EN

REGISTRATION PRIVATE LESSON /

SMALL GROUP COURSE
ONLINE COURSE /
ONLINE TRAINING ADULTS
GOETHE-INSTITUT IN GERMANY

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Please submit the registration form by email to other programmes the correct display and transmission of
Email address of desired course location the information is not guaranteed. Free download here.

Personal data course participant Deviating billing address

male female other Name of Company/Institution

First name (as shown in passport)* Department

Last name (as shown in passport)* First name (as shown in passport)

Date of birth*:
Day Month Year Last name (as shown in passport)

Place of birth* Email

Country of birth* c/o

Nationality Street/No.

Email* Postal Code/City

Telephone (including country code) Place of residence/Region

c/o

Street/No.

Postal Code/City

Place of residence/Region*

Information pursuant to Article 7(3) of the German Act against Unfair Competition: We may inform you about similar products and ser-
vices to those you have purchased. For instance, we may share information about our language courses with you. You can object to this
at any time, e.g. by emailing [email protected]. Raising an objection will not incur any costs except for the usual rates to
facilitate communication, such as Internet dial-up costs. For information about data protection and the measurement of success, please
visit data protection notes.

In which language do you wish to receive the booking confirmation / invoice?

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Deutsch English Français Italiano Español

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I wish to book the following course1
(See information at www.goethe.de/germany)

1 unit of instruction (UI) = 45 minutes.

Private lessons Small group lessons Group size small groups

10 UI 10 UI 2 – 5 participants/class

20 UI 20 UI participants/class

30 UI 30 UI

UI UI

Online-Course (www.goethe.de/doi) Online-Training (www.goethe.de/dto) or

German Individual Online German Online Training
1
The following courses are available in our online shop only: Speak German Online and German Online B1 Grammar Training.

Payment options when booking a German Individual Online

Payment in installments Collective invoice for group registrations

(available for payment within the EU) (available for companies only)

Course date and location

Please note that a manual registration process may take several working days.

Scope Private lessons/Small groups Requested course date*

from 20 bis 20
2
Requested course location* Day Month Year Day Month Year
2
Information on locations offering private lessons/small group lessons:
www.goethe.de/germany.

Additional information Private Lessons / Small Groups

Requested UI/date (min. 2 UI/date) Preferred time of day Preferred course days

2 UI morning Mo Thu

4 UI afternoon Tue Fri

6 UI flexible Wed Sat

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 The Goethe-Institut hereby notifies course participants Submitted by
that they are responsible for any damage of whatever
nature caused by them.

I have read and accepted the Participant number

Data Protection Declaration.*
Name of Goethe-Institut
By submitting the form by email, fax or letter I acknow-
ledge the Terms and Conditions.* Terms and Conditions Goethe-Institut number
for customers with habitual abode in an EU country.
Terms and Conditions for customers with habitual Name of agency/partner
abode outside an EU country. Information on Terms
and Conditions EU and RoW, see here. Agency/Partner number

Self-assesment of German skills – German Individual Online

German Individual Online German Online Training My language level*

Support language level A1 - B1* Support language* Language level*

Self-assesment of German skills – Private Lessons/Small Groups

To ensure that we can enroll you in a suitable course, we kindly ask you to answer all of the following questions. We reserve the right
to send you our digital placement test before the start of the course by email.

Do you already have previous knowledge of German? Yes No

If you selected „Yes“, please continue.

How long have you been learning German?

Month(s) Year(s)  Hours per week on average      Which textbook did you study last with?

At what level was your last German course? A1 A2 B1 B2 C1 C2

Have you taken any of the following exams?

Goethe-Zertifikat A1: Goethe-Zertifikat B1 Goethe-Zertifikat C1 TestDaF

Start Deutsch 1

Goethe-Zertifikat A2 Goethe-Zertifikat B2 Goethe-Zertifikat C2:

Großes Deutsches Sprachdiplom Other exam
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Additional information – Private Lessons and Small Groups

My/Our learning objective:

I/We would like to train the following skills:

Reading Listening Speaking Writing

To me/To us it is particularly important that:

Recommendation by a Goethe-Institut

If you are studying or have studied at a Goethe-Institut in Germany or abroad, our colleagues will be happy to give you
a placement recommendation.

hat von   20 bis    20

Frau / Herr Tag Monat Jahr Tag Monat Jahr

mit
im GI die Kursstufe Unterrichtsstunden1 besucht.

We recommend a course on the following level: A1 A2 B1 B2 C1 C2 1

Eine Unterrichtsstunde = 45 Minuten

FINALIZE ORDER RESET FORM

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