Student Application Form – ELEVIA

Welcome to Elevia – Education & Mentoring Initiative

Elevia is a hybrid educational support program in Luxembourg designed to help students thrive both academically and personally. We offer:

  • Academic Support Courses – Small group sessions in Math, French, German, English, Sciences, and more, led by qualified teachers and university students.
  • Mentor–Mentee Program – University students guide and motivate high school students with homework, study skills, and career advice.
  • Programming Classes – Hands-on coding courses (Python) for ages 10–18 to build digital skills and creativity.

This application form is for students and parents interested in joining Elevia programs. Please fill out the required information so we can understand your needs and connect you with the right track.

👉 After submitting the form, our team will review your application and reach out with the next steps.

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Privacy Notice (GDPR Compliance):  

  "The personal data collected in this form will only be used by Elevia for the purpose of managing applications, course registration, and communication with families. Your information will be kept secure and will not be shared with third parties without your consent. You may request access, correction, or deletion of your data at any time by contacting us at info_elevia@ccsa.lu."  

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Required
Student's Name Surname *
Student's Gender *
Student’s Date of Birth *
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Cycle *
Parent's Name Surname *
Parent's Email *
Parent's Phone Number *
Please select the course(s) you would like to join: *
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Preferred language for contact:
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