Application form - Summer Dutch Language Course To be

Spuistraat 134
1012 VB Amsterdam
E-mail: [email protected]
Tel.: +31 (0)20-525 4642
www.intt.uva.nl
Faculteit der Geesteswetenschappen
Instituut voor Nederlands Taalonderwijs en Taaladvies
Application form - Summer Dutch Language Course
I apply for a place in:
A. Summer course (Aug 2016)*
At the level:
Choose an option
*** Time preference Semi-intensive courses:
Not available for the Summer Course
** Time preference Extensive courses:
Not available for the Summer course
Personal Data:
Last Name
Male/Female
First Name
Date of birth
day
month
year
Nationality
Native language
Street
Nr.
Postal Code
City
Country
Telephone
Email
Signature
Date
By signing and sending in this form I agree to the terms and conditions of the INTT as specified on page 2
of this form.
If you are a graduate from the UvA and enrol in a course that starts within 6 months after having graduated,
please enclose a copy of your diploma.
If you are an exchange student, a student participating in an international (MA) programme, a PhD student or
UvA-staff, please make sure to have this form signed by the coordinator of your UvA-department or include your
official declaration of enrolment letter.
Faculteit/Instelling
Contactpersoon
Telefoon
Handtekening UvA-contactpersoon:
WBS-element/kostenplaats (indien betaling door faculteit):
(page 1 of 2)
To be filled out by the INTT:
Betaling ......................................................................................................Regnr. ..........................
Terms & Conditions

Because the courses have a limited capacity, timely registration is recommended.

On the application form we ask you to indicate the course level that -you think- suits you best.
Based on the information obtained during our intake test (before the beginning of the course) we
may however advise you to attend the course at a different level.

This application form can only be used for one course. Once participating in a course there will be
a different application procedure for those wanting to participate in the following level.

Others may apply directly. They should fill in the application form and send it, before the start of
their course, to:
Instituut voor Nederlands Taalonderwijs en Taaladvies
Spuistraat 134
1012 VB Amsterdam
The Netherlands
Email: [email protected]

An invoice will then be sent inviting immediate payment of the course fee

Fees:
Semi-intensive
Extensive
Summer course
Winter course
Fee
€ 595
€ 595
€ 1,095
€ 825
Reduced fee1
€ 505
€ 505
€ 385
€ 385
Reduced fee2
€ 280
€ 280
€ 385
€ 385
1
This reduced fee applies to students who enrol in a course that starts within 6 months after having
graduated from the UvA. If you qualify for this fee, please enclose a copy of your UvA diploma with
the application form and send it before the start of the course to the INTT.
2
This reduced fee applies to students in the framework of bilateral exchange programmes of the UvA,
to students participating in the international (MA) programmes of the UvA, to PhD students and UvA
staff. If you qualify for this fee, please make sure the application form is signed by your UvA
programme coordinator or contact person at the UvA and send it before the start of the course to the
INTT.

A refund is only possible if written cancellation (by letter or by e-mail) is received at least four
weeks before the start of the course. A ten percent administration charge will be deducted from
each refund.

If there are less than 10 applicants for a group, the INTT reserves the right to cancel the group.
Those who have already paid the course fee will of course be completely refunded.
* The summer course is jointly organised by the INTT and the Amsterdam-Maastricht Summer
University. Participants paying the non-reduced course fee are entitled to use the facilities of
Amsterdam-Maastricht Summer University: cultural programme and excursions. Participants paying
the non-reduced course fee can apply online via www.amsu.edu. The conditions of the AMSU will
apply to these applications.
(page 2 of 2)