First name:
Mr
Mrs
Surname:
Full Address:
Town and State:
Post Code / Zip Code:
Telephone:
Fax:
Email:
Date of birth:
Nationality:
Occupation:
Mother tongue:
Other languages known:
KNOWLEDGE OF ITALIAN
none
basic
intermediate
good
very good
Studied when and where:
years:
months:
hours/day:
I would like to enrol in the following course:
GROUP COURSES
G 80
G+I/5
GC
GS 96
G+I/10
CC
GS 120
GD
50 PLUS
from:
to:
weeks:
I ONE - TO - ONE
ONE-TO-ONE COURSE
LESSONS INCLUDING LUNCH
Lessons/day:
from:
to:
weeks:
ITALIAN LANGUAGE & WORK EXPERIENCE
- NEW
Part One:
Italian language courses (Group Course)
Part Two: Work Experience
from:
to:
4 weeks
6 weeks
8 weeks
10 weeks
12 weeks
14 weeks
16 weeks
COOKING COURSE
1 Lessons/week
from:
to:
Total of lessons:
ACCOMMODATIONS
I would like the school to arrange accommodation for me in:
Homestay
Shared Apartment
Ind. Apartment (standard)
Apartment (higher standard)
Residence
Hotel
Single room
Double room
Breakfast
Half board
Use of kitchen
Note:
How did you find out about Centro Fiorenza?
Please send me your detailed brochure:
by e-mail
by mail
Centro Fiorenza –IH Florence has my authorization for using my personal data in agreement with the Italian law (D.L. nr. 196 - 30.06.2003). This includes the conservation of the data as files for possible promotional campaigns. My personal data must be cancelled, upon request, at any moment.