Registration form Ichtus Antwerpen 2021/2022
We're glad that you're here! In this form you can sign up for our student association.
We won't share this information with third parties. If you have any questions, feel free to email us.
Hope to see you soon!
Sign in to Google to save your progress. Learn more
What is your first and last name? *
What is your gender? *
What is your date of birth? *
MM
/
DD
/
YYYY
What is your nationality? *
What do you study and at what university? *
What is your home address? *
Eventually: what is your residence address?
What is your e-mail? *
What is your phone-number? *
What is your emergency-number? *
What are your interests? (1st choice) *
You will be assigned to a committee based on your interests
Required
What are your interests? (2nd choice) *
You will be assigned to a committee based on your interests
Required
I like to sport and want to join ASL (Antwerps Student League) *
Required
Do you play an instrument? If so: which instrument?
Clear selection
What do you like to do and what are your qualities? (for example: gaming, cooking, playing the piano, photographing) *
What kind of church do you attend? (for example reformed or baptist church) *
Are you in the risk group for Covid-19? *
Pictures of Ichtus Antwerpen where I'm at may be published on the website, social media etc. *
According to the GDPR, we ask your permission for the following *
Required
Do you have any questions or suggestions?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy