APPLICATION FORM

Spanish Language Programs: Madrid, Barcelona, Marbella, Salamanca & Valencia

First Name

Last Name          

Mr / Mrs / Miss / Dr /Professor

E-mail

Date of Birth                         Age

Male / Female

Address                                           

City

State                                                

Zip code

Country

Phone (H)    (           )  (           )                

                    Country      city

Phone (W)     (            )  (          )      

                       Country      city        

Fax     (           )  (          )               

            Country     city

Nationality                                       

Passport No

Native language

Occupation

Academic Institution / Employer

Circle one of the options

Applying for: Total Program (Tuition, Accommodation, Insurance, Activities etc)   / Tuition and accommodation   / Tuition only

Program location (e.g. Madrid)

Program Title (e.g. Long Duration)

Program Intensity (e.g. Intensive)

Duration (e.g. 12 weeks)                 

Program Code (if available)

Program Start (e.g. Monday 7 January 02))

Program End (e.g. Friday 26 April 02)

What is your current level of Spanish?    Beginner    /   Elementary     /       Intermediate     /        Advance     /      Proficient

Previous Spanish Language Studies (e.g. May 2001 to May 2002)

Academic Institution

Hours (per week)

Level

Are you receiving credit transfer for this Program from your college or university? Yes   /    No

If yes, how many credits?

What other languages have you studied?

How did you hear about this Spanish language program?

Have you participated in another WorldLink Language Program (e.g. France, China, Italy, Japan)?

Accommodation (e.g. Host family)

Double Share / Individual Room

Half Board  / Full Board  /

No Meals

Extra nights (max 3 nights if available)

Other (e.g. High Season Supplement)

Accommodation:

From Sunday (e.g.1 Jul 02)                                                                   To Saturday (e.g. 29 Sep 02)

For shared accommodation: Do you smoke?   Yes  / No

Prefer to live in a smoke-free room or smoke-free host family? Yes / No

Is there anything we need to know to find a suitable host family (eg. diets, medical problems, allergy, dislike of certain pets)?

Remarks (e.g. Joint Application – state the name of joint applicant)

Person to contact in case of emergency

Name

Relationship (eg. father)

Email

Phone (H)    (           )  (          ) 

                      Country     city          

Phone (W)  (           )  (          )          

                     Country      city

Fax  (           )   (          )             

         Country      city

Application Fee of $ 100 / Late Fee of $ 160

Date paid:

Method of Payment

Bank transfer/ Certified Bank Check / Money Order

Name of Bank

Program Fee

Deductions

WLE Alumni / Joint Application / Other

Extras:

Extra nights / High Season Supplements

Total Program fee (include deductions and extras):                             Note: Bank charges must be paid by the Applicant

I agree that:

The above information is true and documents given in support of my Application are complete and correct.

____________________________________________________________                           _______________________

Signature of Student / Parent or Guardian for applicants under 18 years old.                      Date

Comprehensive information on WorldLink Education's Spanish Program, Fees, Features and How to apply guide

are available at www.wle-spain.com

For general questions, e-mail info@wle-spain.com For questions regarding application, e-mail admission@wle-spain.com

Or contact your nearest WorldLink Education's Office