UvA Cultural Exchange Ambassador Programme Application Form
Please fill in this online application form if you wish to sign up for this award-winning programme.
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Personal details
Please note! If you are accepted in the Cultural Exchange Ambassador Programme, we will share your name, email address, phone number and field of study with the other ambassadors and with the staff of the University of Amsterdam.
Family name *
First name *
Nationality *
Phone number *
How can we add you to our Whatsapp group?
E-mail address *
Address *
Current living address in the Netherlands (please indicate if you do not have an address in the Netherlands yet)
Postal code & city *
What is your field of study *
What type of student are you? *
What is the name of your home university? (for incoming exchange students please list your foreign institution)
Did you take part (or are you currently taking part) in a student mobility programme? If YES, what type of programme: *
If YES, what organisation hosted/awarded you for your student mobility experience? (if NO, skip this question)
Reasons for applying for the Cultural Exchange Ambassador Programme
Please explain your motivation and interest to participate?
(max. 100 words) *
Would you like to opt for a leadership position? (leading a small group of students) *
Availability Schedule
Ambassadors will meet online and weekly on the Monday night (via zoom) starting 6 September, except during the exam week and the week before the exam week. After a few weeks the programme will switch to an on-site programme. The last meeting of the programme is on Monday, 13 December. In addition, you will be asked to partake in a number of important international events.
Please indicate your availability for the programme *
Available
Unavailable
Do not know yet
Not applicable
Weekly Wednesday Evenings, 16:00-17:30
Ambassadors celebrate diversity!
In keeping with our core value of inclusion it is important that we aim for diversity, at all levels, that is representative of the communities which we serve. We therefore invite you to participate in the following Self-Identification Questionnaire to help us better understand the diversity of the UvA student community.

Please note that participation in the next part of this survey is entirely voluntary and confidential and will not be used for the selection process!
We celebrate students with diffabilities. Students who identify themselves or believe that they are differently-abled based on any of the conditions below. Do you consider yourself to be a student with a diffability?
We celebrate all forms of ethnicity. Do you have a migration background?
Does one of your parents have a migration background? *
We celebrate first-generation students. Did someone in your family complete an academic education?
We celebrate students with various forms of financial support. How do you financially support yourself?
We celebrate all categories of gender identity (feel free to consult the following website https://gender.wikia.org/wiki/Category:Gender_Identities), which refers to one's self-identified gender, rather than birth-assigned sex. Which of the below applies to you? If you cannot find your gender in our list, please list your gender under 'other'.
We celebrate all forms of sexual orientation, which refers to the sex of those to whom one is sexually and romantically attracted. Please select which of the below applies to you:
We celebrate LGBTIQ plus all other letters, which refers to the "Lesbian, Gay, Bisexual, Transgender, Transsexual, Two-Spirited, Intersex, Queer/Questioning" community. Do you self-identify as being part of the LGBTIQ+ community?
We celebrate all religions. What religious family do you belong to or identify yourself most close to? If you cannot find your religion or spiritual orientation in our list, please list this under 'other'.
We celebrate students with caring responsibilities. Are you responsible for providing unpaid care to a family member, partner, child or friend?
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