Hispaniola Spanish Language School

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Application Form

 

Please use this form only for enrollments.

If you wish some information please click here.

 

(*) Required field

 

Personal Information

 

First name and Family name

(*)

Position

 

Company

 

Passport

 

Date of birth

 

Nationality

 

Mother Tongue

 

Country

 

Telephone

 

Fax

 

e-mail

(*)

URL

 
 

How did you hear about Academia Hispaniola?

 

 

If you found us on the Internet please specify where:

 

 

If 'others' or 'via an agency' please specify:

 

 

Why did you choose Academia Hispaniola?

 

 

Course:

 

 (*)
 

Others, please give details

 

Starting date:

  Ending date:  

[ mm/dd/yy ] (*) [ mm/dd/yy ] (*)
 

Your knowledge of Spanish:

 

Have you already studied Spanish?

 

no yes
 

If 'Yes' please complete the following:

 

University | School:

Street:

Zip | Post Code:

City:

Name of your Teacher:

Self evaluation:

 

I wish the school to provide for my accomodation:

 

no yes (*)
 

If 'Yes' please complete the following:

 
 

Family

Room type:

Board: (host-families only)

 
     
Single Room
Double Room
NB  no board BB breackfast daily, laundry weekly
HB 2 meals per day FB 3 meals per day, laundry weekly
 
  Apartment

Room type:

   
     
Single Room
Double Room
   
  Hotel*, breakfast

Room type:

   
     
Single Room
Double Room
   
  Hotel ***, breakfast

Room type:

   
     
Single Room
Double Room
   
 

Others, please give details

 

 

Do you smoke?

no yes

Do you have any allergies?

no yes
 

if yes please give details

 

 

Do you need a special diet?

no yes
 

if yes please give details

 

 

Flight schedule :

 

Please give your flight schedule:

 

Arrival date: day

month

year

(*)

Arrival time:

(*)

 

Arrival location:

(*)

Flight Number:

(*)      
 

Do you prefere a transfer organized by the school?

no yes  
 

Special wishes:

 

Please inform us about any wish you may have. We will be happy to please you when possible.

 

 

Price of the course

 

To calculate the price of your selection please visit our table of  fees (please press back button when you are finished) and remember that:

 

courses start Monday and finish Friday

check the starting dates

accommodation starts Sunday before course start

accommodation finishes Saturday noon after course end

 

 

 

 

US$

 

I declare I have read and agree the general conditions

 

 
 

NEWS

   

 

 

 

The School | Location and Maps | Courses | Accommodation | Leisure Time | Dates and  prices

 General Conditions | Application Form | Spanish test | Photos | Tourist Information's

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