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Pereira

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You are applying to:
 
Personal Information
*Last Name*First Name
AddressCity
*CountryPassport Number
Date of BirthProfession
GenderMale  Female
 
Contact Information
*Phone (work)*Phone (home)
Fax*E-mail
 
About You
NationalityNative Language
Foreign LanguagesHobbies / Interests
 
Emergency Information
Name, address and phone number of emergency contact:
Medical Concerns (Please specify):
 
Course Information
Existing knowledge of Spanish:
Select Course:
Choose Program: Spanish only
Spanish and Dance
Spanish and Volunteer
Number of weeks to study?
Course starting date:
(Always starts on Monday)
 
 
Housing selection-Pereira
Homestay Preferences
  • Would you be fine if another student stays in the same home?
  • Yes   No
  • Would you be fine if there are children in the home?
  • Yes   No
  • Would you be fine if any of the family members smoke?
  • Yes   No
  • Would you be fine if there are pets at the home?
  • Yes   No
     
     
    Miscellaneous Information
    Please tell us your comments or special requests:
     
    How did you find out about El Paraiso School?
     
    Travel Information Pereira

    Pereira Arrival Information
    Arrival Date: 
    Time: Flight #: Airline:

    General Terms and Conditions:

    I agree to the general terms and conditions

    If this form is not working please contact us at escuela@elparaisoschool.com



    Colombia El Paraiso Spanish Language School
    Carrera 12 Nº 35-14
    Guadalupe-Dosquebradas
    Tel: + 57-312-439-4233
    Fax:  + 57-312-593-5513
    Canada Contact Tel: + 519-747-1627
    Emailescuela@elparaisoschool.com
    Website www.elparaisoschool.com