Work in Tech Program 2022

What is your first name?

What is your last name?

What is your email address? (please note that you have to use this email on all the platform related to the Work in Tech program!)

When would you like to start?

How old are you? (years)

What is your phone number?

What is your highest completed education?

What is your gender identity?

What is your employment status?

Which of the following demographic groups apply to your current status? (You can select multiple answers)

Do you have any experience with online learning?

Do you live in The Netherlands or have a Dutch address?

I understand that, upon being accepted to this program, I will be expected to dedicate at least 10 hours per week to my studies and fill in all the follow-up questionnaires. Failure to comply can result in the termination of this agreement.