Application form FEB's Learning Communities
(one form per learning community)

Student number or Staff number (include the S or P):

Name (first and last name):

E-mail address (preferably your rug-mailaddress):

Age:

Level:

Study programme (Select from list):

Preferred community (select from list):

I am available for approximately 4 hours per week

Motivation statement (max 300 words). A selection criterium, so give it serious attention.

Any other comments: