Student – Application Form

Please, fill out the following form precisely. The fields marked with a red star * are obligatory.
If you don’t have an e-mail address or a phone number, please contact us using information specified in Contact section.

 

First name (NO last name): *

Sex: *

Age: *

E-mail: *

Phone number: *

Your Polish level: *

Specify other languages you know:

Nationality: *

Comments:

Preferred meeting place *
(please choose the localization using map of available localisations):

Preferred time of meetings:
(Important: your meetings' time must be the same as one of meeting place availability):

How did you learn about our campaign?: *

I DECLARE THAT I READ THE FOLLOWING INFORMATION ABOUT PROCESSING OF PERSONAL DATA BY THE WROCŁAW INTEGRATION CENTER, UNDERSTAND THE CONTENT OF THIS INFORMATION AND I HEREBY GIVE CONSENT FOR MY PERSONAL DATA CONTAINED IN THIS APPLICATION FORM TO BE PROCESSED
I DECLARE THAT I AM AN ADULT
Remember: the campaign "Wrocław na językach świata" is not a language school and you will not get any Polish language certificate. We will not give your personal data to your volunteer (phone number, e-mail, etc.), you also do not have to do it - an intermediary between you and the volunteer can be an animator who looks after the tandem.

 

If you care a lot about your privacy and you would like to remain anonymous until your meeting with a tandem volunteer, you don’t have to worry. Your name, e-mail address and phone number won’t be visible in the Students Database. If you have questions, contact us using the information from the Contact section.

Done! Now, be patient and wait for an answer and a meeting proposal. Check your mailbox regularly.