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Name, Surname
*
E-mail
*
Phone
Language to learn
*
Chinese
English
French
German
Italian
Russian
Spanish
Ukrainian
Other
City - 1st preference
*
City - 2nd preference
Accommodation
Support not needed
Hosting family
Student Dormitory
Private Apartments
Amount of Weeks
- None -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Type of lessons
*
1-to-1
in group
combined
Online
Start date
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
2023
2024
2025
Comments
Your Name, Surname
*
Email
*
Tel
Your enquiry
*
