| BIOGRAPHICAL |
|
| Date |
|
| Name |
|
| Phone Number |
|
| Age |
|
| Sex |
|
| Address |
|
| Civil Status |
|
| Citizenship |
|
| Occupation |
|
| E-mail address (REQUIRED) |
|
|
In case of emergency, please contact |
| Name |
|
| Phone # |
|
 |
| PROGRAM |
|
| Arrival date at ALE |
|
| Number of weeks you wish to study at ALE |
|
| Number of weeks you wish private classes/ number of hours per day |
|
| Mark your Spanish level presently |
None/Basic/Average/Advanced
|
| Homestay |
Yes/No
|
| Comments or special requests |
|
|
| HOMESTAY |
|
| Number of weeks you need room and board with Costa Rican family |
|
| Do you smoke? |
Yes/No |
| Are you allergic to anything? |
|
| Do you need any type of special foods? |
Yes/No |
| Specify |
|
| Are you physically impaired or suffer any illness? |
|
|
| ARRIVAL
INFORMATION |
|
| Arrival date |
|
| Airline |
|
|
Flight number |
|
| Hour |
|
| |
|
| How did you learn about us? |
|
|
| An
advanced payment to the total cost of the course will
be mailed today: $200 cashiers check or $200 money order.
It is understood that the balance is to be paid the
first day of classes in San JosÈ. We do not accept personal
checks or credit cards. |
|
|
