Membership Application Form
Institutional Membership

Name of the Institution *

Address *

Phone *

Fax

E-Mail *

Web *

Name of person to be contacted *

Legal Status *

Established in *

Number of Centres *

Number of Language Learners p.a. *

Number of Teaching Staff (full time) *

Number of Teaching Staff (part time) *

Qualification of Teaching Staff *

Educational Aims *

Course Types *

Target Learners *

Language Programme *

Certificates offered *

Other Memberships / Partnerships *

I / We wish to apply for Institutional Membership (EUR 250,00 / year) *

Would you like to be listed as a member on the ICC Website? *YesNo

Please fill in the information to be published about your Institution

How did you hear about ICC Membership?Personal invitationWord of mouthInternetother

By submitting this form to info@icc-languages.eu you agree to the rights and duties as laid out in the articles of the association. *

I agree that my data from the contact form will be collected and processed to answer my request. The data will be deleted after your request has been processed. Note: You can revoke your consent at any time for the future by e-mail to info@icc-languages.eu. You can find detailed information on the handling of user data in our Privacy Policy. *