Centro di Cultura Italiana Casentino
"Piero della Francesca"
Italian Language and Culture School

Application Form

Name *:

Address *:

City *:

State *:

Phone *:

E-mail *:

Profession:

Nationality:

Native Language:

Age:

How did you first
hear about C.C.I.C.?

Questions:

* fields to be completed



How do you evaluate your knowledge of the Italian language?:



Which other languages do you speak?



I herewith enrol for the following Italian course:

italian language course


from:

/

to:

/

complementary course



Accomodation: 

single room

double room



Will you be arriving by car?

yes



Are you vegetarian? 

yes



Are you a non-smoker?

yes



Notes:



Upon submitting your application form, a deposit is requested.
Please note that we can only accept payments made in EURO and NOT in Euro equivalent.
Please ask your  financial institution for assistance

Deposit payment should be made by bank transfer "without expenses for the beneficiary" directly to

beneficiary: C.C.I.C. Piero della Francesca

bank: Monte dei Paschi di Siena, Filiale di Ponte a Poppi

bank account: no. 2685.31 (ABI 1030 and CAB 71582.1)

BIC / Swift Code: PASCITMMPNT

IBAN: IT 46 I 01030 71582 000000268531

BBAN: I 01030 71582 000000268531

Any additional bank charge should be paid by the student
Please write your name and  the course chosen on payment


C.C.I.C. "Piero della Francesca"
Centro di Cultura Italiana Casentino

Piazza Amerighi n. 1
I - 52014 Poppi (AR)
Italia

Tel. 0039 0575 529774
Fax 0039 0575 529774






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Italian language school


CENTRO DI CULTURA
ITALIANA CASENTINO
Scuola di Italiano
per stranieri


Download
Application Form


Italian language Courses at CCIC - Application Form.pdf .pdf  


Italian language Courses at CCIC - Application Form.doc.doc





Scuola di Italiano C.C.I.C. ´Piero della Francesca´ Centro di Cultura Italiana Casentino
Piazza Amerighi n.1 · I - 52014 Poppi (AR) · Italia
Tel./Fax 0039 0575 529774 · Mobile 0039 393 6415418 · E-mail
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