26/03/2018
New book for our students!
New in-house published book "КЛАСС 2.1" and "КЛАСС 2.2" by Yagodova Alevtina
12/02/2018
St Valentine`s Day special offer
One day only!
08/02/2018
St Valentine`s Day is coming!!!
Special offers for Russian language lovers.

1. Personal details

Family Name*

Country of Birth*

First Name*

City of Birth*

Sex*

Nationality*

Date of Birth*

   

Contact tel.

E-mail*

Who to contact in case of emergency during your stay in Russia

Possible arrival (dd/mm/yy)*

Possible departure (dd/mm/yy)*

Are you booking together with another student? (if yes, please write the name)

Do you need the visa support (an invitation letter from the school)?

Yes*

No

*if yes, fill in item 2, please

2. Visa Related Information

Occupation/job*

Address and telephone number of your workplace or Name of the educational establishment*

Where will you apply for the Russian visa(country, city)?*

What cities in Russia are you planning to visit?*

Home address*

Please send the copy of your passport to the e-mail address lingv@derzhavin.com (important for getting Russian visa)

3. Accommodation

Homestay

Guest house/hostel/hotel/Apart Hotel

Organized independently

Shared flat

4. Airport transfer

Do you require airport transfer on arrival?

Yes

No

Arrival details:

Date of arrival

Flight number

Arrival time

Do you require airport transfer on departure?

Yes

No

Departure details:

Date of departure

Flight number

Departure time

5. * Cource Details

Type

Lessons per week

Start date (dd/mm/yy)

Number of week

Standart Course

20

Grammar Immersion Module

4

Speaking Immersion Module

4

Russian for Business module

4

Russian for Tourism module

4

Russian Literature module

4

8

Exam Preparatory Course

30

Individual Tuition*

10

15

20

30

Evening Course

Mon/Wen

Tue/Thu

In-company

Individual lessons

Mini group lessons

10

15

20

Work and study

20

Other course type

*Special interests of study (only for Individual Tuition)

Native language

Other languages

How do you assess your level of Russian

Beginner (A0)

Elementary (A1.2)

Pre- Intermediate (A2)

Intermediate (B1)

Pre- Advanced (B2)

Advanced (C1)

Previous Russian languages courses - Please indicate year of study, place of study, course length and course intensity (hours per week):

* How did you find Derzhavin Institute?

Internet

Google search

Facebook

Vkontakte

Instagram

Masterstudies

LannguageCourse.net

Russian friends

Friends who have been to our school

Teachers or professors

I have already been in Derzhavin Institute

other

other:

Promo code

«*» - mandatory fields

Please complete this field providing the correct answer: 2 + 6 = ?