Sign up

Use this form to sign up for the free intake interview. After completing the intake interview we can determine your level, and we offer you a customized language course!

Fields marked with a * are required.

Your personal data

Your first name *

Your last name *

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Your contact information

Street + Number *

ZIP-code *

e.g. 2512 AA

Place *

Your phone number *

Your e-mail address *

e.g. yourname@provider.com

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Your information

Country of origin

Integration requirement

Yes

When does your integration term end?

How long are you in the Netherlands?

What is your highest education?

What is your latest work experience?

What is your purpose with this course?

Comments?

Meerkeuze *

I've checked my data and I want to sign up for the free intake interview of EchtNederlands.*

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EchtNederlands shall not give your personal data to any third party and shall only dispose these data to third parties who are concerned with the execution of your course. Our employees and hired third parties are required to respect the confidentiality of your data.