Enrolment Form

Surname:
    		Name:

Sex:
 Male Female
Profession:

Nationality:
Date and place of Birth:

Mother Tongue:
Address:

Postal ZIP code:
Telephone:

Fax:
e-mail:

Course starting date:
Number of weeks:

Paid Courses:
Painting Cookery Ceramics
Music and singing Translation lessons Private lessons

Have you studied Italian?
 Yes No

Knowledge of Italian Language
 None
 Little
 Fair
 Good
 Excellent

Do you know other languages?
 Yes No


How did you come to know of Scuola Italia?
Internet Friends Embassy
University Italian cultural Inst.  
Other
 

Accomodation
Family

Bed and breakfast
 Half board
 Full board
 Double bedroom
 Single bedroom

Apartments
Indipendent mini apartment (for 1 or 2 persons)
 With a single bed
 With a double bed
 With two single beds

Furnished apartment with 2 bedrooms (1 or 2 beds per room)
 Double Room
 Single Room
 Country House

Other solutions (prices on request)