Medicine Project Summer 2019
Name
*
First name
Surname
Age
*
Gender
*
Male
Female
Other
E-mail Address
*
This e-mail adress should be checked on a regular basis
Phone Number
*
Emergency Contact Phone Number
*
Of Parent or Guardian
University City
*
Amsterdam (UvA)
Amsterdam (VU)
Groningen
Leiden
Maastricht
Nijmegen
Rotterdam
Twente
Utrecht
Delft
Upload your curriculum vitae in English here
*
Browse Files
1 page maximum
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of
Upload your motivation letter here (Think about: Why AIESEC, why this project, what do you want to get out of it?)
*
Browse Files
English; max 1 A4, Arial 12
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of
Prefered duration of project
*
6 weeks
7 weeks
8 weeks
Do not know yet
Preferred period of stay
*
June- July
July- August
August- September
September- October
October - November
For Uganda, please choose June-July, August-September, October-November
Country Preference
*
Ghana
Uganda
Mozambique
No preference
Indicating that you do not have any preference means you can be allocated to any of the countries
The medicine project consists of a mandatory preparation weekend before leaving, and a reintegration day during after coming back. Preparation takes place around the 26 and 27th of may and reintegration around the 18th January. Are you available, and in the Netherlands during these dates ?
*
yes
no
How did you first hear about the Medicine Project?
*
Facebook
AIESEC member
AIESEC website
Former participant of the Medicine project
I am an AIESEC member myself
Lecture Talk
Flyering
Information Talk at a congress
Student/Study association
University
Other
Additional information or question regarding the Medicine Project?
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