» Direct and Faculty-Led Application Form

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Application Form

Application Form

Please read carefully before proceeding. All fields are required. It is advisable to send your application form several months in advance.

Mandatory *

First Name/s *

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Last Name *

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Street Address *

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City *

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State *

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ZIP Code *

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Contact Number *

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Email *

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Date of Birth *

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Program *

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If Faculty-Led, please indicate name of University

Start Date * For FoCUS and Benedictine programs, please see dates and prices. CLIC Direct and Faculty-Led programs can begin on any Monday.

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Program Length (weeks) *

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Are You Currently Attending University? * Yes No

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If you are, please indicate the name of your institution

How many semesters of Spanish have you studied? *

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Will you be requesting accreditation for your courses? * Yes No

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If yes, what type?

How many credits are you looking to earn? *

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How did you learn about CLIC? *

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Comments

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