APPLICATION FORM

Last Name: First Name:
Address:
Country: City:
Phone Number:
Occupation: Date of Birth:
Mother Tongue: Other Languages:
Knowledge of Spanish:

(PLEASE, ENCLOSE FURTHER INFORMATION IF POSSIBLE)
One on One Classes:

Group Classes:
Course Beginning:
Course Ending:
Arrival: Departure:
Would you like to be picked up?
PRECISE INFORMATION (MEANS OF TRANSPORTATION, TIME OF ARRIVAL, ETC.)

 

ACCOMMODATION

Family Accommodation:

Are you allergic to pets, medicines, food, etc?:
Do you need help finding other kind of accommodation?
PRECISE INFORMATION (HOTEL ROOM, APARTMENT, ETC.)
Who is to be contacted in case of emergency? (NAME, ADDRESS, PHONE, NUMBER, ETC.)

 

ALL OF THE APPLICATIONS FOR SPANISH CLASSES WILL BE PROCESSED BY OUR OFFICE.

A $50.00 US (NON REFUNDABLE REGISTRATION FEE) DEPOSIT IS REQUIRED FOUR WEEKS PRIOR TO THE START OF THE COURSE. YOU CAN CHARGE THE AMOUNT TO YOUR VISA OR MASTERCARD CREDIT CARD OR YOU CAN BUY A MONEY ORDER ADDRESSED TO: UNIVERSIDAD VASCO DE QUIROGA, CAMINO JESUS DEL MONTE # 555, MORELIA, MICHOACAN, MEXICO, 58290 AND SEND IT BY A DELIVERY SERVICE SUCH AS UPS, FEDERAL EXPRESS, DHL. TUITION AND REMAINING FEES HAVE TO BE PAID IN CASH, TRAVELER CHECKS OR CREDIT CARD (VISA OR MASTERCARD) THE DAY BEFORE STARTING CLASSES.

 

AT THE TIME WE RECEIVE YOUR PAYMENT, WE WILL CONFIRM YOU VIA E-MAIL.

 
Date:
Your E-mail Address:

 

 
 
 

 
DERECHOS RESERVADOS 2006. UNIVERSIDAD VASCO DE QUIROGA
Camino a Jesús del Monte No. 555 - Col. Sta. María de Guido - Morelia, Michoacán. México. C.P. 58290
Edificio "C", 3er. Piso, Tel. y Fax: (52) 443 323 51 71 , (52) 443 323 51 78 Ext. 2181 y 2189