APPLICATION FORM
 
PREPARATION COURSE    
Foundation in Fashion Design in English
    
       
MASTERS    
Fashion Design - Concept Brand Image
 Fashion Design Master (In English)
Fashion Merchandising and Management
 Masters in Luxury Management
       
SUMMER COURSES    
Fashion Design    
Display Design    
Home Textile    
Basic Weaving and Textile Course    
Fundamentals of Flash    
Advanced Course in Flash    
Womanswear Patternmaking    
Fashion Accessories: Bag Module    
Fashion Trends    
Fashion Accessories: Belt and Hat Module    
     
Study Period    
   

PERSONAL INFORMATION
Last Name
Name
Born Place of birth
Sex
Female Male
Place of Birth
Street address
City
State
Postal Code
Countrys
E-Mail
Mobil Phone Number
Telephone Number
Fax
Citizenship
 
EDUCATION
Please specify if any of the following has been enclosed with this application form:
Three photographs
photocopy of passport or identity card
photocopy of high school or university diploma
 
Attendance to lectures is compulsory. Polimoda courses may be subject to change at the discretion of the course director. Polimoda courses require a minimum number of 10 participants.

CONSENT TO PERSONAL DATA TREATMENT

I, undersigned, having received the information by the owner or delegated authority on privacy regulations according to the art. 13 of the Italian Law 196/2003, am aware that the treatment of my data will regard sensitive data, likely to reveal racial and ethnic origins, religious, philosophical and other kinds of beliefs, political opinions, membership of parties, trade unions, religious, philosophical, political or trade union associations or organizations, health conditions and sexual habits and I express my consent to the treatment of my personal data for the ends, and within the limits of, the nature of the above-mentioned information. According to the paragraphs 1341 and 1342 of the civil code, I, undersigned, agree with the following articles of the Student Guidelines: Art.11, 12, 13, 14 and 15 of Section III (Lates and Absences), Art. 16, 17, 18 (Grading System) and Art.29 (Reimbursement of Fees to Withdrawing Students)

FOR FOREIGN STUDENTS ONLY
I, undersigned, authorize Ent-Art Polimoda to provide my personal data (name, last name, citizenship, phone number, e-mail address, etc) to the company P 3000 Ltd, with offices at Via Ghibellina 178r, Florence, and agree to be contacted by P 3000 Ltd, also by telematic means, for a possible assistance in veryfying the regularity of my stay in the Italian territory as a foreign student and in getting through the paperwork requested by the Italian authorities.
I, undersigned, authorize Ent-Art Polimoda to obtain information regarding the status of the procedures started for me by P 3000 Ltd.

Consent
I declare to be fully aware that attendance at Polimoda courses are mandatory and that exams must be taken at the pre-established times (there are no make-ups). Polimoda reserves the right to change the course of studies for the courses offered at Polimoda without forewarning.



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