• Personal Details
First Name		Family Name
Home Address
City		Country
Zip Code		State
Home Telephone		Fax
E-mail		Date of birth
Sex	female     male	Passport No.
Occupation		Company Name
Mother tongue		How did you hear about FIDESCU foundation?
Address in Spain during the course (if known)			Phone

• Course selected
Code School		City
Course Name		Lessons Week
Course Start (Date/Month/Year)		Course Finish (Date/Month/Year)
Have you previously studied Spanish?	Yes     No	No. of Weeks/ Months/Years
What is your Level?		Do you hold any certificates in the Spanish Language?

• Accommodation
Would you like us to organize your accommodation?
Host family Residence Apartments Hotels Others		Single room Double room With Breakfast With Breakfast & Dinner With Breakfast, Lunch & Dinner
Do you smoke?	Yes     No	Do you mind a family who smokes?	Yes     No
Do you have any allergies or health problems?
Do you mind domestic animals at home?		Are you vegetarian?
Arrival (Date/Month/Year)		Departure (Date/Month/Year)
Is there anything else we should be aware of?

• Airport Transfer
Would you like an airport transfer?
Arrival (Date/Month/Year)		Airline Flight No.
Arrival time		How many airport transfers do you need?	Arrival     Return