Spanish as a Second Language - Apply to learn Spanish

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Spanish Courses- Application Form

General Information
	Personal Information:
First Name:*		Telephone:
Middle Name		Fax:
Family/Surname:*		E-mail:*
Sex:		Date of Birth:
	Current Address:
Address 1:
Address 2:
City:		ZIP/Post Code:
State/Province:			Other:
Country:			Other:
	Permanent Address:(if different from Current Address)
Address 1:
Address 2:
City:		ZIP/Post Code:
State/Province:			Other:
Country:			Other:
Acquaintances residing in Argentina: (Name, Relationship)
Language Abilities
Legend: High: You can communicate effectively in most social and work situations Moderate: You can communicate comfortably in familiar social and work situations Basic: You can communicate in predictable contexts and on familiar topics, but with some difficulty
LANGUAGE SPEAK READ WRITE LISTEN
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Citizenship
Country of Citizenship: *			Other:
Passport Issuing Country: *			Other:
Passport Number:		Expiry Date:
Personal Remarks

Agreement
*	I, the undersigned, certify that the above statements and information concerning myself and my background are true and accurate to the best of my knowledge. If I am selected to join the 'Spanish as a Second Language' program at Winton International, I agree to abide by the laws and regulations of Argentina, as well my host institution. I agree I do not agree