Application form
Surname:
*
First Name :
*
Date of birth:
Place of birth:
Nationality:
Address-City-ZIP code-Country:
Telephone - fax:
*
E-mail:
COURSES
Type of course chosen:
_
-M8 (80 h)
-M8/2 (40 h)
-M4 (40 h)
-M4/2 (20 h)
-S2 (20 h)
*
Period:
from
* to
*
Knowledge of Italian:
_
None
A little
Average
Good
*
Lodging:
_
I don't need a lodging
Single room in appartment
Appartment (two rooms) in the center of the city
*
Extras:
_
None
Half-board
*
Special communication and notes:
* Fields requested
