ESN Hasselt Membership
Do you want to become member of ESN Hasselt? Then fill in this form!
WARNING: You are only an official member if you recieved the ESNcard. You can get this card at an event we organise or talk to someone in the board.
More information about our events can be found here:
- http://www.esnhasselt.be
- https://www.facebook.com/esnhasselt
Name
Your answer
Surname
Your answer
Gender
Age
Email address
Your answer
Home Country
Please note that this list is exhaustive
Exchange type
Choose other if your type is not listed
Time in Belgium
Studies
Choose other if your field of studies is not listed
Host University/School
Choose other if your university/school is not listed
Why did you choose Hasselt?
This is a optional question
Your answer
What do you expect of your stay in Hasselt?
This is a optional question
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Erasmus Student Network Belgium. Report Abuse - Terms of Service - Additional Terms