Secure enrolment form
This form is for language courses only.
Fill in this form and send it back to us. Thank You !


1. Personal details
First Name

Family Name
Date of birth  Day: ;    Month:  ;   Year (YYYY):
Male or female Male Female
Your language 
Nationality
Occupation
Home address in your own country
City
Zip Code / Postal Code
Nation
Telephone no.
Mobile phone no.
Fax no.
Email
What do you think your level of Italian is? beginner, elementary, intermediate, advanced,proficiency
Your interest

 Emergency Kontakt
  

 
2. Course details
Course start date   Day ; Month:; Year
End date   Day ; Month:; Year
number of Wochen  
   

Special course


 
 
GBU  
   

Brief description about personal goals and why you want to take the course

 

 
3. Accommodation details
If you would like your accommodation to be arranged for you, select one of the buttons below. Otherwise select: I'll make my own arrangements

First choice accommodation
         Shared apartment 
Family 
Residence 
Private apartment 
Hotel - 2 stars ( ** ), 3 stars ( *** ), 4 stars ( **** )
Il Bareto - Country estate
I'll make my own arrangements

Second choice accommodation
(please select a different type of accommodation in case your first choice is not available)
  Shared apartment 
Family 
Residence 
Private apartment 
Hotel - 2 stars ( ** ), 3 stars ( ** ), 4 stars ( ** ) 
Il Bareto - Country estate
I'll make my own arrangements
   

Please check the statements that apply to you and write details in the comments field at the end of this form. Thank you!
 
  Yes No
Do you smoke?
Do you take medicine regularly?
Do you have any allergies?
Do you have any dietary requirements?

I'm vegetarian, I don't eat pork

Do you like pets?

Do you like children?  

  
4. Transfer details
If you would like the school to arrange a transfer from the airport to your accommodation for you, please answer these questions.
from city
to airport name
flight no.
arrival date
arrival time
Return transfer. Please enter details below if you require this service.
from airport name
flight no.
departure date
departure time
  
5. Other information

How did you hear about Soc. Dante Alighieri - Siena   
  
6. Payment

Applications should reach the school office at least 30 days before the beginning of the course together the deposit (30% of the TOTAL fee; course fee + administration fee + accommodation fee). In case of last-minute enrolment (less than 15 days of the beginning of the course) it is necessary to pay the total fee in full (sending us by fax/email copy of the bank transfer) or sending us credit card details in writing, authorizing us to charge the total fee immediately (in case of no show no refundable is possible.
Payment of the deposit / balance can be made by:  Bank transfer ,   Credit Card. 
  
7. Any additional comments & requires

I have Lesen, understood and accept the terms and conditions of participation.



Der Student gestattet Sienalingue Srl (kaufmännisches Management der Società Dante Alighieri – Comitato di Siena) seine/ihre persönlichen Daten zum Zweck der Anmeldung auf eine Adressliste zu setzen. Der Student kann nach italienischem Recht (Art. 13, 675/96) jederzeit verlangen, dass seine/ihre persönlichen Daten aus der Adressliste der Schule gelöscht werden.

 

Gay friend

Società Dante Alighieri - Comitato di Siena
Italienische Sprachschule, Italienische Sprachkurse
Via Tommaso Pendola, 37 - 53100 Siena - Italy
Tel. +39 0577 49533 - Fax. +39 0577 270646 - info@dantealighieri.com