|
|
| PLEASE PROVIDE THE FOLLOWING REGISTRATION INFORMATION
|
|---|
| * = required fields |
| * Tulum or Cuernavaca? | required
|
| Check one: Registration Private Class Rate Quote Only |
| * Start Date: | required
|
| * Number of weeks: | required
|
| SECTION TWO - About yourself: |
|---|
| * E-mail: | required |
| * Full Name: | required |
| Alternate Email: | |
| * Phone: | required |
| Will you be traveling with this phone? Yes No |
| Alternate Phone: | |
| * Your City, State, Country: | required |
| Age: * Month/Day of birth: required
Female Male |
| Occupation/where you work - Retired - Field of study/school: |
|
| Why do you want to learn Spanish? |
|
What experience/studies have you had with the Spanish language?
Include date of previous attendance at Chac-Mool |
|
| SECTION THREE - Course Requirements |
|---|
| Is there field of interest required for your Spanish course?
Sample choices: Spanish for travel, business, emergency medicine, nursing, immigration law, law enforcement, social work, clergy, teachers proficiency testing, etc. (be specific, it will
help our instructor prepare your individualized course).
|
|
| Give a number from 1 (lowest) to 10 (highest) your class priorities: |
| Vocabulary: | |
| Specialized Field Trips: | |
| Reviewing/Writing/Interpreting Documents: | |
| Situational Role Playing: | |
| Lecture Preparation: | |
| Volunteering: | |
| Other (details please): |
| SECTION FOUR - HOUSING - if not needed proceed to Section Five: |
|---|
| Date you'll begin housing:
arrival time (if known:) |
| Date you'll depart housing: |
| What kind of living arrangements would you like? CHECK YOUR FIRST CHOICE: |
With a host family, including 3 daily meals:
Single Room with Private Bathroom
Single Room with Shared Bathroom
Shared Room with Private Bathroom (not available if school assigns roommate)
Shared Room with Shared Bathroom
Guesthouse with meals (Cuernavaca only)
Guesthouse no meals (Cuernavaca only)
|
| Do you smoke?
No Yes, outdoors (only option for smokers) |
Are vegetarian meals requested? No Yes No red meat
State other desired housing requirements below: |
| So we can estimate you arrival time, include arriving flight info if known. |
|
| SECTION FIVE - Questions or comments: |
|---|
|
| If you've arranged your own accommodations, where will you be staying? |
|
| SECTION SIX - SUBMIT: |
|---|
|
|
