PERSONAL DATA

Name:

Last name:*

Adress:

Nationality:

Telephone Number:*

PRIVATE DATA

Sex:

Age:

Occupation::

How long have you lived in Poland?

ABOUT YOUR LANGUAGE

Have you ever had Polish lessons before? (if yes, please write where, for how long and from which book)?


What is your native language?

What other languages do you speak?




ADDITIONAL QUESTIONS

Where did you find information of our school?

Course location:

in the companyat home

Adress:

LANGUAGE LEVEL

How do you establish your knowledge of Polish?

Survival A0
Beginner A1A2
Intermediate B1B2
Advanced C1

Type of course:

individualgroupvia Skypespecialized course in banking

How many people:

LESSONS FREQUENCY

Regular course

2 x 1h week2 x 1,5h week2 x 2h week3 x 1h week3 x 1,5h week3 x 2h week
Other frequency:

Intensive course:

From Monday to Friday 3 hours a day for 2 weeks
Other frequency:

COURSE TERMS

Which days and hours do you prefer?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When would you like to start the course?

ADDITIONAL QUESTIONS

Do you have any other suggestions concerning the organization of the course?

Do you have any other comments or questions?

All information will be kept confidential and used only for internal purposes.