student questionnaire

STUDENT QUESTIONNAIRE
1. Name (names) and surname:
2. Date of birth (dd/mm/yyyy):
3. E-mail address:
4. Nationality:
5. Mother tongue:
6. The level of education that you have
already completed:
7. Do you study at a college/ university/
technical / polytechnic / medical school
etc.? *
8. What is the current level (Bachelors’s
degree / Master’s degree) and course of
you studies?
9. What level (Bachelors’s degree / Master’s
degree) and course of studies are you
interested in?
10. Which language do you want to study in?
Choose from the below given options: **
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
Polish
English
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





Yes
No
Yes
No
low tuition fees
university prestige
modern campus
big city
free time activities – culture & fun

other
……………………………………………………
our website
other website – which one………………………
Facebook profile
from a friend
other, which ………………………………………
11. What is your level of English (or Polish – if
th
chosen in the 10
question)? Obtained
English (or Polish) certificates?
12. Do you want to attend a Polish language
course? If yes, how long do you need to
study Polish (semester / academic year)?
13. When do you wish to start you studies
in Poland?
14. Have you considered any specific region or
city in Poland in terms of studying?
15. Do you have a valid visa?
16. Do you have Polish Card (Karta Polaka)?
17. What key issues influence your decision in
terms of studying abroad ? Choose from
the below given options:
18. How did you learn about Study Fun
Poland (e.g.)?
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* if you don’t study, skip question No. 8
**if you wish to study in English, skip question No. 11
CONSENT TO THE PERSONAL DATA PROCESSING
OŚWIADCZENIE W SPRAWIE PRZETWARZANIA DANYCH OSOBOWYCH
I consent to the processing of my personal
data such as: name and surname, date of
birth, nationality and e-mail address by
Study Business Work Poland Sp. z o.o.
marketing purposes.
The agreement is optional, but it will help
us to reach you, whenever we receive an
advantageous offer for you or find
different studying possibilities in Poland in
the future.
Wyrażam zgodę na przetwarzanie moich danych
osobowych tj. np. imię I nazwisko, data urodzenia,
narodowość, adres e-mail, przez Study Business
Work and Poland Sp. zo.o.
w celach
marketingowych.
Zgoda jest dowolna, ale pomoże ona nam dotrzeć
do Państwa gdy pojawi się inna korzystniejsza
oferta lub warunki studiowania w Polsce w
późniejszym czasie.
I agree to receive commercial information
by electronic means from Study Business
Work Poland Sp. z o.o.
Wyrażam zgodę na otrzymywanie informacji
handlowej drogą elektroniczną od Study Business
Work Poland Sp. z o.o.
We would like to inform you that pursuant to the
art. 32 of the Law on protection of personal data
you have the right to access your personal data
and to correct them, the right to obtain
information on the purpose, scope and method of
processing your personal data, the right to lodge a
written request to cease further processing of your
personal data as well as to object on the further
processing of your personal data for marketing
purposes.
For this purpose, you can send your application or
objection to [email protected].
Pragniemy Państwa poinformować, że na
podstawie art. 32 ustawy o ochronie danych
osobowych ma Pan/Pani prawo do dostępu do
treści danych osobowych i ich poprawiania, prawo
uzyskania informacji o celu, zakresie i sposobie
przetwarzania
danych
osobowych,
prawo
wniesienia pisemnego umotywowanego żądania
zaprzestania dalszego przetwarzania danych
osobowych jak również sprzeciwu dotyczącego
dalszego przetwarzania danych osobowych w
celach marketingowych.
W tym celu może Pan/i na przykład przesłać pod
adres [email protected]
stosowny
wniosek lub zastrzeżenie.
Signature