School of Human Rights Research


Drift 15, 3512 BR Utrecht, telefoon: 030-2538034, fax: 030-2537168, email: rvdm-summercourse@law.uu.nl



Application Form Summer Course 2009

Personal Data
Last name:
First name:
Date of birth: (dd-mm-yyyy)
Sex: Female Male
Nationality:
Passport number:
Passport valid thru:

Address (for our correspondence)
Address:
Postal code:
City:
Country:
Email:
Telephone:
Fax:

Educational background:
(List chronologically all undergraduate, professional and graduate institutions attended and the degree obtained)

Present occupation or involvement in graduate programme:

Experience in the field of human rights (if any)

Additional information
I will send my curriculum vitae and a short motivation letter outlining reasons for attending the course.

Payment
I hereby agree to pay the tuition fee of 1600 EURO within two weeks after admission to the Summer Course.*
I hereby apply for a scholarship to attend the Summer Course. I am therefore also enclosing a letter of recommendation.

* Please take notice that should you have to withdraw your application after formal admission we can not reimburse the full fee.