SASL Application Form

PROGRAM AT SANT’ANNA INSTITUTE SORRENTO LINGUE (KeGi)

October, 5th – 13th 2013

STUDENT’S INFORMATION

First Name……………………………………Surname…………………………………

Male □ Female □

Date of Birth………………………………………………………. Nationality…………………………..

Address…………………………………………………………….

Passport Number………………………………………………….. Job……………………………………

Telephone no………………………Fax no………………….……E-mail…………………………………

PROGRAM:

Period: 5th – 13th October, 2013

Arrival and departure group transfers from/to Naples airport – Sorrento

-Italian Basic Course: 20 hrs. / 5 day per week – From Monday to Friday / 4 hrs. per day

1 hr. = 50 minutes

-Accommodation in Sorrento: double room

-Welcome dinner on Saturday evening in a restaurant in Sorrento

-Excursions to:

-Amalfi Coast, guided tour full day on the 6th October with private bus GT. Lunch in a restaurant in Amalfi (no entrance tickets included);

-Orientation tour of Sorrento on Monday afternoon 7th October;

-Visit to the Pompeii’s ruins, half day, 8th October: guided tour (entrance tickets and train ticket form/to Sorrento-Pompeiiincluded);

-Visit to a Mozzarella cheese factory (9th October) for demonstration and tasting (bus tickets from/to Sorrento-Piano included);

-N° 1 cooking lesson + dinner (11th October): 4 hrs. lesson on Mediterranean food with a final dinner to taste the dishes realized;

-Full day excursion in Naples on the 12th October: guided tour in the historical centre of the town. Lunch in typical Neapolitan Pizzeria (transfers with private bus; no entrance tickets included).

LEVEL OF ITALIAN:______

TYPE OF ACCOMODATION:

Double room (with separate beds) in Hotel in Sorrento, 3 stars, B&B (only breakfast) □

Double room (with separate beds) in Shared apartment in Sorrento – self-catering □

Single room in family accommodation in B&B (only breakfast) □

Where did you hear about SASL?

Web Site □ Search Engine □ Magazine □ Agent □ A Student □

Other (please specify)□ …………………………………..

MEDICAL INFORMATION FORM

Are you currently under medical treatment? If yes, explain.

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Do you suffer from any allergies? If yes, explain.

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Are you currently taking any medications? If so, specify.

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Are you allergic to any medication? If yes, explain.

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Do you suffer from any food allergies or have any dietary restrictions? If so, explain.

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Contact Abroad (Emergency Contact)

Name………………………………………………………………..

Address……………………………………………………………..

Telephone…………………………………………………………..

RATES and method of payment:

Price per person:

-1595.00 € with hotel accommodation

-1595.00 € with in shared apartment accommodation

-1100.00 € with host family accommodation

DEADLINE FOR ENROLMENT: the 31st MAY 2013

To enroll is necessary:

-To send the present application form filled to SASL at the address:

-To Arrange a bank transfer of 30% on total amount,by the 31st May 2013.

-Arrange the settlement 10 days prior your arrival to Sorrento.

Please send you bank transfer to:

Sorrento Lingue s.r.l.

UNICREDIT SPA

Filiale Operativa NORD OVEST 2 , Via Nizza 150 - 10126 Torino

Bank Account : 000004736732 - ABI:02008 - CAB:01178

BIC code (swift code): UNCRITMMON2

IBAN: IT08D0200801178000004736732

ATTN: ALL BANK CHARGES ARE INCURRED BY THE STUDENT (including the charges of our bank . Please ask to your bank to debit you all charges).

IMPORTANT NOTES

Enrollment

To enroll, it is necessary to complete the appropriate form. The form must be completed in all its parts and signed by the participant.

The enrollment form must be accompanied by a deposit equal to 30% of the full amount.

Confirmation of enrollment

Once the application and deposit have been received, the Centre will forward confirmation of registration.

Settlement of payment

Payment must be settled within 10 days from student's arrival.

Participation

SASL never cancels a class. The Minimum number of students in group classes is three. Classes with less than three participants will be reduced from 4 hours to 2.5 hours

Cancellation of Participation

1. Cancellations must be sent by registered mail.

2. - Sant’Anna Institute-Sorrento Lingue will refund 30% of the deposit if the program is cancelled up to 30 days prior to the start of the program. If the program is cancelled due to force majeur (e.g. war, terrorism, state department warning), 50% of the deposit will be refunded.

4. Should a cancellation be required less than 30 days prior to arrival, no deposit refund will be due.

5. Deposits and fees are non-transferable.

6. If a student does not attend, withdraws, shortens their course after it has begun or is late, tuition and accommodation fees will not be refunded.

7. Cancellations for last Minute Enrolments: In addition to the aforementioned cancellation policy, students that cancel at the last minute for our courses are still obliged to pay the total amount for the course and accommodation they have reserved. No refunds of course and accommodation fees are permitted for a delayed start or premature departure

Notes about Italian Language Courses

The school will be closed on the following National Holidays: February 14th, April1st(Easter holiday ), April 25th, May 1st, June 2nd, August 15th, November 1st, December 8th. There will be no lessons on these days. No refund of fees.

From December 22nd 2013 to January 7th, 2014the school will be closed for the Christmas holidays. There will be no lessons on these days.

Cancellation of Accommodation

Accommodation cancellation policies depend on the cancellation policy applied by the type of accommodation booked (apartments, shared apartments, families, Bed & Breakfasts, Hotels, Campings, etc.).

Airport Pick-up Service

If an airport pick-up has been reserved, all flight changes or delayed flights must be immediately communicated directly to the Centre by the arriving student. SASL telephone number is +39 081 807 55 99 and the emergency contact numbers are 328 05 29 335 (Olga Stinga) and 339 187 08 07 (Cristiana Panicco). If the Centre will not be informed of the delay within at least 1.5 hrs before the scheduled arrival time in Naples, the school will not be responsible and the appropriate fees will still be due.

I hereby consent to the aforementioned conditions.

We inform you, according to the Italian law D.L. 196/03, art. 13 concerning privacy, that your personal data will be used according to the Italian privacy law, also through mechanical instruments and/or automated ones, only to fulfil legal obligations, to realize the completion of all necessary formalities linked to the conclusion, implementation and management of your contract.

Place:______

Date:______

Signature:______

Sant’Anna Institute - Sorrento Lingue

Via Marina Grande, 16 – 80067 Sorrento (Na) – Italy - Tel +39.081.807.5599 – Fax +39.081532.4140

P.Iva 07631160012