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Italian courses - Registration Form
All RED fields are requested
Please fill all requested fields INCLUDED the General Conditions' acceptance.
General information
Family Name
First Name
Gender
M
F
Date of birth
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Nationality
Mother tongue
Occupation
Country
City
Zip Code
Address
Tel.
Fax
E-mail
Where did you hear about us?
If you found us on the Internet, please specify the website
Tuition
Group Course
:
Standard (20 lessons/week)
Intensive (28 lessons/week)
Super intensive (30 lessons/week)
Starting date
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Finishing date
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No. of weeks
Italian for
Fashion & Design Course
2 weeks
4 weeks
I would like to receive more information about the possibility of combining my course with IED Fashion&Design Summer Courses and Three Year Undergraduate programmes
Starting date
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2013
Finishing date
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No. of weeks
Evening Group
Course:
Short programme
Medium Programme
Long programme
Starting date
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2010
2011
2012
2013
Finishing date
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31
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2010
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No. of weeks
Survival Italian
for beginners:
2 weeks (15 lessons/week)
Starting date
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17
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31
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May
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Nov
Dec
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2010
2011
2012
2013
Finishing date
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02
03
04
05
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31
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2010
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No. of weeks
Individual Tuition:
General
Professional
Starting date
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2011
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2013
Finishing date
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2010
2011
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No. of lessons
Executive programs:
Semi intensive (20 lessons / week)
Intensive (30 lessons / week)
Full immersion (45 lessons / week)
One-day seminar (10 lessons / day)
Lunch with the teacher
Starting date
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2010
2011
2012
2013
Finishing date
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2010
2011
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No. of weeks
Italian with internship
:
8 weeks
Starting date
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Feb
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Jul
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Nov
Dec
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2010
2011
2012
2013
Finishing date
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Feb
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2010
2011
2012
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Enjoy 50+:
2 weeks
Starting date
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Feb
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Oct
Nov
Dec
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2010
2011
2012
2013
Finishing date
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02
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2010
2011
2012
2013
Language level
Have you ever studied Italian?
No
Yes
For how long
How would you describe your level?
Beginner
Elementary
Post-elementary
Pre-intermediate
Intermediate
Post-intermediate
Advanced
Accommodation
No
Yes:
Standard Host-Family (B&B)
Standard Host-family (half-board)
Executive Host-Family (B&B)
Executive Host-family (half-board)
Shared flat (with Italian tenants)
Hotel apartment
Hotel
Hostel
Arrival date (Sunday)
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Departure date (Saturday)
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No. of weeks
Do you smoke?
No
Yes
Any health problems?
No
Yes
Do you have any allergies?
No
Yes
Do you require an airport transfer?
No
Yes, from Linate Airport
(€ 70.00 one way)
Yes, from Malpensa / Bergamo Airports
(ˆ 130.00 one way)
Visa
Do you need a student visa?
No
Yes
Would you like IH to sent the documents by courier?
No
Yes (€ 65.00)
Payment
(Please check your chosen method of payment)
I will pay the total amount by Bank Transfer (Please note that handling fees will be charged to the student).
I will pay the total amount by International Money Order (Postal).
I will pay the total amount by Credit Card.
Any other comments
Declaration & Signature
I agree to the
General Conditions
, accept full responsibility for the payment of all course fees and confirm that the information given on this form is complete and correct.
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