Full Name *

Occupation *

Sex *

Date of Birth *

Country of Origin *

What is the time differece between Bolivia and your country? *

Does your country have daylight savings time? If so, from when to when? *

Email Address. It needs to be connected to GMAIL please, as we use Google to share documents, request classes and the like. So if you do not have one, please create an account connected to it. *

Phone Number Connected to WhatsApp: *

Skype identity: *

Please provide an email address (or more, if required by the organization you work for) so we can send our monthly reports there. It would help a lot if you have a Gmail account as we use Google Docs as a tool for learning. *

Please list the services you'd like to recieve from us. Note: For every payment you make via Paypal, you need to add 3% (their fee) to the total amount you pay. It is the fee they charge us. NOTE: MATERIALS AND REGISTRATION ARE A SEPARATE COST. *

Have you studied at Conexiones before? *

Please describe your experience learning Spanish *

What is your mother language and if you speak any other languages, which are they and how well do you speak them? *

Could please give describe how you will use your Spanish and your language learning goals for this course? *

Is there anything that might interfere with your learning and using another language? (i.e. dyslexia, ADD, vision or hearing problems, etc.) *

Schedule: Please choose the days you'd like to have classes: (Please note we only teach from Monday through Friday) *

How many sessions per day (on the days you chose) would you like to study? *

When are you planning to start your classes? *

When are you planning to finish your classes? Please leave this part in blank if you are not sure.

How good is your Spanish? *

Please check on the boxes if you've taken the following steps and if you have these tools: *