Liu Yi REGISTRATION FORM
FOR OVERSEA STUDY SPANISH CLASS

PERSONAL INFORMATION

Your full name:

Permanent home address:

Phone Number:

E-Mail address:

Gender:

Male Female

Age:

PROGRAM INFORMATION

CLASS SCHEDULE

Please note: Classes begin every Monday and end every Friday.

Start date of your program:

End date of your program:

Total weeks of classes:

The next section is divided by campus. (Please note: For example, if you decide to only study at one of our campuses, you only need to fill out the information for the first campus and you can leave the information for the second and third campus blank).

Each campus below includes the following three questions:

First Campus :

Second Campus :

Third Campus :

ACCOMMODATION

Do you want to stay with or without homestay?

If you are staying with a host family, do you have any specific requests?

If you are not interested in staying with a host family, please explain what other accommodations you are interested in obtaining:

EDUCATIONAL BACKGROUND

Have you ever studied at a language school before? (If so, where?)

Please, describe your ability to understand and speak Spanish:

OTHER QUESTIONS

What is your native language?

Health Status/Allergies:

Hobbies/Interests:

How did you hear about Liu Yi?

What is your motivation to learn Spanish?

FLIGHT INFORMATION

Date and Time of Arrival:

Airline and flight number:

Departing from:

Please or