Spanish Tutor DC Enrollment Form: "Groups of Friends"

Fields with an asterisk (*) are required

* Contact Person:

* E-MAIL:

* Phone:

Fax:

Class Size

How many total participants?
2 3 4 5-7 8-10 More than 10

* Current Spanish Ability Level

Your estimate of the current ability level
Beginner Beginner + Upper Beginner Intermediate Intermediate + Upper Intermediate Advanced Advanced + Upper Advanced Bilingual (or almost)

Cannot comprehend Spanish Hablo Voy a hablar Hablé Estoy hablando Hablaba Estaba hablando He hablado Había hablado Hablaré Hablaría ¡Habla! ¡No hables! Quiero que hables Quería que hablaras Deberías haber hablado Si hablara español, viviría en Buenos Aires Si hubiera hablado español, habría vivido en Buenos Aires

What is the average level of fluency on a scale of 0 (I do not speak a single word.) to 10 (I am able to speak at a professional level or can discuss abstract topics in Spanish as easily or nearly as easily as I speak my native language.):

0 1 2 3 4 5 6 7 8 9 10

What is average level of listening on a scale of 0 (I do not understand a single word.) to 10 (I understand Spanish as easily or nearly as easily as my native language):

0 1 2 3 4 5 6 7 8 9 10

What is the average level of reading on a scale of 0 (I can not read a single word.) to 10 (I am able to read Spanish as easily or nearly as easily as I read my native language):
0 1 2 3 4 5 6 7 8 9 10

What is the average level of writing on a scale of 0 (I am not able to write a single word.) to 10 (I am able to write Spanish as easily or nearly as easily as I write my native language):

0 1 2 3 4 5 6 7 8 9 10

* Class Length and Frequency

Desired length of each class in hours:

1 hour 1.5 hours 2 hours 3 hours 4 hours 5 hours

Desired number of classes per week:

1 class per week 2 classes per week 3 classes per week 4 classes per week 5 classes per week

* Class Schedule

Please list the day and time of the preferred class schedule: If possible, please list at least three possible availabilities, in order of preference:

Desired start date (in dd/mm/yyyy):

Class Location

Please list your preferred class location?
Select Location... At an office At a home At a Spanish Tutor DC preselected café. (One to four students.)

If you previously selected "Home or Office", please note the complete address, including the name of the nearest Metro station:

Alternately, groups of friends with four or fewer participants may elect to meet at one of Spanish Tutor DC's preselected locations at a reduced fee. Please indicate the area your group of friends would prefer:
Select one of our locations for a group of up to four friends... Metro Center Farragut North Dupont Chevy Chase Bethesda Silver Spring Rosslyn Vienna Alexandria OTHER

If you chose OTHER, please indicate the neighborhood:

Desired Course Type

Please select the desired type of course:
General Program / Conversational Spanish Spanish for Business Spanish for Attorneys Spanish for Hospital Workers Spanish for an Exam OTHER

If you marked OTHER, please describe the type of course:

Goals and Special Requirements

Please briefly explain the group's Spanish language goals and needs; (include any other pertinent comments):

Some final items...

How did you hear about us?

Why would you like to study with Spanish Tutor DC?

Submit your application...

* IMAGE CODE:

We will carefully review this information and respond promptly. You declare that you have read our policies and you agree with them in the event of your enrollment in one of our classes. By selecting Submit you are under no obligation to enroll in any of our programs.

If this form is not working please send your application to us by email.