Russian Studies // Registration form

Please complete this form. Click on submit when ready to send.

First name
Last name
Gender
Mailing address
Phone (home)
Work/study address
Phone (work/study)
Fax
E-mail
Date of birth
Citizenship
Passport number
Passport issued
Passport expires
Where are you going
to apply for visa
Dates applied for

Occupation (or course if student)

How would you describe your Russian language skills

Have you been to Russia? When and where?

Please give a brief summary of your academic background

Which optional courses would you prefer

Please describe your hobbies and interests

Which type of accomodation would you prefer:

Please select your preferences as follows, to help us arrange your accomodation:

Any other medical problems or things we should know about you

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