TCF - Test de Connaissance du Français
Transcription
TCF - Test de Connaissance du Français
TCF - Test de Connaissance du Français REGISTRATION FORM / FICHE D’INSCRIPTION Mail Completed Form With Payment to : AFFIM, 7100 Lindenmere Dr., Bloomfield Hills , MI 48301 Email Form to : [email protected] Fax form to : 248-538-5433 If you want to pay by card, please call the AFFIM Monsieur (Mr) Madame (Mrs) Photo Mademoiselle (Miss) NOM : (Family Name) To be return at least 1 month before the test date. PRÉNOM : (First Name) . Nationalité : Langue Maternelle : (Citizenship) (Native Language ) Date de naissance : jj/mm/aaaa (dd/mm/yyyy) Register by phone : 248-538-5440 / / . . Pays de Naissance : (Date of birth) . (Country of birth ) Adresse (Street address) : Code Postal (ZIP code) : . Ville (City) : Fixe # (Home phone) : Etat (State) : Portable #(Cell) : . . Are you a student or a member of the AFFIM ? : YesNo E-mail : Select your TCF between the following options : $150* / $165 Compulsory Test $70* / $80 TCF Quebec – Oral Comprehension $220* / $245 Compulsory Test + Oral exam $70* / $80 TCF Quebec – Written Comprehension $220* / $245 Compulsory Test + Written exam $70* / $80 TCF Quebec – Oral Expression $260* / $280 Compulsory Test + Written + Oral $70* / $80 TCF Quebec – Written Expression $150* / $165 TCF ANF $240* / $280 TCF Quebec – Full exam Date of the exam : . * Members’ price Please bring your ID card or your Passport at the time of exam. TCF Registration Policy : once a registration is submitted, no refund or credit can be made under any circumstance (unless the French Institute of Michigan has to cancel a session of tests you are registered for). Only registration forms with a valid photo will be accepted. I have read and agree with the TCF policy : Yes Authorization signature : . Date : .