Solexico Registration

PERSONAL INFORMATION:

First Name:
 

Last Name:
 

Address:
 

City:
 

State:
 

Country:
 

Zip Code:
 

Date of birth:
 

Sex:
 Male Female

Nationality:
 

Telephone:
 

Email:
 

College, University or School Attending /ed:

Occupation:

Have you studied Spanish?:
 Yes No

Other languages?:
 

Probable Spanish level:
 Beginning Intermediate Advanced

Reasons for learning Spanish?:

How did you hear about Solexico?:
 Friend Searching on the Web Agency Other

DESTINATIONS

—
Playa del Carmen
Puerto Vallarta
Oaxaca

 

TYPE OF PROGRAM:

* Type of Program you wish to enroll in:

—Regular Spanish Courses 15 hrs/wRegular Spanish Courses 25 hrs/wSpanish Individual ProgramSpanish Executive ProgramSpanish Professional Programs 25 hours/wKid’s ProgramsEducators of Spanish as a Second Language 25 hours/wOaxaca seasonal Spanish Culturalvolunteer ProgramSpanish & Activities in Playa del Carmen

Comments
 

Planned Date of enrollment: (Starts on Monday)
 

TYPE OF ACOMMODATION:

Number of weeks:
 

Type of Housing Plan you wish to enroll in:

(We suggest that students arrive a few days before beginning classes on Monday so they can meet with families).

* Planned date to begin housing accommodation:
Start day:
 

End day:
 

Restrictions or allergies to food or animals:

Bothered by cigarrette smoke?:

Interests and hobbies:

FLIGHT INFORMATION

Airline:
 

Flight No:
 

Date of arrival:
 

Time of arrival:
 

City of departure:
 

TRANSPORTATION (only Playa del Carmen).

Do you need transportation from and/or to Cancun?:
 Yes No

EMERGENCY INFORMATION

In case of emergency, contact:

Name:
 

Address:
 

Telephone: