SMR pre-registration form

Pre-registration for French courses with SMR
French courses with the association are aimed at people of modest means, living in or near Rueil-Malmaison or the surrounding area.

Location : Centre culturel Jean Menuet, 41 rue des Mazurières in Rueil-Malmaison.
Full name*

First nameSurname
Address*

TownPostal code

Code Postal
Email*
example@example.com
Phone number

country codeTelephone number
Date of birth*

JourMoisAnnée
Place of birth*
Town, country
Nationality*
What is your level of education (in your country?
Primary, secondary, university, other
What is your family status ?
Single, married, other.
Date of arrival in France
DD/MM/YYYY
What is your administrative status in France ?
Asylum seeker, refugee, resident permit, naturalized. ..
Have you signed a CIR (contrat d'intégration républicaine) ?

YESNO
What is your profession ?
And that of your spouse ?
Do you receive any benefits (e.g. RSA, solidarity allowance)

YESNO
If so, which benefits?
Source
Have you ever learned French ?

YESNO
If so, where?
University, school, private classes, language school, association
What is your level of French ?
Beginner, intermediary, advanced
What other languages do you speak ?
What are your objectives for learning French? eg: to find a job, prepare a diploma, apply for French nationality, other.
Objectives
Availabilities : Morning, afternoon, evening? Which weekdays?
Should be Empty:

Pre-registration for French courses with SMR