ENROLMENT FORM - PRIVATE LESSONS
Please complete the enrolment form in block letters. It must reach our secretary’s office no later than 4 weeks before the beginning of the course of your choice. 

First Name    Surname 
Date of birth     Job           Sex  M  F
Address

Tel.    Fax 
Mobile 
E-mail 
HOW MANY PRIVATE LESSONS DO YOU WANT TO HAVE ?
10 Hours 15 Hours 20 Hours 30 Hours N. Hours
from    to

WHICH AREAS DO YOU WANT TO DEVELOP ?
Grammar Conversation  Business*
Literature* History* Geography* Civics*
Other*

* For the areas checked with an asterisk (*), please indicate the themes chosen (authors, period etc.) :

Have you ever studied Italian before?  yes  no

If so, what institute?

If so, how long?

How have you come to know about our school?

WHICH KIND OF ACCOMODATION WOULD YOU PREFER ? (tick your choice):
Single room in a shared flat
A bed in a double room in a shared flat
Double room in a shared flat
Self-contained flat for No.  person/s
Hotel (single room) ** ***
Hotel (double room) ** ***
I shall personally take care of my accommodation
Date of arrival, probable time and means of transport :


 

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E.STI.VE EuroStudi Veneto
Via Tofana Prima 5 - C.P. 29
I - 32032 FELTRE (Belluno)   ITALY
Telephone: +39 0439 81821     Fax: +39 0439 849357   e-mail:  eurostudi@italiaservice.com

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