Language studies abroad : Information : Online enrolment

Online enrolment

By sending the form below you definitely are enrolling on a language course. We will be happy to help you with any additional information.

On-line enrolment

Personal informations


		* Obligatory information

*Last name
*First name
*Sex		female male
*Birth date
*Nationality
*Mother language
*Language level
Occupation
*Address
*Zip code
*City
*Country
* Home Tel.
Office Tel.
*Mobile
Fax
*Mail
Contact person during your stay
*Last name
*First name
*Home Tel.

Select course(s)

*1) City

*School

*Type of course

*Start date

*End date

*Number of weeks

2) City

School

Type of course

Start date

End date

Number of weeks

Accommodation

*Accommodation type

Host family

Campus residence

Other

No accommodation

1) Start date

Date of departure

Room

single

double

Accomodation details

Half board

Bed and Breakfast

Full board

Without meals

2) Accomodation type

Host family

Residence

Other

No accomodation

Start date

Date of departure

Room

single

double

Accomodation details

Half board

Bed and breakfast

Full board

Without meals

Preferences regarding host families

Non-smoking family

yes no don't mind

Family with children

yes no don't mind

Family with teenagers

yes no don't mind

Family with animals

yes no don't mind

Accommodation extras

*I am vegetarian		yes no
*I smoke		yes no
Special diet
Allergies/Medical care
Hobbies, interests
Other comments

Flight / Airport transfer

*Flight offer		yes , from no
*Airport transfer		arrival departure none

Insurance

*I wish to take out a 3-month cancellation-assistance insurance
(CHF 75.- / EUR 45.-)

yes no

*Extension of assistance insurance
(CHF 10.50/EUR 6.30 per month)

yes. Number of months
no

*I wish to take out an annual cancellation-assistance insurance, valid from the date of enrolment
(under 26 years CHF 77.- / EUR 46.-)
(over 26 years CHF 105.- / EUR 63.-)

yes no