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Application Form Summer School Olympia
Application Form Summer School Olympia
Application Form
2nd Summer School of Greek Language and Culture
Olympia 2016
CONTACT AND PERSONAL INFORMATION. Please type or
write legibly.
Surname
_____________________________________________________________
Forename(s)________________________ Fathers
name______________________
Male / Female__________________
Nationality_____________________________
Date of
Birth______/_____/______________Age____________________________
Passport
Number______________________________________________________
Country________________________City_______________________________
____
Address_________________________________ Post
Code_____________________
Telephone
Number_____________________________________________________
Fax Number
__________________________________________________________
Email Address
_________________________________________________________
Cultural Park, 16o km expansion of Attiki Odos Keratea, A1 19 001
Greece,
: (0030) 210 9211812, 22990 47999, 22990 67999,
www.politistikoparko.com , info@politistikoparko.com
Cultural Park
Employee
Freelancer
Nationality
___________________________________________________________
Passport
Number______________________________________________________
Identity
Number_______________________________________________________
Cultural Park
SCHOOL PERIODS. Please select the period you would like to
participate
First Period (04 15/07/16)
29/07/16)
Third Period (20 31/08/16)
ADDITIONAL INFORMATION
Do you know English?
Yes
No
Listening
Spoken Interaction
Reading
Spoken Production
WRITING
Cultural Park
Name __________________________________
APPLICATION DEADLINE
For the first and second period: Until 15-03-2016
For the third period: Until 15-04-2016
*Please sent the application to p-y@otenet.gr
Cultural Park
The residence includes:
Accommodation in a double room
Food (breakfast, lunch, dinner)
Free use of the swimming pool, the beach and the sunbeds.
Not included: