Application Form for The International People's College

Course

Which course are you applying for?

Personal Information

Your name

Given name

Surname (Family name)

Nickname (if applicable)

Your passport

Passport number

Expiry date

Your nationality

Gender

Male Female

DOB (Date of Birth - YYYY-MM-DD)

Contact Information

Address

Street Address

City

Region

Postal/ZIP code

Country

Telephone Number

International extension

Telephone number

Email

Emergency Contact (if possible in Denmark)

Person Name

Given name

Surname (family name)

Address

Street Address

City

Region

Postal/ZIP code

Country

Telephone Number

International extension

Telephone number

Email

Preferences

Vegetarian?

No Yes

Would you like to have a single room or to share a double room?

Single room (additional fee) Share double room (no additional fee)

Smoker?

No Yes

English Level

What is your approximate English CEFR level?

For information on CEFR levels, see here: http://www.examenglish.com/CEFR/cefr.php