If you would like to confirm your registration with us, please complete the form below so we have your full records on file. (NB this information is for our own use and will not be disclosed to any third parties.) Once you have completed this step, all that is left to do is turn up with your pen¬ebook ready to learn.....!

A. Details of the applicant

photo* :
Name* :
Street Address* :
City* :
Email* :
Telephone* :
Passport Number :
Date and place of birth :
Occupation and Employer (if a student, please indicate school, field and level of study):
Person to be contacted in case of emergency (name, relationship, phone, fax, or e-mail):

B. Academic

Which language do you wish to study? :

Do you have any background in French? If so, what’s your level? :
Prefered program start date* :
How long would you like to stay? *:
How did you hear about us? *: