Enrolment
Please fill in this simple
online form
in order to register for one of our courses. When
you have finished providing
us with all of your information
, click on the
"Send Form"
button at the bottom of the page
. Thanks for choosing
.
I.
Personal Info
* Surname:
* Name:
* Street Address:
* Postal Code:
* City/Province:
* Country:
* Telephone:
* Fax:
* E-mail:
* Passport number:
* Date of birth:
(day/month/year)
:
* Sex:
Male
Female
* Smoker (yes/no)
Yes
No
* Profession:
* Nationality:
II.
Course Info
* Type of course desired:
* Start date
(day/month/year)
:
* End date
(day/month/year)
:
* For how long have you :
been studying Spanish?
* Your level of Spanish:
Beginner
Elementary
Low-Intermediate
Intermediate
Intermediate-High
Advanced
(Other)
Other:
* Do you require accommodations?
Yes
No
I
f so... which type do you prefer?:
Host Family
Shared Flat
University Residence
Student Residence
Hostel/Pension/Hotel
* How did you find out about
?:
* Any additional comments or questions?
C/ Agustín Moreno 37, E-14002 Córdoba, España
Tel:+34(9)57-43 10 17
Fax:+34(9)57-43 03 25
e-mail:
academiacordoba@academiacordoba.org