Students as Teachers: registration form

E-mail (RUG/UMCG/werk) // Email (UG/UMCG/work) *

Voorletter(s) // Initials *

Voornaam // First name

Tussenvoegsel // Prefix to surname

Achternaam // Surname *

Geslacht // Gender *

Kies welke optie van toepassing is / Which option is applicable for you: *

Bachelor student

(Research) Master student

Teacher who would like to register one/more students as teachers

Other

Faculty *

Your Brightspace account (P or S number) *

Enroll for the following run: *

Students as teachers - 8, 15 and 29 September (1.00-4.00 p.m.) - [SAT/2627/A]

Keep me informed about future runs

Students as Teachers - group enrollment

Ik zou graag de volgende students as teachers willen aanmelden / I would like to register the following students as teachers:
Graag naam en e-mailadressen invoegen / Please specify their name and email addresses (if unknown number of students as teachers)

Yes, I've informed them about the dates/times of this course and the course content. / Ja, ik heb deze studenten geinformeerd over de data/tijden van deze cursus en de cursusinhoud.

Payment

If you have a cost center or projectcode which can be used to pay for the Student as Teachers course, please fill out the cost center/projectcode below and the department/faculty that is paying for it. Usually your contact person within the faculty or your tutor knows all the details. If not, you can also send us the payment details in the upcoming period. If you would like to receive an invoice, please fill out the billing information.

How would you like to arrange payment? *

Interne verrekening / Internal settlement on project code/kostenplaatsnummer (9-digit code)

Factuur / Invoice

Project code/Cost center (within UG/UMCG) *

Akkoord leidinggevende voor het volgen van deze cursus en/of de verrekening van de kosten /

Approval of your Line Manager/supervisor to join this course and/or to reimburse the course fee *

Billing address / factureringadres:
Provide the address details of your work/home address (street name + number, postal code) *

Phone number

When you would like to pay via an invoice, it's required to provide your phone number. *

The privacy policy and privacy statement of the UG can be found here.
Het privacybeleid en de privacyverklaring van de RUG vindt u hier.

* = Input is required