Information about CEELE
Qualified by the
University of Alcalá
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   Enrollment form   

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In case of having any problems with filling out the enrollment form, please consult our tips to help you register for a course.  Please carefully read the general conditions as well.

Personal Details
First Name
 Last Name
Address
Postal code (zip code)
 City
 State/Province
 Country
Nationality
 Telephone
 Fax
 E-Mail
Date of Birth
/
Day		 /
Month
Year
Female Male
Occupation
 Passport Number
Emergency Contact
Name
 Telephone


Current Level of Spanish

What is your current level of Spanish?


Course Details
From Monday
/
Day		 /
Month
Year
to Friday
/
Day		 /
Month
Year
1st Course  in
2nd Course in
3rd Course in

* Individual course: Total number of desired lessons: (Minimum 10)
** The Spanish Teachers' Course is held only in Alcalá de Henares (Spain).
*** The Commercial course are only held in Alcalá de Henares (Spain) and Cancún (Mexico).
**** The C.S.E. Course is offered in Salamanca only.

Combined course: Students wishing to combine a course in Spain: Alcalá de Henares, Salamanca and Málaga must specify the desired dates of stay in each city in the accomodation details.

Accommodation Details

Indicate your choice of accommodations and dates below. You may also split your stay between the cities in Spain for a minimum of 2 weeks in each city. Students wanting accommodations in a hotel or an entire appartment should mark the appropiate box and contact E.I. for further details.


1st Accommodation
Dates:
From Sunday
/
Day		 /
Month
Year
Until Saturday
/
Day		 /
Month
Year
Select a city
Family
Student apartment in Spain
Hotel / Hostal *Please indicate  Category and price range in comments.
Entire apartment (Spain only. Minimum of 4 weeks.) No of beds

2nd Accommodation (for 2 different cities or 2 types of accommodations)
Dates:
From Sunday

Day		 /
Month		 /
Year
Until Saturday

Day		 /
Month		 /
Year
Select city
Family
Student apartment in Spain
Hotel / Hostal       *Please indicate  Category and price range in comments.
Entire apartment (Spain only. Minimum of 4 weeks.)   No. of beds
Medical conditions? Yes No   If yes, please specify:
Special diets or other requirements
Do you need a student visa? Yes No


Medical insurance and Airport transfer (optional services)
Medical Insurance Yes No
Airport Transfer Yes, arrival service Yes, departure service Yes, round-trip service No
Arrival:
Date
 Arrival time
Airport
 Airline
Flight No.
Departure:
Date
 Departure time
Airport
 Airline
Flight No.


General information (optional)

How did you hear about E.I.?
Why did you choose E.I.?

Comments


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Registration Center, C/ Talamanca, 10, 28807 Alcalá de Henares (Madrid) Spain

Telephone: +34  91 883 12 64, Fax: +34  91 883 13 01

e-mail: info@escuelai.com