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Pop Wuj Online Spanish Tutoring Application
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Please enter your cell phone number.
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Please format your phone number according to your country and include your country code. (e.g. +1 for US and Canada).
Your answer
Current Occupation
*
Student
Teacher
Healthcare Provider
Other:
If you are a healthcare provider, please specify your particular profession.
*
If you are not a healthcare provider, please write N/A. (e.g., Pharmacist, Nurse, Doctor)
Your answer
If you are a student, what educational institution do you currently attend?
*
If you are not a student, please write N/A. (e.g, University of Iowa)
Your answer
Which country are you from?
*
Choose
United States
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
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Burkina Faso
Burundi
Côte d'Ivoire
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czechia
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
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Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine Staate
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qataar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
If you are from the United States, which state are you from?
*
If you are not from the United States, please select "Other Country".
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington D.C.
Other Country
How did you hear about us?
*
If you used a specific website to find us, please choose "Other" and enter the website name in "www.--------.com" format.
Alumni
American Medical Student Association
Family
Friend
Google
Xelapages
Facebook
Instagram
Other:
Why do you want to study Spanish with Pop Wuj?
*
Your answer
Select the program you are interested in:
*
Choose
Intensive Course - Medical Spanish (Tutoring hours must be completed within a week)
Intensive Course - Regular Spanish (Tutoring hours must be completed within a week)
Open Course - Medical Spanish
Open Course - Regular Spanish
This was a gift.
If you chose an Open Course, how many hours will you be purchasing?
*
Open Course requires 5-hour purchase minimum. If you chose Intensive Course, please select N/A.
5
6
7
8
9
10
N/A
This was a gift.
Other:
Please indicate your Spanish fluency:
*
Beginner
Intermediate
Advanced
Are you currently enrolled in the UNR x Pop Wuj program?
*
Yes
No
Anything else you would like us to know about you?
Your answer
All classes will be scheduled according to CENTRAL STANDARD TIME (CST), or Guatemalan Time (Note: Guatemala does not adhere to Daylight Savings)
https://www.worldtimeserver.com/current_time_in_GT.aspx
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