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.
06/02/2018
TRKI exams in February
Did you know that you can take an official TRKI test in our school? The nearest exam dates are February, 27 and 28.

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: 8 + 2 = ?