Application ITP Solutions for Global Water Sustainability

Personal details

First name(s) *
Family name *
Gender *
Civil status *
Number of children *
Date of birth *
Place of birth (town) *
Place of birth (country) *
Current nationality *
E-mail *
Phone number *
Home/Postal address (can be P.O.BOX) *
City *
Country of residence *
Passport number *
Passport expiry date *
Have you previously received a scholarship? *
Are you currently enrolled as PhD-student? *

Person to be contacted in case of emergency

First name(s) *
Family name *
Relationschip to this person *
E-mail *
Phone number *

Educational background

Highest level of education completed *
(Reminder: you need to have obtained a Master degree to be eligible)
Title of the degree *
Results or grade *
Title of dissertation *
Official language *
Official duration of the programme (in academic years) *
Issue date of diploma *
Name of issuing University (diploma) *
Country of issuing University (diploma) *

Current job

Current profession (job title) *
Current Professional Sector (eg. Health, environment, agriculture …) *
Type of organization/institute (Higher education institution, government, NGO, multinational organization, research institute, company, ...) *
Name of organization (employer) *
Employer's address *
Supervisor's name *
Suprvisor's e-mail address *
Please provide information about your current teaching activities (if applicable) (max. 200 words) * Please provide information about your current research activities (max. 200 words) * Please provide information about your current professional activities other than those mentioned under teaching and research activities (max. 200 words) *

Relevance and motivation

Describe your motivation for following the ITP SGWS (max. 500 words) *
Describe the relevance of the ITP SGWS for your career (max. 200 words) *
Describe the relevance of the ITP SGWS for the organization with which you are affiliated (max. 200 words) *
Describe how you envisage to employ the acquired knowledge and skills obtained during the ITP SGWS when returning to your home country (max. 200 words) *

Funding options

I wish to apply for a VLIR-UOS scholarship, and am eligible as indicated below *

Application history

Did you apply for one of the programmes of IMDO previously? *


Additional information

How did you learn about this ITP? *

Required documents to be uploaded (max. 2MB in total!)

Please check if you have filled everything in correctly by clicking 'Submit' before uploading the documents!

CV – recent (max. 2 pages) *


Legalized copy of Master diploma *


Legalized copy of transcript of academic records *


Photocopy of International passport *


Support letter from employer *


Recent letter of recommendation *


Proof of English proficiency (see language requirements) *


*
IMDO@uantwerpen.be is collecting this personal data to select candidates for the ITP SGWS. Under no circumstances will your contact details be passed on to third parties. This data will be stored for as long as we continue to send out our newsletter. If you would like to view, limit, change or remove your personal data, please send an email to the address above. More information about our privacy policy: www.uantwerpen.be/disclaimer.