Please print this file, fill out the form, then send to:
LIN-CRO, Varazdinska52A
23000 Zadar, Hrvatska/Croatia

APPLICATION
(for program B and C)

First & the last name_________________________________________

Date of birth _______________________________________________

Nationality _________________________________________________

Sex ______________________________________________________

Full Address________________________________________________

Tel. / Fax _______________________E-mail______________________

Questionnaire

What course of Croatian Language do you want to apply for?

__________________________________________________________________________________
__________________________________________________________________________________
(tate the course you want and its duration; for programs C state the beginning and duration you want.)

Why do you study Croatian language?

__________________________________________________________________________________
__________________________________________________________________________________

Your knowledge of Croatian:
I.
a) beginner
b) intermediate
c) advanced

II.
a) Comprehensionnone_____little_____good_____excellent
b) Speakingnone_____little_____good_____excellent
c) Readingnone_____little_____good_____excellent
d) Writingnone_____little_____good_____excellent

Profession .................................................................

Do you need lodging?
a) Yes
b) No

Signature........................................................... Date...........................................................