Spanish Lesson Request Form
Thank you for your interest in learning Spanish with me. By completing this form I will have a better understanding of what your Spanish language learning needs are. An email address is required to respond to your request. However, if you wish for me to call you please include your phone number at the end of the form. Your information will be kept private and will not be shared with any other source. Thank you!
Email address *
Name *
Are you inquiring Spanish lessons for a child or an adult? Please answer below with the age. *
What is your current proficiency in speaking Spanish? *
What are your speaking goals? *
Required
What is your current reading level? *
What is your current writing level? *
What are your reading/writing goals? *
How often would the student like to meet for lessons? *
On what days are you available to meet? *
Required
What time are you available to meet? *
What time zone are you in? *
When would you like the student to start the Spanish lessons? *
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Are you interested in a free trial Spanish lesson? *
Anything else I should know about the student?
Phone number
Submit
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