If you want to enrol in our intensive French language course,
please fill out the following :*

APPLICATION FORM

IMPORTANT :

YOU MUST FILL IN EACH FIELD CAREFULLY OTHERWISE
THE SYSTEM WILL REFUSE YOUR FORM

Note : if you don't receive a reply within 2 working days, please contact us.
 
Mr Ms Miss *
E-mail *
Please use same email adress for all correspondance!
Name *   First Name *
Address *
City *   State
Zip code *   Country *
Tel 00+country code+phone#   Fax
       
Date of birth dd/mm/yyyy   Nationality *
Profession *   Mother Tongue *

Schools attended
Degrees and Majors
Total years of French
*
Secondary
University
Some speaking knowledge:
Yes
No *
Course level estimated:
Beginner
Interm.,
Advanced *
Other languages learned

Accommodation
Without
Individual room
Double room
Private studio apt.
higher standard studio apt.
higher standard 2-room apt.
*

I wish to enroll for: *
Remarks
 
Day
Month
Year
Date of arrival
by (means of transport)

How did you hear about our school?
(if through searching the internet, please specify keywords used)
Your reason for learning French ?