Terra Education Application Form

1. Destination? *

2. Type of courses? (Select "Online" if you prefer to take courses over the internet, or"Offline" if you prefer to attend classes in person at school.)? *

3. Your current Russian language skills? *

4. Duration of your courses? *

5. Start month? (Any course starts on the 15th of every month.If the 15th falls on a weekend, any course will start on the next working day.) *

6. First name? *

7. Last name? *

8. Gender? *

9. Date of birth? *

10. Citizenship? *

11. Country of permanent residence?

12. Job place? *

13. Job position? *

14. Mobile phone/whatsapp? *

15. Email? *

16. Native language(s)?

17. Other languages?

18. Target proficiency? *

19. Which essential skills would you like to improve? *

20. Please describe your situation and special vocabulary requirements. Provide as much details as possible. This will contribute to the tailoring of course content *

21. (ONLY for immersion course students) Residence options?

22. (ONLY for immersion course students) Residence start date?

23. (ONLY for immersion course students) Residence end date?

24. (ONLY for Immersion course students!) Do you have any special dietary needs e.g.vegetarian, religious, allergies? If yes, please provide details.

25. (ONLY for Immersion course students) Do you suffer from any allergies e.g. animals?

26. (ONLY for Immersion course students)If you have any allergies, please provide details.

27. (ONLY for Immersion course students) Can you live in a house with pets?

28. (ONLY for Immersion course students) Do you prefer a family with or without children?

29. (ONLY for Immersion course students) Are you a smoker or non-smoker?

30. (ONLY for Immersion course students) What are your interests or special hobbies?

31. (ONLY for Immersion course stundents) Do you require any reasonable adjustments under the Homestay immersion/ Intensive course?

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