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Before you fill out this form, please make sure you are going to send your payment (deposit),
if you only want more information use the contact details on the website.

Personal Information
Name:
Sex:	Female Male
Nationality:
Date Of Birth:
Marital Status:
Post Address:
Home Phone Number:
Work Phone Number:
Fax Number (if any):
E-Mail address:
Type Of Program
I’d like to enroll TLALOC’s institute in order to…	Have an internship	Study spanish
	Just Volunteer	Study spanish & volunteer
	Study spanish & have an internship
I plan to participate in this program for… (write the number of weeks)
I consider my Spanish knowledge…	Basic Intermediate Advanced
In case of studying Spanish, I’d like to get enrolled for the following program:	Regular Teachers Executives Professionals
I’m planning on starting my studies on Monday….
* Everyone gets a placement test in order to accomodate each student in their apropriate level regardless their Spanish background. (unless they want to go ahead and start from the beginning level)
Home Stay
I choose:	A Luxury Place A regular place
I'd like to live..	In the school campu's
	With a mexican family
	In a shared or private cheaper apartment
	By making my own housing arrangements
	By having a different lodging
A single room, private bathroom & 3 meals per day	A single room, shared bathroom & 3 meals per day
A single room, private bathroom & 1 meal per day (breakfast, lunch or dinner)	A single room, shared bathroom & just 1 meal per day (breakfast or lunch or dinner)
A single room, private bathroom & no meals at all	A single room, shared bathroom & no meals at all
A double room, private bathroom, & 3 meals per day	A double room, shared bathroom, & 3 meals per day
A double room, private bathroom, & 1 meal per day	A double room, private bathroom and 1 meal per day (breakfast, lunch or dinner)
A double room, shared bathroom, & no meals at all	A double room, shared bathroom, & no meals at all
I smoke & I…	Would like to live where they smoke
I don’t smoke & I…	Would rather to stay in a free smoking environment Don’t mind having a place where people smoke
I’d rather a family with…	Children No children No preference Pets No pets No preference
I have allergies	I don´t have allergies
If so, please explain..
In case of emergency notify to:
I have the following dietarian restrictions:
I’ll be arriving in Cuernavaca on…
I’ll like to have my lodging on…
I’ll leave the house on…
Transportation
I’d like to get the following airport transportation:	One way $50.00 USD Round trip $80.00 USD
If so, arrivals date:
Airline name:
Flight number:
Arrival Time:
Last city of departure to Mexico City: