Registration form
SPANISH PROGRAM:
Please enroll me in:
PHASE - LEVELS
| Phase I | Phase II | Phase III |
| Low Beginner | Low Intermediate | Low Advanced |
| Beginner | Intermediate | Immediate Advanced |
| Advanced Beginner | Advanced Immediate | Advanced |
for the months of:
| Jan | Feb | Mar | April | May | June |
| July | August | Sept | Oct | Nov | Dec |
PERSONAL INFORMATION
| Name | |
| Address | |
| City | |
| State | |
| Zip | |
| Homephone | |
| Workphone | |
| Signature |
| Reason for enrollment: | You heard about us: |
| personal goal | newspaper |
| get a job | yellow pages |
| talk to family and friends (hispanic origin) | website |
| talk to clients and colleagues | friend |
| other | other |
ALL CHECKS APPLIED TO ANY CLASS STARTING WITHIN 3 MONTHS FROM THE DATE OF YOUR CHECK. ALL CLASSES ARE PAID IN ADVANCED.