IMAC Spanish Language Programs - Guadalajara, Jalisco Enroll Now Enroll Now Enroll in one easy step. This is a Secure Web SiteSee the left upper corner of your screen and you will see a closed padlock, click on it and our Security Certificate will become available for you to verify. *Required Fields Personal Information: Nombre Title Title Mr. Ms. Mrs. Miss First Name * Last name * Address * State * City * ZIP code * Country * Telephone (home) * Telephone (work) * Email * Date of Birth * ------ Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day ---- ----- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year Current Occupation Course Information: I plan to begin courses on * ----- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day ---- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year info Im enrolling for a * Group Program Private Program Spanish Online Program Group and Private Course Bildungsurlaub Program All inclusive option 1 All inclusive option 2 Work and Study Number of weeks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 I will take (hours daily) 1 2 3 4 5 6 7 8 What language(s) do you speak? Ability in Spanish * Ability in Spanish Beginner Intermediate Hight Where have you studied Spanish before? where have you studied spanish before 2 where have you studied spanish before 3 How many total months have you studied Spanish? How many total months have you studied Spanish? 2 How many total months have you studied Spanish? 3 How many hours per week did you study? How many hours per week did you study? 2 How many hours per week did you study? 3 How long has it been since you studied? How long has it been since you studied? 2 How long has it been since you studied? 3 How many students were there in your Spanish classes? How many students were there in your Spanish classes? 2 How many students were there in your Spanish classes? 3 Do you Remember the names of the textbooks? Do you Remember the names of the textbooks? 3 Do you Remember the names of the textbooks? 3 Housing Information: Housing: Please Select an Option With a Mexican Family Hostels Own Arragements Hotel Apartment Do you Smoke? Yes No Do you like Pets? Yes No Would you like a family with children? Yes No Please indicate your favorite foods Please indicate any foods you dislike Payment Information: We accept payments by: * Credit Card Paypal Bank Transfer
