European Campus Application Form

Vlodrop

BA in the Science and Technology of Consciousness

Offered in Vlodrop, the Netherlands, by Maharishi International University

Full Name

Name (as it appears on your passport or legal ID) *

Former Last Names (if applicable)

Contact Information

Email Address *

Phone Number *

Residential Address *

Mailing Address

If different from your residential address.

Biographical Information

Gender *

Birth Date *

Country of Birth *

Citizenship Information

Primary Citizenship *

Dual Citizenship

Education

Enrollment Type *

Entry Semester *

Personal Information

Marital status *

How did you first hear about the European branch campus of MIU? *

Transcendental Meditation Course

Academic History

Please list all secondary and postsecondary schools attended. *

  Institution Name Country City State Level of Study Dates Attended
Institution 1
Institution 2

Signature

By signing below I certify that the information I have submitted on this form is truthful and accurate to the best of my knowledge. In place of your signature, please type your full legal name below. *

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