Application request

You are starting the process to submit your a pplication using our Application form,

After completing this application request, you will be contacted soon by the Orientation Team for the next steps to attend the course.

Personal details
Insert your Passport First Name
Insert your Passport Last Name
Insert your Email address
Insert your Gender
Insert your Date of birth
Insert your City or Town of birth
Insert your State of Province of birth
Select your Country of birth
Select your main citizenship
Insert your SSN as 9-digit number
Residence
Insert street and number of your home address
Insert the Postal code, Zip code or Pin code
Insert your City or town
Insert your State, province of region
Insert your Country
Address in Italy
Insert street and number of your address in Italy
Insert the Postal code, Zip code or Pin code
Insert your City or Town
Contacts
Insert your Mobile phone number as +xx xxx xxxxxxxxx
Insert your Home phone number as +xx xxx xxxxxxx
Insert your Skype username
Application
Select the course you are applying for
Select the academic year
Select the starting month
Academic Qualifications
Insert your Completed Qualification
Insert the year of completion as 4-digit number
Insert your Ongoing Qualification
Insert the year of completion as 4-digit number
Insert the name of the Institute, School or University
Insert the City or Town of the Institute, School or Unversity
NON-EU students
Insert the full address of your closest Italian consulate
Application via Agency
Insert the Name of the Agency
Insert the City or Town of the Agency
Other
Select one of the following options
Information (edit)
Personal details
Residence
Address in Italy
Contacts
Application (edit)
Application
Academic Qualifications
NON-EU students
Application via Agency
Other
Privacy Agreement
The undersigned, having read the policy statement, expresses, relative to Polimoda and pursuant to articles 23 and 26 of the Consolidated Privacy Act and the abovementioned policy statement concerning the processing of their personal data as collected directly from same or from third parties (in the cases and within the limits of current law). The undersigned, having read the policy statement, expresses, relative to Polimoda and pursuant to articles 23 and 26 of the Consolidated Privacy Act and the abovementioned policy statement concerning the processing of their personal data as collected directly from same or from third parties (in the cases and within the limits of current law). Therefore, the undersigned:
Gives Does not give
consent for the purposes stated in the policy, to communication to third parties exclusively for the purposes and the categories of subjects stated herein.
Gives Does not give
consent for the purpose of authorizing Polimoda to send, using traditional means (hard copy post and/or calling through operator) and/or means envisaged in art. 130 of the Consolidated Privacy Act (e.g., email, text message, fax and/or telephone channels without operator) business information and/or material concerning any initiatives promoted by the company. This treatment will be carried out as well as after the aims stated in the policy statement and until such time as the undersigned declares (at any time and at no cost) their wish to delete their information from the archives of Polimoda for this purposes, without prejudice to any need to store said data for legal purposes. The undersigned hereby acknowledges that they have been informed of their right to oppose processing, including separately, for one of the envisaged contact methods. Furthermore, the provision of content is also considered as being extended to telephone contact, not noting for Polimoda any registration in the objections register, on account of the express authorization to same.

You submitted your application request. You will be contacted soon for the next steps to attend the course.

For questions and information contact the Polimoda Orientation Team:
orientation@polimoda.com