Title
*
Mrs.
Mr.
First name
*
Name
*
Street & nr
(private)
Zip
(private)
City
(private)
E-mail
(private)
*
Phone nr
(private)
*
Date of birth
*
Nationality
Belgian
EU Citizen
Non-EU
Statute
*
Please select
Blue
White
Student (max. 26 years old at the time of application)
Teacher
Jobseeker (max. 26 years old at the time of application)
Highest achieved education degree
*
Please select
Primary education
Lower Secondary
Higher Secondary
Higher education
Employed in company
*
Zip
City
Your job title
*
Title of the course you wish to follow
*
School / institute where you take this course?
*
Start date of the course
Why do you want to follow this course?
(only needed if your course is not on the list of approved training courses - see homepage)
How do you want to manage your Personal Training Budget?
On-line (You will receive a login)
On paper