VHS Wiesental: Request for information about Integration Courses

Step

Please answer the following questions

Please fill out this form and send us your request by clicking the "send" button. We will get back to you as soon as possible.

Name *

First Name *

Date of birth *

Nationality *

Address *

Phone number *

E-Mail *

Have you already participated in a German class? *

Yes

If yes, where?

Do you need a class in the morning or in the evening?

Morning

Evening

I hereby agree that the VHS Schopfheim may save this data to contact me by telephone, e-mail or mail to offer me an Integration Course. I have read the Privacy Policy Declaration of VHS Schopfheim. ("Datenschutzerklärung", in German only)