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 Enrolment Form

Name:                      Surname:      

Country:   

Birth Date:                          Birthplace :  

Profession:

Knowledge of Italian:    First Language:

Address    :     

Spoken Languages:

E-mail      :      

Phone      :   

Previous stays in Italy:       

 I have studied Italian for:   years   


Course Type:     Collective/Individual:  

   Start Date:
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ACCOMMODATION
I need Help   ... .:                        Type of accommodation..:  
Shared Kitchen   .:                                   Shared bathroom:
Smoker          ....:        My attitude towards pets:

Other requests   :
 

The school will answer you immediately                          
 

The personal data collected in this form will be used
by the school only to manage the relationship with the sender,
according to the Italian Regulations on privacy
(D.L. 30 Giugno 2003, n. 196)