INFORMATION REQUEST FOR SEMINARS FOR INSTITUTES
E-mail *
* (obligatory)
Institute (Name and Main Office) *
Main Study Area *
Contact Reference *
Surname *
Name*
Phone
Fax
language
Could you be interested in HOUSING SERVICES?
italian
english
yes
no
SEMINAR FOR
STUDENTS
TEACHERS / PROFESSIONAL
NUMBER OF PARTECIPANTS
5-10
10-15
15-20
> di 20
INTERESTING AREA
DESIGN
TENDENZE
FASHION CULTURE
COMMUNICATION
MARKETING
INTERNATIONAL MARKETING
LEVEL OF COMPETENCY REQUESTED
BASIC
INTERMEDIATE
HIGH
STUDY PERIOD
INTERESTED IN PARTICULAR FAIRS
yes
no
WHICH ONE
TIME AVAILABILITY
3 DAYS
1 WEAK
2 WEAKS
3 WEAKS -1 MONTH
MORE THAN 1 MONTH
ARE YOU INTERESTING IN AN ALL INCLUSIVE SERVICE (HOUSING, VISITS, SHOPPING) ?
yes
no
YOU FOUND OUT ABOUT POLIMODA THROUGH:
Posters or Brochures
Friends, relatives, acquaintances
Newspaper
Shows, fairs
Youth Information Centers
Web site
Teachers
Consulates and Cultural Associations
Newsletter Polimoda
Other
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
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. I understand that is my duty and not that of Polimoda the obtaining of student visas and the applying for permits of stay required by the Italian legislation, before the beginning of my attendance in the course.
Polimoda will provide you with all the instructions in order to ensure your successful application for the above mentioned documents. Since you can apply for a student visa only in your home country, make sure you have followed the right procedure and obtained the necessary papers before leaving your country.
Consent
to the use of the personal data furnished only for statistical and internal aims of the school itself, which would guarantee the data's treatment according to the norms and obligations regarding security and confidentiality.
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