Pop Wuj Online Spanish Tutoring Application
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Email *
First Name *
Last Name *
Date of Birth *
Please enter your cell phone number. *
Please format your phone number according to your country and include your country code. (e.g. +1 for US and Canada).
Current Occupation *
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)
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)
Which country are you from? *
If you are from the United States, which state are you from? *
If you are not from the United States, please select "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.
Why do you want to study Spanish with Pop Wuj? *
Select the program you are interested in: *
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.
Please indicate your Spanish fluency: *
What is your Skype username? *
Are you currently enrolled in the UNR x Pop Wuj program? *
Anything else you would like us to know about you?
All classes will be scheduled according to CENTRAL STANDARD TIME (CST), or Guatemalan Time (Note: Guatemala does not adhere to Daylight Savings)
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