Apply Form - Study Spanish Shool

Student Information

Name: * required field

Lastname: * required field

Date of Birth: *

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Gender: *

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Telephone: * required field

Coming As: *

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E-mail: *

Occupation: * required field

Vaccinated: *

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Mailing / Permanent Address

Country: *

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State: * required field

City: * required field

Street Address: * required field

Zip Code: * required field

Organization (Company / Education Institution / Etc.)

Name:

Main Activity of Institution:

Your Position:

Address:

Country:

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State:

City:

Zip Code:

Previous Spanish Experience

Have you studied spanish before? If so, Where?:

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How long have you studied spanish before?:

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Housing

Please select the plan you prefer: *

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Smoking?: *

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Housing Start Date: *

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Housing Departure Date:

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Diet Restrictions:

Allergies:

Comments:

Transportation

Do you need transportation from the airport to Cuernavaca?:

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Program

Select the program: *

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When would you like to start?: *

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How many weeks would you like to stay?: *

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Promotion Info

How did you find out about us?: *

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(If not on the list, please write it) ***

If you used a search engine such as Google or Yahoo, please let us know:

Search engine or Directory: (Eg: Google, Bing, Yahoo, )

Keywords used: ("Study spanish, Uninter, Learn Spanish")

Promotion Code: (To apply for a discount)

Other Comments:

Would you like to set up a virtual meeting to talk about the program? *

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Please note that your confirmation may be directed by your server as junk mail.
Please check messages with "ENROLLMENT CONFIRMATION" subject in your junk mail box.
If you don´t receive a reply within 48 hours, please call our 1800 9322068.

Due to new federal regulation in Mexico, your information in the application it will be used just for academic, administrative and statistics matters. (protecting your information law)

Thanks for sending us your information, we will contact you as soon as possible.