CentER Honors Program Application Form
Name (first and last name): ………………………..…………………………………………………….…….……….
Student number (ANR): ……………………………………………………………………………………….….….…...
Mr/Ms: …………………….…….…………………………………………………………………………………………..…….
Home address: …………………………………………………………………………………………………………..……..
Zip code + place: …………………………………………………………………………………………………….….……..
Telephone number: ……………………………………………………………………………………………………..…..
E-mail (TiU): ………………………………………………………………………………………………………………….….
Date of birth (dd/mm/yyyy): ……………………………………………………………………………………….……
Current study program: ……………………………………………………………………….…………………….……..
How did you find out about the CHP? ………………………………………………………………………..……..
Don't forget to include the following documents (all are required):

An up-to-date CV (English)

An up-to-date list of grades (English)

Motivation letter (English)
In person:
CentER Graduate Office:
K109
By post:
Tilburg University, TiSEM
CentER Graduate School
Attn. Bibi Mulders, room K109
P.O. Box 90153
5000 LE Tilburg
The Netherlands
Phone: +31 13 466 4021
E-mail: chp@uvt.nl
Please note that the application deadline is Friday 20 November 2016