enrollment

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Application Form

APPLICATION FORM

Enrollment is fast and easy. You just need to fill out the Application Form and send it (through our website, e-mail or fax).
We will make all reservations and send you an e-mail confirming all the details regarding the program of your choice (courses, accommodation, airport transfer, and others).

Last Name *

First Name *

Middle Name(s)

Passport

Date of Birth *

Sex * Male
Female

Nationality *

Native Language

Age *

Address *

City *

State

Zip Code

Country

Phone number *

Cell number *

Fax number

Email *

Occupation/Profession

University, School, Company

Have you studied Spanish before? * Yes
No

Country *

How long

Where

Emergency Contact

Name *

Telephone no *

Country *

Relationship *

How many weeks will you study?

Course selection * 1.Semi-Intensive: 15 group lessons per week; 3 lessons per day. Monday through Friday, from 10:30 am to 1:30 pm
2.Intensive: 15 group lessons per week +7,5 One to One hours/week; 3 group lessons per day +1,5 one to one hours per day
3.Super-Intensive: 15 group lessons per week +15 One to one hours/week; 3 group lessons per day +3 one to one hours per day
4.One to One

Other programme followed

Course starting

Accomodation

High-speed Internet Connection * Yes
No

Arrival * Bus
Air

AIRPORT TRANSFER $35 each way * Arrival
Departure
Both
Neither

Flight arrival details (Date, flight number, arrival time, from which city)

ADDITIONAL INFORMATION

I require helth insurance *

ANY HEALTH PROBLEMS WE SHOULD KNOW ABOUT?

Do you smoke? * Yes
No

DO YOU HAVE ANY SPECIAL NEEDS?

HOW DID YOU HEAR ABOUT OUR PROGRAMS? (PLEASE SPECIFY) *

DID YOU CONSIDER OTHER PROGRAMS

WHY DID YOU CHOOSE US? *

Terms and Conditions

I agree to the terms and condions * Yes
No