Balakun - Student registration

First Name^*

Last Name^*

Email^*

Social Media Profile Link ^*
_{Please provide the full URL to your publicly accessible social media profile (e.g., https://x.com/yourusername)
or N/A if you don't have any.*

Examples of Social media: X (Twitter), Facebook, Instagram.

Please don't enter several URLs}

City, Town or Village of Residence^*

Country^*

Your current status^*

Year of Birth^*

What is your perspective on the territorial status of Crimea?^*

When did the Russian aggression start?^*

Your current English level^*

How many sessions per week do you need?^*

What do you need help with?^*

Which areas of language skills would you like to develop?

How did you learn about us?^*

Your comment (up to 300 symbols)

I hereby confirm that the information provided herein is accurate and complete.
I consent to the processing of my personal data on legal grounds in compliance with the terms of the Privacy Policy, and agree to the following:^*

My personal information may be used by Balakun to contact me and process my application.
My email address may be included in Balakun newsletters until I unsubscribe from them.
I understand this policy of Balakun:
_{We care for each other, and we will protect our Balakun community.

Therefore, we will not tolerate any illegal, pornographic, profane or violent content.

Nor will we allow any threatening, harassing or bullying behaviours towards our members.

Since Balakun's aim is to assist Ukrainians who wish to practice English, spamming and/or making commercial offers to other Balakun members is not allowed.}