Application form

Name:

Address:

Phone number:

E-mail:

IMPORTANT! If you want us to contact you, please write your e-mail address.

Programme

1. Crash (2 week course 60 lessons)
2. Intensive (18 - 30 weeks course, 180 lessons)
3. Regular classes (180 lessons, 45 weeks)
4. Open schedule (160 lessons)
5. Weekend session (60 or 180 lessons)

6. Individual tuition
7. Group course

8. Date of the beginning of the course:

9. Preferable hours:

10. Preferable days:

11. Accommodation requested

12. Please indicate your level:

13. What is your mother tongue?

14. Other languages you speak

15. Have you already begun to learn Polish (please indicate the name of the school and number of lessons)

16. How long do you intend to learn Polish?

17. Have you special requirement concerning your programme in Polish (specific vocabulary, particular topics etc.)

18. How did you get touch with us (advertisement in the press, recommendation)?

Have you left your e-mail address, as requested?

TEL.: +0-48-22 625 26 52 FAX: +0-48-22 6250817 E-MAIL:office@schola.pl
Jaracza 3 app. 19, 00-378 Warszawa