?
Find more information about how Utrecht University handles personal data here
www.uu.nl/privacy
.
*
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