
		Language Training Spanish French English Portuguese Translation services Interpretation services Cross cultural consulting

Registration

Personal Information

Name: Last name: Occupation: e-mail:		Telephone numbers:		Address: City: Province: Postal Code:
		home: Cel: Work:	- - -

Course Information

1. Language of your interest: Spanish French English Portuguese	2. Course Selection: Beginner Intermediate Advanced Lunch-time Conversa Private or semi-private	3. Reason for registering for this course: Personal Tourism Work federal government Non federal government Other:
4. Have you taken classes in your targeted language before? Yes No	5. If last answer was yes, When, where, how long?	6. If 4th question was yes, level achieved: Beginner Intermediate Advanced

Schedule

Please indicate 1st, 2nd and 3rd choice:
(Time 1.5 or 2.0 hrs except lunch*)

	1	2	3
8:00am - 9:30am (or 10:00am)
9:00am - 10:30am (or 11:00am)
10:00am - 11:30am (or noon)
Noon - 1:00pm (or noon)*
1:00pm - 2:30pm (or 3:00pm)
2:00pm - 3:30pm (or 4:00pm)
3:00pm - 4:30pm (or 5:00pm)
5:00pm - 7:00pm
7:00pm - 9:00pm

Day
Please indicate 1st, 2nd, 3rd and 4th choice:

1st	2nd
3rd	4th

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