I heard about Kästner Kolleg from the following person/institution/media:
Personal Data
Male
Female
Surname:
First Name:
Street Address:
City, Postal Code:
Country:
Telephone Number (with country and area codes):
Fax (with country and area codes):
E-Mail:
Nationality:
Date of Birth (Day.Month.Year):
Place of Birth:
I would like / could correspond in the following language/s:
yes
I must apply for a Visa:
I would like to book health insurance
>Info + Book directly with our partner "Care Concept" 
GERMAN COURSE
Course Dates*:
from:
to:
Number of Weeks?
Course Package:
"Intensive Course 20" *** (20 x 45 min.** per week)
"Summer Intensive Course 30"
(30 x 45 min. Per week, only Season A!)
DSH/Test DaF Preparation (= "Intensive Course
20")
"Integration Course" (=
"Intensive Course 20", only with qualification certificate!)
"Star Course +5" ("Intensive Course 20"+5x45 min. Private lessons per week)
"Star Course +10" ("Intensive Course 20"+10x45 min. Private lessons per week)
"After Work x 1" (3 x 45 min., One evening per week)
"After Work x 2" (3 x 45 min. Two evenings per week)
"Junior course" (for ages 11-15)
"one2one" Private lessons (here give
in 45 min. teaching hours)
"Summer.Special"
(3 week package including ´intensive course 20´
and accomm. in shared student flat)
Workshop: "German in the City"
info*
- Season A: from 30 - August 29. 2008
- Registration fees = € 75 with accoomodation, o
= € 25 without accommodation.
- Additional fee for payment by Credit card or
Cheque, = € 25.
- Course material is included on loan for courses up
to two weeks in length.
- Discounts: 10 % for all students with
an ISIC Card as well as future students with a confirmation of admission
Language Knoweldge / LEVEL
Beginner without knowledge of German (A1) >Start dates see infobox above
Elementary with prewious knowledge of German (A2)
Low Intermediate (B1)
Intermediate (B2)
Upper Intermediate - Advanced (C1 + )
I have learned from the following text books:
I would like to pass the following language exam (ZD, TestDaF,
DSH):
Comments:
ACCOMMODATION
I would like to book the following accommodation:
from:
to:
(in case different from booked course dates)
Single room
Double room*
Shared Student Apartment
Private Apartment
Host family (incl. breakfast)
Half-board**
Full-board***
Hotel, B&B (including breakfast)
Do you have Allergies, special needs or requests?
TIP:
Accommodation is booked for 1 night before the course start (day of arrival) and 1 night after the course end (day of departure). Longer or shorter bookings are always possible; please just ask.
* A double room can be booked on requests for two people.
** Half-board = 50 EUR per week extra
*** Full-board = 100 EUR per week, on request
TRANSFERS
on arrival
Date (day.month.year):
Time (for example: 21:30):
Place (Train Station and Train Number, Airport and Flight Number, Tram Stop, etc.):
on departure
Date (day.month.year):
Time (for example: 21:30):
Place (Train Station and Train Number, Airport and Flight Number, Tram Stop, etc.):
PAYMENT
Method of Payment:
I would like to pay for my course and accommodation fees
upon invoice
by credit card.
Payment Upon Invoice:
Please send my invoice:
by post
by fax
by E-Mail (PDF)
Invoice Address (in case different from participant address):
Surname, First Name:
Street Address:
City, Postal Code:
Country:
Fax Nr. (with country and area codes):
E-Mail:
Payment by Credit Card: 
, 
TIP:
All data is protected by the Data Protection Act. It will be handled confidentially by KKS and not saved!
Surname, First Name of Card Owner:
Street Address:
City, Postal Code:
Telephone:
E-Mail:
Credit Card Number:
CVC-Code:
(the CVC Code is made up of the last three digits in the signature field on the back of the credit card)
Expiry Date:
BOOKING
I have read and accepted the terms and conditions on this form.
