Enrollment Form


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Learn Spanish

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Why E.I.?

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E.I. Destinations

Alcalá de Henares, Spain

Salamanca, Spain

Málaga, Spain

San Rafael, Costa Rica

Cuernavaca, Mexico

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Enrollment form

If you can't see this form very well, send a message to info@escuelai.com and we will send you an enrollment form by fax or mail.

To register now, fill out the form and press "Send". All required fields are marked with an *asterisk.

Methods of Payment for the Registration fees and Program Fees

Personal Details

First Name*
Last name*
Address*
Postal code (zip code)*
City*
State/Province
Country*
Nationality*
Telephone
Fax
E-Mail*
Date of Birth		/ /
		Male Female
Occupation*
Passport Number
Emergency contact
Emergency telephone

Current Level of Spanish

Please take our level test by clicking on the following link and tell us what level and score you attained. If you are filling out this enrollment form on behalf of someone else, then please choose a score of "N/A"
Test Your Level Here		Level* =	Score* =
How long have you studied Spanish?
	Years*	Months*	Hours per week*
Name of the Institution where you have studied Spanish:
Address of the institution:

Course Details

1st Course*
2nd Course
From Monday		/ /
To Friday		/ /

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

From Sunday		/ /
To Saturday		/ /
Select a city
Category of Accommodations*		Type of Accommodations*
Family
Residence
Student apartment (Spain & Costa Rica only)
Hotel / Hostal
Entire apartment (Spain only)		4 week minimum
I don't require accommodations.

2nd Accommodation (for 2 different cities or 2 types of accommodations)

From Sunday		/ /
To Saturday		/ /
Select a city
Category of Accommodations		Type of Accommodations
Family
Residence
Student apartment (Spain & Costa Rica only)
Hotel / Hostal
Entire apartment (Spain only)		4 week minimum
I don't require accommodations.


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
I have read and agree to the general conditions*
Methods of Payment for the Registration fees and Program Fees