Reference Words: Learn Spanish in Cusco, Spanish School Cusco, Spanish Cusco, Spanish in Cusco


 

Application Form

We require a deposit of US$100  in order to validate your application. No credit card information is required at this point. After we receive your personal information we will send you an invoice via email through our secure payment system where you will be able to use your credit card with the highest secure payment technology.

Please fill in the required information *
  Personal information
*

First Name (s)

Last Name (s)
Date of Birth
Nationality
Passport number
Your Email
*
*

  Home / Permanent address
 

Address

City
State/ Province
Country of Residence
Phone Number

  Temporary Contact
 

Address

Phone Number

  Education
 

Please select your education level

Pre–University  

Undergraduate
Graduated
Retired
Other
  Current or most recent School
Do you have any Spanish background?
If yes please specified:

  Aproximate Travel Time Period
 
From:

To:

  Spanish Lessons
  Approximated Spanish class duration

  Volunteer Work
 

Check volunteer work

Number of months
Teaching English to children
Inka project
Children and adolescent care
Adolescent rehabilitation
Teaching english to blind people
Teaching English to Tourism Students
Volunteering at the Cusco zoo

  Accommodations
 

Check your option

Number of weeks
Family living option one

Family living option two

Apartment living

Sharing an apartment


  Travel And Tourism
 

Do you plan on doing any independent travel?
If yes how many weeks or months
 

How did you hear about us?   Please tick all that apply

Internet
Magazine
Brochure
University
Friend
Other

Privacy Statement:
We do not share or sell your personal information to outside parties.
 

Contact Information:
Spanish On Campus • San Andres 471 • Cusco – Perú
Phone: (51-84) 257575 • Fax: (51-84) 227247
Email: info@spanishoncampus.com
www.spanishoncampus.com

Reference Words: Learn Spanish in Cusco, Spanish School Cusco, Spanish Cusco, Spanish in Cusco