Application Form for a Student/Foreigner

Please, fill out the following form precisely. The fields marked with a red star * are obligatory.

First name: *

Sex: *

Age: *

E-mail: *

Phone number: *

Your Polish level: *

Specify other languages you know:

Nationality: *


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

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

If you want - select alternative meeting places:
(use the CTRL key to make multiple selections)

How did you learn about our campaign?: *