Enrollment form modules and/or volunteering

Attention!

First name *

Last name *

E-mail *

Are you a student at Lerkeveld or an external? *



1st choice *

2nd choice *

3rd choice *

Please leave your comments here. For example, what date do you choose (if applicable)? Would you like to participate in more than 1 module? Are any of your choices of interest to your studies? Why specifically do you want to do that module? All comments are welcome.