Enrol Now • Marshall Language Services

Please complete and submit the following form to submit your application for enrolment to Marshall Language Services exclusive study abroad placement program.

For more information, see How Enrolment Works.

Fields marked with an * are required

ABOUT THE STUDENT

First Name *

Last Name *

Address *

Zip / Post Code *

City *

State or Province *

Email *

Student’s mobile phone *

Please include the international dialing code, e.g. +1

Home phone

Please include the international dialing code, e.g. +1

Date of Birth *

Place of birth *

Citizenship *

Emergency Contact

EMERGENCY CONTACTS

Person to contact in case of emergency *

Relationship of emergency contact to applicant *

Phone Number *

Please include the international dialing code, e.g. +1

Second person to contact in case of emergency

Relationship of second emergency contact to applicant

Phone Number *

Please include the international dialing code, e.g. +1

LANGUAGE and EDUCATION

Mother tongue *

Approximate level of the destination language:

Number of years studying destination language

Degrees obtained:

Degrees obtained:

High school degree

University degree

Graduate Degree

Are you a current student?

Name and city of your school:

Current employment (if applicable):

STUDY DESTINATION

Name of school or program

Select the Mode of Study

Group course
Combined group and individual
Mini-group course
Only individual lessons

Number of group lessons per week:

Number of individual lessons per week:

Type of course

Ex: Language for general use, exam, business, executive, law, medicine, or other.

Arrival date in accommodation booked by Marshall Language Services

Departure date from accommodation booked by Marshall Language Services

If booking a course only, course start date

If booking a course only, course end date

Number of weeks of study

ACCOMMODATIONS

Select Accommodation Preference

Host Family Single Room
Host Family Single Room with private bath
Host Family Twin Room
Host Family Twin Room with private bath
Student Residence single room
Student Residence single room with private bath
Student Residence twin room
Student Residence twin room with private bath
Student Residence/Apartment
I will arrange my own accomodation

Do you smoke?

No
Yes
Yes, but I can smoke outside the building.

Do you mind children in the host family?

Yes
No
It doesn't matter

Do you mind pets in the host family?

Yes
No
It doesn't matter

MEAL PREFERENCES

Meal Preferences

Use of kitchen only (no meals)
Breakfast Only every day
Breakfast and 3-5 dinners per week
Half Board (Breakfast and dinner every day)
Full board, where available

Are you a vegetarian?

Please list any particular dietary needs:

Do you have any medical or physical problems (allergies, etc.)? Please list:

AIRPORT TRANSFERS

Airport Transfer Preference

I will arrange my own transport to and from the accommodation
I would like to book a private transfer on arrival
I would like to book a private transfer on arrival and departure

HEALTH AND TRAVEL INSURANCE

Health and Travel Insurance Preferences

I would like to book the Guard.Me policy with cancellation coverage
I would like to book the Guard.Me policy without cancellation coverage (for the U.S.A. only)
I would like to book the CareMed policy with health and travel coverage
I would like to book the CareMed policy with health coverage only
I have my own insurance

PRACTICAL DETAILS

How did you find out about the program?

If from a web search, please share the keywords you used:

Additional Comments

Payment method preference:

You will not be charged upon submitting the application, but will receive a follow-up email requesting payment.

If student is a minor, first and last name of person over 18 completing this form

TERMS AND CONDITIONS

TERMS AND CONDITIONS TEXT

With the submission of the present enrolment form, the client accepts the program and its conditions, confirming his or her request for enrolment. Marshall Language Services will proceed to reconfirm all of the requests indicated above. The enrolment will be considered complete upon the reception of the deposit, the payment of which should be communicated to this agency by email or fax, or upon reception of the client's credit card details. For any cancellation after the receipt of the deposit, Marshall Language Services will apply the penalty established by the school or program, and retain an additional 100 Euros.

Marshall Language Services informs the client that, in adherence to Italian Law 675/96, the treatment of his or her personal data, especially with regard to his or her state of health (part of the so-called "sensitive information" found in Article 22 of the cited law) will be done in full respect of the client's right to privacy, and all caution will be taken to store this data in a paper or digital format for the amount of time strictly necessary.

We also note that the communication to third parties of data regarding health is only requested for the purposes of subscribing to a health insurance policy in the client's favor, in adherence to obligations stipulated by law in the countries in which the program abroad will take place, i.e., in the respective places of study and accommodation.

With regard to the treatment of this data, the client may exercise his or her rights granted by Article 13 of Italian Law 675/96, and in particular the possibility of requesting its modification or deletion.

I agree to these Terms and Conditions. *

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