Registration Form
For our language courses summer 2008,
Page 1 of 2
The pages have been tested with different browsers and printers (paper size 'letter' or 'A4'), but that is not a guarantee that the two pages will not turn into three or more pages when printed by your printer!

First and Family name:
 
Address:
 
Profession:
 
(Mr, Mrs, Ms):
 
City:
 
Home phone:
 
Date of birth:
 
Zip:
 
E-mail address:
 
Nationality:
 
Country:
 
Fax:
 

box For Course in St Raphaël:
 
I wish to enroll in the course shown below:
box Children's Club 5 - 13 years
box Student course 14 - 17 years
box Adult summer course 4 hrs/day
box Adult intensive course 6 hrs/day
box Adult high intensive course 8 hrs/day
box Private tutorial from 4 hrs/day
box Seminar for language teachers

My current ability in French is:
box Pure beginner
box Can understand and read simple text
box Can converse and read newspaper text
box Can speak reasonably fluently and read novels
box Fluent in speech and reading ability but need polish

 

 
I feel that I need training in:
box Basic French
box French as a spoken language
box French writing and grammar

I wish to attend the session
offered below for:

 
2 weeks
box From June 08 to June 22

box From June 22 to July 06

box From July 06 to July 20

box From July 20 to August 03

box From August 03 to August 17

box From August 17 to August 31

 


 
3 weeks
box From June 08 to June 29
box From June 29 to July 20
box From July 27 to August 17

 
4 weeks
box From June 08 to July 06
box From July 06 to August 03
box From August 03 to August 31

Previous French education:
I attended____years of French in:
box High School  
box College
box University ... years ago.

Accommodation
In St-Raphaël:
box With French family ½ pension in a shared double room,
     youth/adult course
box With French family ½ pension in a single room,
     youth/adult course
box With French family (breakfast only) single room
box Youth Hostel in St. Raphaël (ages 13-16)
box Family apartment for_______ persons
box Made my own housing arrangement

Hotel Standard:
In St-Rafaël:
box Economy "Hôtel des Arènes"
     (without car)
box Economy "Hôtel Du Soleil" (with car)
box First class "Hôtel Beauséjour **"
     at the shore
box First class "Hôtel Flore ***" in the old town
box Apt. "Hôtel Orion" near the beach
box Apt. "Les Venitiennes" 100 m from the school
Next page