Residential Russian Summer
School
19th - 30th July 2010
Application Form
(Please complete in block capitals, print and send by post - not an online form)
Surname...............................................................First Name......................................
Address...........................................................................................................................
...........................................................................................................................................
Tel/Fax....................................................................E-mail.............................................
Period of Study (1st week, 2nd week or both weeks)........................................
What level do you wish
to apply for? (1 (beginner), 2, 3 or 4 (advanced))
(level can be changed after initial assessment) ..................................................
How did you find out about the course? (Friend, Leaflet, Web, etc.)
............................................................................................................................................
What is your reason for learning Russian? (Academic, Business, Hobby)
............................................................................................................................................
Do you have any special
requirements? (Disability, Dietary etc. - Tell us here if you don't need any accommodation)
..............................................................................................................................................
I enclose a non-refundable deposit of £125 (see Prices).
Signature........................................................................Date.........................................
Print and send this form together with your deposit to:
Larissa
Wymer, Residential Summer Russian Course, 47 Eagle Walk, Norwich NR2 2JA.
Cheques payable to: Russian Summer School.