Registration Form

Please ensure you give your full name (as in your passport) and full accurate information. Of course, all submitted information is kept in the strictest confidence.

First Name: *

Surname: *

Date of Birth: *

Gender: Male Female

Tel:

Skype:

Country:

Your native language and foreign languages you speak:

Email: *

Target language(s): russian ukrainian russian and ukrainian *

Your approximate level: total beginner beginner lower intermediate intermediate upper intermediate advanced *

Length of course: 1 week 2 weeks 3 weeks 4 weeks 2 months 3 months 4 months 5 months 1 semester 1 year *

Programs Individual Group Distance *

Preferred date of starting the lessons: *

Accomodation Living in a Host Family Renting an Apartment Living in a Hotel Student Dormitory Support not needed *

Transfer from/to the airport from/to the railway station support not needed *

Excursions support yes no *

Comments: (1000 chars left) *

Input the code of protection:

Thank you for your submission. We will contact you shortly.