Application Form

Student

Please note that any scholarship request will imply the parents to provide all official documents about their patrimony and revenues.

This application is only possible for students having received a personal code following a successful audition.

Birth certificate is only mandatory for those studying out of Belgium. Their school reports and birth certificate must all be translated by a sworn translator if the originals are not in one of the following languages: French, Dutch, German, English, Italian, Spanish (Castilian) or Portuguese.

Personal Successful Audition Code *

School year *

First Name *

Last Name *

Birth Date *

Birth certificate

ID/Passport Country *

Email *

Phone *

Street and Number *

Postal Code *

City *

Country *

Full Name of Father

Email of Father

Phone of Father

Occupation of Father

Full Name of Mother

Email of Mother

Phone of Mother

Occupation of Mother

Full Name of Guardian

Email of Guardian

Phone of Guardian

Occupation of Guardian

Invoices sent by email to *

Mother

Father

Tutor

Applicable Tuition Fee (must be consistent with the student's nationality) *

European Union Tuition Fee (6,375 EUR)

Extra-European Union Tuition Fee (12,750 EUR)

Hosting Preferences *

Request for a Hosting Family during Week-ends and Holidays (EUR 1.200 per School Year)

Scholarship Request (EUR 40 file costs refunded in case of acceptance)

Is your Application Conditioned to the Receipt of a Scholarship? *

Yes

End-of-year school reports from the previous two years *

Current year last school report *

ID/Passport Student *

Validity Date *

ID/Passport of a Parent/Tutor *

Validity Date *

Remarks/Additional Info

Please check this box to confirm your engagement for which you declare to be informed of the invoicing schedule of the selected services *

Job

Department

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