Deregistration form - SPiN Nijmegen

Date*

Name*

First Last

Student number*

Adress*

Street + number City Postal code / Area code Country

Emailadress*

By clicking the box below you declare to end your membership at Study association Psychology in Nijmegen starting September of next lecture year.*

I hereby declare to end my membership as member of Study association Psychology in Nijmegen starting next September

I'm ending my membership because (tick which is applicable):*

I don't study (psychology) anymore
I have started my master education
I don't need the services of SPiN (I am still following the bachelor psychology at the Radboud University)
None of the above

As alumnus of SPiN you receive the alumni-newsletter twice a year through the mail, which contains useful information for you as alumnus and updates about SPiN. You will also be invited to the annual alumni-activity. Maybe you are entering an interesting career path and will your experience be informative for psychology students. Then it might be fun to give a lecture about a certain topic. If you agree, we can approach you as an alumnus for this. Are you interested in becoming an alumnus?

Would you like to become alumnus of SPiN?*

Yes, I would like to become alumnus of SPiN
No, I don't want to become alumnus of SPiN

FOLLOWING QUESTIONS ONLY TO BE FILLED IN IF PREVIOUS QUESTON IS ANSWERED WITH 'yes'.

Tick which is applicable (if interested in becoming an alumnus).

I would like to be invited to alumni-activities
I would like to receive the alumni-newsletter
I would like to be approached for shadow-days*
I would like to be approached to give lectures or workshops**

* This means that you can be approached for a shadow-day during which a bachelor psychology student joins you at your job or master education for a day. ** This means that you can be approached to give a lecture or workshop to psychology bachelor students at the Radboud University.

Monday:	10:30 – 14:30
Tuesday:	10:30 – 14:30
Wednesday:	10:30 – 14:30
Thursday:	10:30 – 14:30
Friday:	10:30 – 13:30