Intercambio programme registration form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Through this form you can sign-up for the ESN intercambio programme!

We will contact you when we have found you a match! However, bear in mind that it can take some time for you to be matched up, as it is dependent on other students filling in the same languages as you! Remember that it is also possible to sign up for this programme if you only want to learn or only want to teach a language, just leave the other box empty.

First Name: *

Family Name: *

Date of Birth: *

YYYY

Email Address: *

Phone number: *

Please write down your number in international format and thus starts with a plus.

Gender: *

Female

Male

Prefer not to say

Other:

Nationality: *

Please write down in English.

Teach Language 1:

Which language would you like to teach another student? Please write down in English.

Teach Language 2:

Which other language would you like to teach another student? Please write down in English.

Learn Language 1:

Which language would you like to learn from another student? Please write down in English.

Learn Language 2:

Which other language would you like to learn from another student? Please write down in English.

Gender preference: *

Do you prefer to be linked to a specific gender?

No preference

Female

Male

Other:

Studying in Groningen from: *

YYYY

Studying in Groningen until: *

YYYY

University: *

University of Groningen

Hanze University of Applied Sciences

Other:

Other comments:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of ESN Groningen. Report Abuse

Forms