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Stories in Struga (Summer Retreat)
Stories in Struga (Summer Retreat)
Course
Which Course are you registering for?
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Which date are you registering for?
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Personal Details
Family Name
*
Given Names
*
Date of Birth
Gender
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Male
Nationality
Passport No
School
School Address
Home Address
Mobile No
Email Address
*
Travel Details (if know)
Arrival Airport and Flight No
Date of Arrival
Time of Arrival
Departure Airport and Flight No
Date Departure
Time Departure
Medical Information
Allergies requiring medication
Do you smoke?
Yes
No
Are you vegetarian?
Yes
No
Do you require a special diet?
Yes
No
If yes, explain:
Do you have/like pets?
Yes
No
How do you like to spend your leisure time?
Experience and Expectations
How many years have you been speaking English?
How many years have you been teaching English?
Teaching Experience (type of school, age of students, incl. current):
Please indicate your expectations and what you hope to gain from this course:
We invite you to add any extra information in order to help with placement with host families, e.g. If you have been before and wish to stay with the same family please state the name of the family.
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