Passport

picture Florence Design Academy

Enrollment Form
Important: compile the form in block letters

Student’s name/last name _____________________________________________________________________

Date of birth_____/_____/19______ Male Female

Nationality____________________________________

Place of birth__________________________________

Nation of residence_____________________________

Address________________________________________________ City________________________

ZIP code___________________ State/Country ______________________________

Telephone____________________________ FAX________________________ cellular _______________________

E-Mail_________________________________________ alternative E-Mail ________________________________

Choose your course:

Interior Design Graphic Design Industrial Design

Choose your level:

One year course Two year course Three year course Master

Start of the courses: January or September year 20 _______

RULES:
- In order to enroll the student must send: the completed enrollment form; a copy of educational qualifications; copy of passport.
- The student accepts the didactic programs, the internal rules of the Florence Design Academy, the duration of the courses, the teachers, the
softwares, the organization and materials presented by the Florence Design Academy which may be changed according to didactic necessity as
considered by the Florence Design Academy.
- The student agrees to pay the enrollment fee of 850 Euro in order to guarantee the study place in the course. The tuition fee for one year is
6000 Euro and must be paid 20 days before the lessons start. The enrolment fee and tuition fee are not refundable. The bank comissions of the
bank wire must be paid by the student.
- The student allows to the Florence Design Academy to put him/her in contact with housing agencies. The Florence Design Academy is not
responsible for any agreement between the agencies and the student or for the housing.
- In observance of the law of privacy (D. Lgs. del 30.06.2003, n. 196) we inform you that the personal information of the student will not
be diffused. The information may be elaborated by hand or with computers by the Florence Design Academy for : archive use; for sending
information and didactic materials to the students; to inform companies about the student and helping for job opportunities or to help students to
find a housing; the information can be sent to diplomatic centers.
- Any eventual controversy will be under the jurisdiction of the forum of Florence, Italy.

The undersigned (name first/last)_________________________________________

declares to have read and accepted the rules of the Florence Design Academy.

Date:___________ Student’s signature:___________________________________