IMPORTANT! Proper software needs to be set up so that you can send this form ; if you don't have it, you can directly to copy and paste this application form in your e-mail at the following adress : contact@institut-lyonnais.com


APPLICATION FORM - INSTITUT LYONNAIS

 

Name:

First name:

Date of birth:
(dd/mm/yyyy)
Nationality:
Native language:  
Address:
Name and address of the family:
(only for 'au pair' students)
Postal code:
City:
Country:

Phone:
Fax :

E-mail:
Occupation (student, teacher...):
Major:

 
Arrival date: (dd/mm/yyyy)


Ask to be registered at the following university programme: Cycle of 720 hrs - October 2010 to June 2011


Ask to be registered at the following courses:

If other formula, specify :


I estimate my level in French:
Complete beginners / A1.1 will only be accepted in the October, January, April and July sessions. We reserve the right to refuse or staggered arrivals to propose an appropriate alternative.

For this evaluation I used:

If you tested, indicate your level of oral expression:
If you tested, indicate your level of written expression:
On arrival at Institut we provide mandatory copy of the document certifying the results.
Tick the selected period:
Each period is composed of 4 weeks with 80hrs or 72hrs (intensive courses), 60hrs (semi intensive courses) or 48hrs ('au pair' courses)
2010:
January - From 04/01/10 to 29/01/10
February - From 01/02/10 to 26/02/10
March - From 01/03/10 to 26/03/10
April - From 29/03/10 to 23/04/10
May - From 03/05/10 to 28/05/10
June - From 30/05/10 to 25/06/10		 July - From 05/07/10 to 30/07/10
August - From 02/08/10 to 27/08/10
September - From 30/08/10 to 24/09/10
October - From 27/09/10 to 22/10/10
November - From 25/10/10 to 19/11/10
December - From 22/11/10 to 17/12/10

2011:
January - From 03/01/11 to 28/01/11
February - From 31/01/11 to 25/02/11
March - From 28/02/11 to 25/03/11
April - From 28/03/11 to 22/04/11
May - From 02/05/11 to 27/05/11
June - From 30/05/11 to 24/06/11		 July - From 04/07/11 to 29/07/11
August - From 01/08/11 to 26/08/11
September - From 29/08/11 to 23/09/11
October - From 26/09/11 to 21/10/11
November - From 24/10/11 to 18/11/11
December - From 21/11/11 to 16/12/11

 

Other courses: (These courses are different from the daytime courses!)
1 week (20hrs of courses)
Individual courses paid by the student (employee or applicant for employment)
Individual courses paid by a company


Evening courses: (These courses are different from the daytime courses!)
Courses paid by the company: Yes No
 Language chosen:

1 session: 2 sessions: 3 sessions:
Module 24hrs (2hrs/week)
 Module 48hrs (4hrs/week

 Choose your session:
 From 28/09/09 to 18/12/09
 From 04/01/10 to 26/03/10
 From 29/03/10 to 25/06/10		 Module 48hrs (2hrs/week)
 Module 96hrs (4hrs/week)
 Choose your session:
 From 28/09/09 to 26/03/10
 From 04/01/10 to 25/06/10

Module 72hrs (2hrs/week)
 Module 144hrs (4hrs/week)

 Session from 28/09/09 to 25/06/10

 

Booking of an accommodation housing:
No room.
A room in family in half board: from 577,00 €.
A room in a university residence: from 222,00 € a month.
A room in student residence with an included meal / day: from 365,00 € a month.
An independent studio at a private individual or in residence: approximately 500,00 € a month.

Organization of a transfer since the airport:
No transfer.
Airport - Institute.
Airport - residence.

The amount is joined to the payment of my deposit. It will not be paid off or postponed.
NB. Rooms are only reserved for the persons who join 10 hours of courses a week at least. If your demand reaches us less than 15 days before the beginning of the courses, we cannot make a commitment to find you an housing.