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Humanities Writing Lab Thesis Week
First name
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Last name
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U-mail address
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Student number
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Cell phone
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How did you learn about the Writing Lab Thesis Week?
From my fellow-students
From my teacher or supervisor
From my coordinator of studies
From the flyer
From social media (Facebook, Instagram)
From a presentation given during a lecture
From the University Library
From the website
From an advertisement
Other
Other
Study programme
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Thesis
Study phase
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BA 3
MA
Pre-MA
Other
Why do you participate in the Thesis Week?
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In which language will you write your thesis?
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Dutch
English
Other
Namely
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Is this your mother tongue?
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Yes
No (fill in mother tongue)
No (fill in mother tongue)
I have taken notice of the fact that participating in the Writing Lab Thesis Week is a committal appointment.
I have read the terms and conditions stated above and agree with them.
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The Faculty of Humanities certifies that the personal data concerned will be treated confidentially and
according to current laws and regulations. They will only be used in accordance with the purpose of
this form, and will be deleted within three months after last usage, or whenever the person concerned
files a request for deletion via webredactie@hum.leidenuniv.nl.
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