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Datos del estudiante – STUDENT DETAILS

Gender

Full name

Passport number

Full address

Postal code

Town

Country

Nationality

Place of birth

Date of birth

Age

Email account

Phone

I live at present with:

What is your current grade / year in school?

Remarks

Datos de los padres / Family

Mother - Family name and name(s)

City

Postal code

Mobile phone

Mother's Email

Profession


Father - Family name and name(s)

City

Postal code

Mobile phone

Father's Email

Profession

Persona de contacto / Emergency contact

Contact - Family name and name(s)

Phone

Email

Relationship to Applicant


Detalles personales / Personal details

Do you smoke?

Are you vegeterian?

Do you have any other health, dietary, physical or emotional condition(s) that should be considered when we are placing you in a host family?

Health details / allergies

CURSO DE ESPAÑOL

LANGUAGE COURSE

Language Course

Date of arrival

Date of departure

Nivel de Idiomas

Languages level
 

EVALUACIÓN

SELF ASSESSMENT

Determina tu nivel de Español

We would like you to assess your own competence in Spanish
 

How long have you studied Spanish en High School?

Have you ever studied Spanish in a Spanish-speaking country?

Where

Borrar firma / Clear signature
Borrar firma / Clear signature

Signature of parent / legal Guardian

Preferred language for notification by email

AL ENVIAR ESTE FORMULARIO: En cumplimiento de la Ley Orgánica de Protección de Datos Personales, MARAVILLAS PROGRAMAS INTERNACIONALES S.L., le informa de que sus datos personales (y en su caso el de las personas de contacto de su organización) serán incorporados al fichero de administración y organización de la empresa. La finalidad del presente fichero es poder realizar una eficaz gestión de los servicios prestados a nuestros clientes y hacer comunicaciones publicitarias de nuestros productos. Dichos datos personales no serán cedidos a ningún tipo de organización, ni pública ni privada, salvo en los casos que establece la orden del ministerio de justicia 484/2003, quedando bajo la plena responsabilidad de la empresa, los afectados podrán ejercitar los derechos de acceso, rectificación, cancelación y oposición, frente al responsable del fichero en la dirección siguiente en: Avda. Salvador Vicente, 9. 29631-BENALMADENA (Málaga).
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BY SENDING THIS FORM: In compliance with the Organic Law on Personal Data Protection, MARAVILLAS PROGRAMAS INTERNACIONALES S.L., informs you that your personal data (and, where appropriate, that of the contact persons in your organisation) will be included in the company's administration and organisation file. The purpose of this file is to be able to efficiently manage the services provided to our customers and to send advertising communications about our products. Said personal data will not be transferred to any type of organisation, neither public nor private, except in the cases established by the Ministry of Justice Order 484/2003, remaining under the full responsibility of the company, those affected will be able to exercise their rights of access, rectification, cancellation and opposition, against the person responsible for the file at the following address: Avda. Salvador Vicente, 9. 29631-BENALMADENA (Málaga).
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