Buddy Programme Application Form

Fill in this form to request a personal buddy.
(If you are born after 1987, we will almost certainly give you a local student as a buddy,if you're older,
it is possible that we look for another international student who would like to welcome you in Leuven)

Family Name: *
First Name: *
Date of birth: *
Gender: *  
I will be in Leuven: *

E-mail: *
Country of origin:
I will study/work at Faculty :
As a:
I am planning to arrive approx:
I am planning to stay till approx:
I would like to request a (Flemish) buddy
(if you are born before 1987, it is possible that we give
you another international student in Leuven). *


From the following faculty:
Age: *


Fields of interest:
(you can mark more than one item)





Remarks:


* required