Intensive language courses

Application form

General informations

Student

Male

Female

Last name

First name

Date of birth

Nationality

Passport's number / ID card

Do you need a visa to study in Switzerland?

Yes

Email address

Cellphone

Parents / Legal guardian

Last name

First name

Street name and number

Postal code

City

Country

Phone number (mother)

Phone number (father)

Phone number (Home)

Phone number (work)

Email address

Billing address

If different from postal address

Agent name

Last / first name of the person responsible for the payment

Street name and number

Postal code

City

Country

Phone number

Choice of program

Enrolment fee, CHF 100.-

Day student

Boarder

Courses duration

Start date

Comments

French - Intensive Program / 16h40 hours per week

French - Super Intensive Program / 20 hours per week

English - Intensive Program / 16h40 hours per week

English - Super Intensive Program / 20 hours per week

Optional services

Private language tuition : CHF 150.- per hour

English

French

Shuttle or transfert service

Yes

Visa, invoice or confirmation letter sent by express mail: CHF 200.-

N.B. : Foreign (non-EU) students will need a visa. It takes at least 7 working days to send this visa from Switzerland to foreign countries by normal mail (free of charge). Please bear in mind the time required to obtain the visa. We must receive your enrolment application and payment at least 3 weeks before your arrival date.

Medical and dietary information

Does the student have any health problems or any specific disabilities that we should be aware of? Does he or she require treatment or a specific diet?

Yes

Does the student suffer from any allergies?

Yes

Does the student need to take any specific medication/have specific treatment?

Yes

Does the student can swim? Do you allow him/her to participate in water activities?

Yes

Summary

Enrolment fee	100.-
Program and duration French - Intensive program 16h40 \|	400.-
TOTAL	CHF 500.-

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