Alliance française de Canberra - Request form

Online Private Tuition

Request Form

French Online Private

course


Personal Details :

E-Mail AddressEnter your email address.
Full NameMembers First and Last Names.
 
AddressStreet Address
Suburb / CityEnter a suburb name
PostcodeEnter a 4 digit postcode
StateEnter a state
CountrySelect a country
Contact PhoneEnter your phone number
Contact Mobile PhoneEnter your Mobile phone number
Gender
   
Date of Birth- mandatory for childrenFormat: DD / MM / YYYY
                                                                 /   / 

Student info

Have you ever studied French in the past?
       Where?   
What is your level in French?
(conversation, written skills, travel DELF/DALF)
            


Lesson Information

What are your objectives?
     
When are you available?
(days of the week and times)
Where would you like your class to be ?
*Travel fees may apply
How many classes  would you like to do per week?
How long would you like each class to be?
(0.5hrs / 1hr/1.5hrs / 2hrs)
Requested start date:
Which  private tuition package would you like to purchase?
1 - 9hrs at $90/hr
 10 - 19hrs at $82/hr
 20+ hrs at $76/hr
.