Lest Best
Aanmelden voor een intakegesprek
Registration for information meeting
First name
*
Last name
*
Address
*
Postal code
*
City
*
Email
*
Phone number
*
Date of birth
*
Country of birth
*
Country of origin
Gender
*
Select
Man
Vrouw
Overig
Man = Male
Vrouw = Female
Overig = Other
Date of arrival in The Netherlands
*
Do you need to pass the civic integration exam?
*
Select
Yes
No
Are you obliged by DUO to take the civic integration exam?
Are u using a DUO loan?
*
Select
Yes
No
Are you planning to use a DUO loan to pay for the course?
Which course are you interested in
*
Select
A1
A2
A2-B1
B1.1
B1.2
B2.1
B2.2
B2+
B2+ Medisch Nederlands
C1.1
C1.2
ONA
Individueel
Anders
Weet ik niet
Other
I dont know
A1 = beginner / beginners
A2-B1 = half gevorderd / intermediates
B2-C1 = gevorderd / advanced
Which type of course are you interested in
*
Select
Intensief
Semi-intensief
Extensief
Avond
Anders
Other
Intensief = 6 weken, 3 keer per week les / Intensive = lessons 3 times a week, 6 weeks long
Semi-intensief = 9 weken, 2 keer per week les / Semi-intensive = lessons 2 times a week, 9 weeks long
Extensief = 9 weken, 3 keer per week les / Extensive = lessons 3 times a week, 9 weeks long
Avond = 1 of 2 keer per week s`avonds les / Evening = lessons 1 or 2 times a week (in the evening)
Where do you want to take the course
*
Select
Utrecht
Rotterdam
Online
How did you hear about Lest Best
*
Select
Via online zoeken
Via een vriend of familielid
Via mijn werkgever of collega`s
Via de gemeente / vluchtelingwerk / taalcoach
Via een andere website
Via Facebook
Via een online reclame
Anders
Additional information
*
Is er iets dat je nog wilt toevoegen? / Is there anything else you would like to mention?
Ik heb kennis genomen van de / I took notice of the Lest Best
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