Spanish Language Courses | Learn Spanish in Spain

APPLICATION FORM

YOU MUST BE OVER 16

PERSONAL DETAILS

Surname(s):

First Name:

Nationality:

Sex:

Male
Female

Date of birth:
(dd/mm/yyyy):

Passport:

Address:

Postal Code:

City:

Country:

Fax:

E-mail:

Telephone:

Are you part of an inter-university exchange/agreement programme?:
YES NO
Which one?

How did you obtain information about the course?:

COURSE ENROLMENT

All students must complete the on-line placement test, except the Absolute Beginners.

Level obtained in the placement test on-line:

Spanish Language Courses

(Remember that you can combine courses of varying lenghts. If you wish to enrol on several courses, join all the dates together and select only the first and last day of class)

Start :

Obligatory start dates for Absolute Beginners (A1)

End :

Complementary courses

(Remember that you can combine courses of varying lenghts. If you wish to attend one course throughout the whole of your stay, join all the dates together and select only the first and last day of class. If you wish to enrol on different courses, select the start and end date of each course)

Course Name:

Start:
End:

Start:
End:

Start:
End:

If you wish to combine any courses different to those on offer, please mention this in the Comments section.

Comments:

PRACTICES

This section is to be completed only by students who wish to take part in the work experience programme.

University Education:

Complementary courses and training undertaken:

Languages (please specify level):

IT knowledge:

Postal address:

Sector. (indicate your preference):

Position (indicate your preference):

Driving licence:

Other details of interest:

Placement starting date (dd/mm/yyyy):

Placement finishing date (dd/mm/yyyy):

ACCOMMODATION

Do you want to contract our accommodation service?:

YES

DATES OF RESERVE OF THE LODGING:
Date of arrival (*):

Date of exit (*):

Please number your preference from 1 (first option) to 3 (last option):

Shared flat

Accommodation with host families

Halls of Residence

Shared flat

	YES	NO	Indiferente
Are you a smoker?
Would you mind sharing accommodation with people who smoke?
Would you mind living in a family home with small children?
Would you mind living with senior citizens?
Are you a vegetarian?
Would you mind living in a family home with pets?

Are there any circumstances which require special attention and/or directly affect the type of accommodation assigned to you? Please specify:

I have read and accepted the conditions referring to the Personal Data Protection Act

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