Registration form Incluusion

Utrecht Summer School 2025

Personal Data

First name(s): *

Surname: *

Initials: *

Gender: *

Male		Female
Other		I don't want to answer this question

Date of birth: *

Place of birth *

Country of birth: *

Nationality: *

Email address: *

Phone number: *

Street name *

House number:

Postal code: *

City: *

Do you already have a residence permit? *

I'm still in my procedure

I have a residency permit (this means that the IND decided that you can stay in the Netherlands)

I'm a refugee from Ukraine

I am a rejected asylum seeker (uitgeprocedeerd)

In which year did you get your residence permit? *

Do you live in an AZC? *

Yes

Do you have your residency permit and are you still living at an AZC?
Then COA has to pay for your travel costs for Incluusion courses, but only if you live further away than 10 km.

Are you a client of UAF? *

Yes

UAF can usually pay for the travel costs.
Please check with them whether this is possible in your case.

Have you followed a course through Incluusion before? *

No, I am a new student

Yes, I have followed a course in the last 12 months

Indicate your student number:

EDUCATION AND EXPERIENCE

Highest obtained education: *

Upload your highest obtained diploma here:
If you are unable to upload your diploma, e.g. due to having no current physical possession of the item, you can leave this field open.

Upload your CV here
please name it "your name_last name_CV" *

If you know your level of English, please fill it out here.

Have you applied to another similar program as well, for example at another university? *

No, but I plan to

Yes, but I didn't hear back yet

Yes, and I was accepted

COURSE SPECIFICATION

Select the field of your choice: *

Name of your first choice course: As found in the Course Guide under the Humanities

Name your first choice course (as stated in the course guide under Healthcare)

Name of your first choice course (as found in the Course Guide under Life Sciences)

Name of your first choice course (as found in the Course Guide under Science)

Name of your first choice course (as found in the Course Guide under Social Science)

Name of your first choice course (as found in the Course Guide under Engineering & Technology)

Name of your first choice course (as found in the Course Guide under Art & Music)

Name of your first choice course (as found in the Course Guide under Law)

Name of your first choice course (as found in the Course Guide under Business & Economics)

Name of your first choice course (as found in the Course Guide under Language)

Name of your first choice course (as found in the Course Guide under Financial Accounting)

Upload a short motivation letter here (min 200 words - max 400 words):
Include why you would like to participate in your first choice course specifically and how you meet the course requirements. Please name the file "your name_last name_motivation" *

Select here your second choice course, if you have one:
(in case your first choice course is full or you don't meet the requirements. A new motivation letter will be requested later if needed) *

Select here your third choice course, if you have one:
(in case your first and second choice are full or you don't meet the requirements. A new motivation letter will be requested later if needed) *

Please indicate if you have a laptop and/or good internet connection, or neither available. Tick the appropriate box(es). *

Laptop

Good internet connection

Neither

PRACTICAL MATTERS

Can you pay for your own travel expenses to Utrecht or do you need some support for that? Keep in mind that most courses take place in person. This means that you are required to come to Utrecht on average two times per week.

It really differs per individual, and mostly where you're living, on how high the travel costs are. However, to give you an idea: someone living in an AZC 45 minutes by train from Utrecht will be spending roughly € 400 coming to Utrecht for their classes. This amount includes a 3 month train subscription and bus travels from and to the train station. Tip: check how much it costs on www.9292.nl to travel to Heidelberglaan 8, Utrecht (the centre of the university campus) *

Yes

Maybe

Incluusion is able to cover a maximum of € 250 per student. We work with a refund, meaning the following:

We can’t give you the money in advance.
It can take up to a month to receive your refund, so make sure to have enough travel money for the whole block.
You will need to show proof of your travel costs: receipts, invoices, a pdf of your travel history, etc.
You will need a bank account where we can refund the money to. A foreign bank account is accepted and it doesn’t have to be your own. For example, a bank account of a friend or family member is fine too.

Would you like to make of student housing for the duration of your course? Keep in mind that is only exclusively for the Utrecht Summer School course period.

You can find more information about this here: utrechtsummerschool.nl/housing/utrecht *

Yes

Maybe

How did you find Incluusion? (Multiple options possible) *

How did you stay updated about Incluusion? (Multiple options possible) *

I hereby state that I agree with the privacy statement of Utrecht University. *

Do you have any comments or questions?

* = Input is required

Registration form Incluusion Utrecht Summer School 2025

Personal Data

EDUCATION AND EXPERIENCE

COURSE SPECIFICATION

Registration form Incluusion

Utrecht Summer School 2025