WE ARE CURRENTLY EXPERIENCING TECHNICAL DIFFICULTIES.
PLEASE COPY AND PASTE YOUR COMPLETED APPLICATION FORM IN AN EMAIL MESSAGE ADDRESSED TO: school@italianoit.it
WE APOLOGISE FOR THE INCONVENIENCE!
Application
Contacts
Courses
Times
Application Form
Name
Surname
Date of Birth
gg
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
mm
01
02
03
04
05
06
07
08
09
10
11
12
/
yyyy
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
male:
female:
E-mail
Place of birth
Tel.
Nationality
Fax
Mother tongue
Permanent address
My level of Italian language
----------level-----------
absolute beginner
elementary
intermediate
advanced
I would like to enroll in the following
--------Course---------
Intensive
Semi Intensive
Small groups
Individual
Evening
If you decide for a special course, please specify the subject
From:
to:
I would prefer the following accommodation:
---------------------none---------------------
Single room (with use of kitchen)
Single room (no use of kitchen)
Double room (with use of kitchen)
Double room (no use of kitchen)
I will arrive with my car: no:
yes:
Allergies: no:
yes:
smoker: no
yes:
I sent a deposit of Euro 100,00 by postal Money Order (or Eurocheque) to Associazione Professionale Didattica, Via Procaccini 26/2, 40129 Bologna Italy.
I sent Euro 100,00 as a deposit paid by bank transfer to:
Associazione Professionale Didattica
IBAN
: IT 54 N 06385 02417 07400017073A
BIC
: IBSPIT2B
with BANCA CARISBO (Cassa di Risparmio di Bologna) filiale Mercato
Via Fioravanti 22, I-40129 Bologna
All ensueing bank fees to be payed by students
Date
Bologna
Map
Accom-
modation
Links
Photo
Album
Rules and conditions