Adult & High School Weekday Class


APPLICANT INFORMATION

Student Name *

Age Group* High School Student18 - 3030 - 50over 50

Student Address

Town*

State Zip Code:

Student Phone Number *

Additional Phone

Student E-mail *

Emergency Contact Name: *

Emergency Contact Phone *

Please check the following for the level of Italian:*
BeginnerIntermediateAdvanced

Reason for Interest (check all that apply):*
Imminent Travel PlansPersonal InterestWorkRelocationOther

SCHEDULE

For adults, Italian School NJ offers 3 semesters comprised of 14 lessons, 1.5 hours long each.

- The Fall semester starts the first week of October and ends in mid-or end of February

- The Late-Fall semester starts in mid-November and ends in mid-March

- The Spring semester starts right after the Fall semester and ends within the second week of June.

Which semester are you registering for?*
Fall (Oct. - Feb.)Late Fall (mid-Nov. - mid-Mar.)Spring (Feb. - mid-June)BOTH Fall & Spring (Oct. - June)

Please indicate your class schedule preference. If more than one time is convenient, please check multiple boxes.*

Mon. 6:30 - 8:00PMWed. 6:30 - 8:00PMThur. 6:30 - 8:00PMWeekday morning

If none of the scheduled classes are convenient, you may request an alternate time using the Request A Class Form. A class can start any time after we receive 4 applications for the same time and day.

It may be possible to join on-going classes based on space availability and teacher's approval.
Students placement in classes other than beginners is made at the discretion of Italian School NJ and may be based on the completion of an entrance test.

TERMS & CONDITIONS

I, STUDENT NAME: *
agree to the following terms and conditions.

TUITION

The total cost of the courses is $480: the total tuition includes lessons, books and other material necessary for the class. If you are registering for a course that has already started, the cost will be pro-rated.

Please note that we need a minimum of 4 students in order top start a class. Once we reach the minimum number of students necessary to start the class we will notify you. If we cannot accommodate you within 6 weeks from your request we will return your payment promptly.

Italian School NJ offers a 10% discount for a second family member registered or a second class and 15% for 3 or more family members registered.

A Deposit of $200 is required to hold your registration for each semester. If you are registering for 2 semesters, to receive 15% discount, a deposit t of $400 is required.
After this form is successfully completed, you will be automatically direct to a page to submit a deposit. Online deposits can be made with a credit card or PayPal. Deposits can also be made by check.)

We will notify you the remaining balance by e-mail.
The balance should be submitted by the first class the student is planning to attend.

QUESTIONNAIRE

This optional questionnaire helps us place you in the appropriate class. If you are a returning student, you may scroll to the bottom of the form to accept the terms and conditions, enter the anti-spam code and click "send".

New students should fill out as much of the questionnaire that applies. Thank you!

Are you familiar with the Italian language? YesNo

If "yes" please why: (check all that apply)
Taken course(s)Self- StudyFamiliarity by heritage or other family members

If you have taken Italian classes in the past, please describe when and for how long:

Does the student know any other languages? Please list and describe briefly:

Please Check the following for the level of Italian:

Understanding: BeginnerIntermediateAdvanced

Spoken: BeginnerIntermediateAdvanced

Written: BeginnerIntermediateAdvanced

Use of grammar: BeginnerIntermediateAdvanced

How did you hear about us?
InternetAdvertisingFrom A Friend

If from a friend, who can we thank?

WAIVER

I release Italian School NJ (ISNJ) from any and all liability and waive as against Italian School NJ all recourse, loss or damage, including any consequential damage or loss, claims, causes of action of any kind whatsoever arising from his/her participation in the class.

It is hereby understood and agreed that Italian School NJ shall not be responsible for any theft, damage or injuries incurred during classes or on location premises. Italian School NJ shall not be responsible for his/her care after they are released from the premises.

**By entering my name in the box below,
I certify that I am at least 21 years old and I agree to the terms and conditions as described herein.
*

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