Enrolment for a German Course

I hereby enrol for the following German course:


Course Type*  

Course Dates*  

If you have selected above "Other dates", please specify them here:
from* :          
to* :          

My Level:


Where have you learnt German?

 
How long have you studied German and with which book (until lesson)?

This approximately matches my level: *
Grundstufe I (A1) (beginner) Mittelstufe I (B2)
Grundstufe II (A2) Mittelstufe II (C1)
Grundstufe III (B1) Oberstufe (C2)

I am interested in a Tandem language exchange:   Yes   No
 
I need a special certificate to apply for a Visa:   Yes   No
 
Do you wish to book our pick-up-service at your arrival? *   Yes   No
 
If yes, where and when exactly do you arrive?

 
Other comments:

 
I've heard of Tandem through:

 
I accept and agree with the enrolment terms. *   Yes, I do!
 
 
 
Almost done!
Before you send this form, please write the numbers and letters that you can see here into the slot (please mind capitalisation). *
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Personal Information:


male   female
First name*


Family name*


Street / No.*


Postal code*


City*


Country


Telephone*


Fax


E-mail*


E-mail (repeat)*


Date of Birth*


Profession



I need accomodation* in a:
Wohngemeinschaft
The so-called "Wohngemeinschaft", you share a flat with one or more german people. Each person has a single room and shares a bathroom and kitchen, so everyone can cook for himself.
Family
  including breakfast
  including half-board
You stay with a German family, either with or without children. You have a single room and share the living-room, kitchen and bathroom. Regarding meals, you should come to an understanding with the family.
Apartment
I don´t need accomodation
Do you smoke?   Yes No