Study Spanish in Argentina. AIE Argentina: Buenos Aires, Patagonia and Cordoba.


AIE Medical SpanishProgram APPLICATION FORM


ENROLLMENT PROCESS The enrollment process is easy and fast. Students have to complete the online Application Form and then we book all requested services in advance (course, accommodation, airport transfer, etc). We will send you all this information by e-mail to confirm and show you all your bookings, including payment procedures. This process only takes 24 hours (48 hours on weekends). In this way we can guarantee the exact type of program you request, offering the best service. For further information please email us to info@patagoniaspanish.com
APPLICATION FORM for MEDICAL PROGRAM
Surname	First name
Nationality	Sex
Date of Birth (mm/dd/year)	Address
Zip Code	City
Country	Phone Number
FAX	E-Mail
Please confirm your E-Mail	i
Emergency Contact in your country (Name & Phone):
Profession/occupation ---- Company / University / School
Your Spanish Level
Years you have been studying Spanish
Your mother tongue
Describe your past relevant experience and study on this field (Medicine) :
¿How did you hear about A.I.E.?
MEDICAL PROGRAM
I Wish to Book (you can combine our locations): weeks of Medical program in Buenos Aires.
Select your Program:
MEDICAL PROGRAM (Private Classes): 2 classes/day 3 classes/day 4 classes/day 6 classes/day 8 classes/day
I wish to start classes in Buenos Aires: Day Month Year Arrival Date in Buenos Aires: Day Month Year Departure Date from Buenos Aires: Day Month Year
Accommodation: Private Apartment Homestay with breakfast and dinner Homestay with breakfast Homestay without meals Not required (I have my own accommodation)
Airport pick-up (we can arrange this service and you can pay directly to the driver, without extra cost): Yes vv Novvv Flight details:
Tango Program (5 classes per week): Yes vv No
ADDITIONAL INFORMATION
Health (allergies, medical treatment, etc)
Comments:

A.I.E. - ARGENTINA IDIOMA ESPAÑOL - Central Address: Florida street esquina Mitre, Centro de Buenos Aires - Argentina

Tel./Fax: ++54 2944 525178 - E-Mail: info@patagoniaspanish.com

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