Anglais  Allemand  Français

Your mobility partner

General information

Your name :

Your address :

Telephone number :

Email address :

Your company name :

Have you lived in France before ?

Yes No

If yes, in which town ?

Are you familiar with Strasbourg ?

Yes No

Moving :

As a single person As couple With children

Are you :

Employee Student Individual

Do you have friends or acquaintance in Strasbourg ?

Yes No

Do you speak French ?

Yes No

What is your nationality ?

Do you require a work or residence permit ?
(only for non EU residents)

Yes No

Will you bring your own car ?

Yes No

Do you have a bank account in France ?

Yes No

Do you have particular interests
in the areas of sport, culture arts or other pastimes ?

Yes No

If yes, please state them below

If you are relocating with your spouse/partner :

Do they wish to work ?

Yes No

Do they have particular interests ?

Yes No

If yes please state them below

Other remarks

ACCOMODATION

Would you like to :

Rent Buy

A house A flat

Furnished Non-furnished

Bring your own furniture Buy your furniture upon arrival

What size accommodation would you like ?

How many bedrooms :

1 2 3 4

In Strasbourg Outside Strasbourg

Would you like to travel to work with :

Public transport Your car

Other :

Would you like to live in a particular district ?

Yes No

If yes, which one ?

What rent would you like to pay per month ?

< 500€ Between 500€ and 900€ Between 900€ and 1200€

Will you bring a domestic pet ?

Yes No

If yes, what type of pet ?

Do you have any particular requirements
in respect of accommodation ?

Do you have any particular requirements
in respect of your living environment ?

CHILDREN

Do you have children of school age ?

Yes No

How many ?

What age are they ?

What class do you wish them to join ?

Are you aware of available schools in Strasbourg ?

Yes No

Are you familiar with the French school system ?

Yes No

Would you like to enroll your children in a :

Private school State school

In which language, would you prefer that your children are taught ?

French English German Spanish

Other :

Do you have special requirements
for their education ?

Do you have children below school age ?

Yes No

How many ?

What age are they ?

Would you like them enrolled
in a crèche or looked after by a child minder ?

Yes No

Do your children have extra curricular activities ?

Yes No

If yes, please state them below ?

Other remarks :