 |
|
|
Please download the form and PRINT , provide the information requested and send it to ASLI -Spanish Language School, at the addresses or fax number above, once it has been fully completed
Number Fax : 011 52 (777) 317-52-94
Download form clic here
PERSONAL INFORMATION
NAME:_____________NATIONALITY:_________________
ADDRESS:_______________________________________
TELEPHONE:( )______________ OCCUPATION:____________________________________
AGE: ______
HAVE YOU STUDIED SPANISH BEFORE?______________
WHERE? _________________________________________
FOR HOW LONG?_________________________________
YOUR LEVEL?:____________________________________
WHICH LANGUAGES DO YOU SPEAK?: ________________________________________________
ADMINISTRATIVE INFORMATION
DAY AND DATE OF ARRIVAL IN CUERNAVACA: ________________________________________________
DATE OF ENROLLMENT: Monday, ________________ NUMBER OF WEEKS?______________________________
HOW DID YOU HEAR ABOUT THE INSTITUTE? ________________________________________________
PROGRAM TYPE CHOSEN: REGULAR ___ SEMI-PRIVATE ___ EXECUTIVE ___
FLIGHT INFORMATION
TRANSPORTATION MEXICO CITY TO CUERNAVACA REQUESTED?: ____________________________________
IF YES, DATE OF ARRIVAL:__________________________
TIME OF ARRIVAL: ________________________________
AIRLINE AND FLIGHT NUMBER:______________________
CITY OF ORIGIN:__________________________________
RETURNING DATE:________________________________
LEAVE MEXICO CITY AT:___________________________
IF TRAVELING WITH A COMPANION,
Yes ___ No ___
SHARE A ROOM WITH: _____________________________
ACCOMODATION PREFERENCES
PREFERRED FAMILY PLAN: I.
PRIVATE ROOM _____ II. SHARED ROOM _____________
DO YOU PREFER A FAMILY...:
WITH CHILDREN _______ WITHOUT CHILDREN _______
DO YOU HAVE ANY RESTRICTIONS or ALLERGIES to foods? __________________________________________
ARE YOU BOTHERED BY CIGARETTE SMOKE:
Yes ___ No ___ OTHER ________
CONTACT INFORMATION
IN CASE OF EMERGENCY, CONTACT:
(RELATION) ______________________________________
NAME:__________________________________________ ADDRESS:_______________________________________
TELEPHONE:( )___________________________________
OTHER: ________________________________________
HOW CAN THE INSTITUTE CONTACT YOU?
*Please FAX confirmation to ( ) _________________________________
*Please MAIL confirmation to : ___________________________________
*Please E-Mail confirmation to : ___________________________________
|
|
|
|
|
|
|
|
ASLI - Spanish Language Institute. Bajada de la Pradera 208, Colonia la Pradera, Cuernavaca, Morelos. C.P. 62170 México
Tel: 52 (777) 3 11 00 63, 52 (777) 3 17 75 44, Fax: 52(777) 3 17 52 94
|
|