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General Information
Name: Date of Birth:
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Course Information (Choose course level)

"I know hardly any Spanish at all. If I took classes in high school or college I've forgotten everything. I need to start at the beginning."

"I can basically speak in the present. My vocabulary at one time was extensive but I've forgotten many words. I need more practice with verb tenses. I can basically understand a text like the newspaper."

"I am communicative in Spanish. I might have some trouble with conjugating verb tenses. I want practice reading literature in and having advanced discussions in Spanish."

Language Level Comments:
Class start date: Class end date: Homestay Start Date: Homestay End Date:

Optional information
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