Stichting NetImpact

NetImpact Academy
Student Registration

This form is for students who want to join courses at NetImpact Academy. The information you provide will be used to match you with a suitable trainer.

🎓 Student Form

Personal Information

Full Name *

Email Address *

Phone / WhatsApp Number *

City / Country *

Course & Learning Preferences

Course you want to join *

English Language

Dutch Language

AI / Digital Skills

Photography

Makeup

Preferred Learning Mode *

Online

In-person

Preferred Trainer Gender (optional)

Male

Female

No preference

Your Level *

Beginner

Intermediate

Advanced

Availability

Available Days *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preferred Time *

Morning

Afternoon

Evening

Additional Information

Additional Notes (optional) Anything else you'd like to share

Your information will only be used for matching purposes within NetImpact Academy.

✅ Registration submitted successfully!