application form

Accademia del Giglio

via Ghibellina, 116
50122 Firenze (ITALIA)

Tel +39-055-2302467

Fax +39-055-2302467

Visit our pages on Italian language group courses and Fine Arts, Painting, Drawing and Fresco courses...

HOME TUITION APPLICATION FORM

You decide the length of your course but enrolments must be made in weekly units. You can arrive on any Sunday afternoon throughout the year and leave on any Saturday morning. Should these arrival/departure days prove difficult, we will do our best to accommodate your requirements.

If you wish to study with us, please fill in the application form below. As soon as we have received your form, we will send you details on a suitable host teacher for your approval.

Family Name
First name
Male Female
Date of birth	mm dd yyyy
Place of birth
Nationality
Mother tongue
Other languages
Occupation
Address
Town
Zip/Postal code
Country
Telephone
Work telephone
Fax
E-mail
Commencement date of your course
Date of arrival
Date of departure

Do you have any special request regarding your meals?	If yes, please specify:
Do you have any special request regarding your accommodation?	If yes, please specify:

Where would you like to stay?
in Florence
in a village in the countryside near Florence

Do you need a pick-up service?
yes from Florence airport
yes from Florence railway station
yes from Pisa airport
no

Course Details
One-to-one
Two-to-one (applications only accepted if students have a similar level of Italian and register together)

Name of student with whom you will study:

General Italian
Business Italian
Italian for Exams
Other

How many hours per week do you wish to take?

Other requests:

Academic Information
Level of Spoken Italian (0 beginner, 7 fluent):

Level of Written Italian (0 beginner, 7 fluent):

How long have you been studying Italian?

Why do you need to study Italian?

How did you find about Accademia del Giglio?

Selected payment:
International postal order
International cheque
Bank transfer

I certify that the information I have given above is true and correct and that I have read the Terms and Conditions and agree to be bound by them: Yes No