Enrollment form

Enrollment form for new students

Not for Lerkies! They fill in the re-enrollment form

The purpose of this information is to have a clear picture of your motivation and expectations. Therefore, please fill out the application form honestly, completely and with care.

Motivation letter

You can write this letter in a Word document and upload it below. In the letter, we would like to find a description of your personal background and commitments. Be sure to try to answer the questions below:

What are you currently studying and what will you study next year? Why?
Why do you want to enroll at Lerkeveld? What are your expectations of Lerkeveld?
What appeals to you about the "house package" with its three pillars: social, cultural and religious/spiritual?
In addition to the regular offerings of the house package, are there other areas you would like to see covered in Lerkeveld? If so, which ones?

Upload motivation letter *

The file name must be formatted like "FirstName_LastName_DateOfBirth" (e.g. jan_peeters_200469.docx). The date of birth should be formatted as DDMMJJ.

Personal details

Photo *

The file name must be formatted like "FirstName_LastName_DateOfBirth" (e.g. jan_peeters_200469.png). The date of birth should be formatted as DDMMJJ.

First name *

Last name *

Nickname

Gender *

Male
Female
Other

Home address

Street *

House number *

ZIP code *

City *

Phone number *
Attention! The phone number must be formatted like "+[land code][rest of number]" zijn (e.g.: 0412/34 56 78 becomes +32412345678). Check out this list if you don't know your land code.

E-mail *

Date of birth *

Place of birth *

Bank account number (for refunding deposit) *

Family info

Father / Stepfather / Warden

Last name

First name

E-mail

Phone number
Attention! The phone number must be formatted like "+[land code][rest of number]" zijn (e.g.: 0412/34 56 78 becomes +32412345678). Check out this list if you don't know your land code.

Mother / Stepmother / Warden

Last name

First name

E-mail

Other

Do you have a scholarship? *

Yes
No

Do you smoke? *

Yes
No

What are your main interests? *

Give a brief overview of your studies from high school onward. *

What study do you want to start or continue next year? *