Application Form for a Student/Foreigner - Wrocław na językach świata

This program is addressed to adult (18+) foreigners living in Wrocław or the surrounding area.
Participation in this program is FREE.
The Polish language is taught by volunteers.
We are NOT a language school.
One student can only have one volunteer.

We kindly request that applications only come from motivated and committed individuals dedicated to regular learning. Please respect our volunteers’ time!

Please, fill out the following form precisely, paying particular attention to the accuracy of your contact details (e-mail address and telephone number).

Your name (required):

Your surname (required):

Sex (required):

Age (required):

E-mail (required):

Phone number (required):

Your Polish level (required):

Your native language (required):

Specify other languages you know (may be according to your own self-assessment):

language 1: , level:

language 2: , level:

language 3: , level:

language 4: , level:

Nationality (required):

Select the area (on the list under the map) in which you want to meet with a volunteer to learn Polish. Click the mouse cursor or press your finger on the colored area on the map to check the zone marking. If you are blind or partially sighted, please skip this map and proceed to the next part of the form to select the appropriate option. Here is a detailed list of available locations in the zones (link opens in a new window) (required):

Choose if you want / can meet online with a volunteer:

ONLINE

If you want / can meet with a volunteer face-to-face, select preferred zones (the more zones you choose, the greater the chance of finding a volunteer for you, but please avoid choosing the whole city):

I AM BLIND OR PARTIALLY SIGHTED — I WOULD LIKE TO ARRANGE MY PREFERRED MEETING LOCATIONS WITH THE ORGANISERS BY EMAIL OR TELEPHONEFACE-TO-FACE: AREA AFACE-TO-FACE: AREA BFACE-TO-FACE: AREA CFACE-TO-FACE: AREA DFACE-TO-FACE: AREA EFACE-TO-FACE: AREA FFACE-TO-FACE: AREA GFACE-TO-FACE: AREA HFACE-TO-FACE: AREA IFACE-TO-FACE: AREA JFACE-TO-FACE: AREA KFACE-TO-FACE: AREA LFACE-TO-FACE: AREA NFACE-TO-FACE: AREA OFACE-TO-FACE: AREA PFACE-TO-FACE: AREA QFACE-TO-FACE: AREA RFACE-TO-FACE: AREA SFACE-TO-FACE: AREA TFACE-TO-FACE: AREA UFACE-TO-FACE: AREA VFACE-TO-FACE: AREA WFACE-TO-FACE: AREA X

Preferred meeting days and time with a volunteer (please avoid entering "any day", "any time", etc.) (required):

How did you learn about our program? (required):

Comments:

Declaration of the place of residence (required):

READ: INFORMATION ON PROCESSING PERSONAL DATA BY WROCŁAW INTEGRATION CENTRE (link opens in a new window)

I declare that I read the following information about processing of personal data by the Wrocław Integration Center, understand the content of this information and I hereby give consent for my personal data contained in this application form to be processed.

I acknowledge that Wrocław Integration Center may contact me by phone or email to obtain information on the functioning of a given language tandem / group and other issues related to my participation in the program "Wrocław na językach świata".

I declare that I will not use the contact details of the volunteer for purposes other than organizing language tandem / group meetings implemented as part of the program "Wrocław na językach świata".

I declare that I am an adult.