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OnlyforRegistrar

Thedetailsyouhaveprovidedwillbeincludedinanautomatedfilewhichwillbeprocessedexclusivelyforpurposesofthemaintenanceofthecontractualrelationshipwiththeclient,carryingoutstatisticalstudiesandsendingpublicityonUIMPStudenntsSecretaryOffice.Inaccordancewiththestipulationsof
ConstitutionalLaw15/1999of13th.December,concerningthepersonaldataprotection,youmayexerciseyourrightsofaccess,correction,cancellationanwithdrawalofconsentatanytimebynotifyingtheownerofthefileinwritingtoUIMPSecretariadeAlumnos,C/IssacPeral,23(28040Madrid).SPAIN

CourseCode:________Registration:_____________Accommodation:_________________
AdditionalInformation:___________________________________________________

APPLICATIONFORMSPANISHLANGUAGECOURSES2014(Santander)

PERSONALINFORMATION

Surname:Name:Sex:

Male Female

Dateofbirth(dd/mm/yy):Passport/IdentityDoc.:Nationality:
Occupation:Ifyouareastudent,pleaseindicatetheUniversity:

Address:City:
PostalCode:Country:Phone:

Movile:Fax:email:

LEVELOFSPANISH

(Please,indicatetheestimatedLevelofSpanish)

Beginner:A1A2Intermediate:B1Advanced:B2Superior:C1C2

BOOKYOURCOURSE

(Please,tickasappropriate)

SpanishLanguageandCultureCourses

IntensiveSummerCourses

WinterandSpringCourses
2weeks
(40hours)

JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE

1324January
314February
314March
31March11April
516May
213June

AutumnCourses
2weeks
(40hours)

OCTOBER
NOVEMBER
DECEMBER

3weeks
(60hours)

4weeks
(80hours)

1331January

321February 328February
321March 328March

2weeks
(50hours)

JULY
AUGUST
SEPTEMBER

530May
227June

3weeks
(60hours)

4weeks
(100hours)

30June11July 30June18July 30June25July


415August
422August 429August
112September 119September

523May
220June

3weeks
(75hours)

Due to strictly academic reasons, general Courses in Spanish Language and Culture,
begin each month on present dates. Those students interested in starting the course
later date orother than the defaults, please indicate the specific starting and finishing
dates in the box below, being subject to the registration confirmation by Students
Secretariat.
StartingDate:Finishingdate:

4weeks
(80hours)

617October 624October 631October


314November 321November 328November
112December 119December

ECTSProgram
PleaseindicateifyouwishtoreceiveinformationabouttheECTSProgram:

YESNO

OtherCourses

AdvancedCourses

Preparationforexams

Courses

Spanishforinternationalexperts(60h.)
Spanishforspecificpurposes(60h.)

Dates

Levels

July,718

C1C2

August,1122

FromB2

Course

Dates

DELEExamsPreparationCourse(60h.)

30 June - 17 July

Levels
B1B2

BilingualCourse(Spanish+SubjectsinEnglish)

Dates
10weeks
(6October/
12December)

Levels

A1A2

Course

Levels

SpanishLanguage(120h)+2subjectsinEnglish(90h)
SpanishLanguage(90h)+2subjectsinEnglish(90h)

ACCOMMODATION

B1B2

Course

SpanishLanguage(120h)+3subjectsinEnglish(135h.)
SpanishLanguage(90h)+3subjectsinEnglish(135h)

(Pleasetickasappropriate)

DoyouwantUIMPtoarrangeyouraccommodation?YESNO
COLLEGERESIDENCELASLLAMAS(PAVILLIONS1,2,4)

Individualroom

Doubleroom

RESIDENCELAPLAYA(Onlyforsummercourses)

Doubleroom

HOMMESTAYACCOMODATION

IndividualroomDoubleroom

OTHERINFORMATIONIFNEEDED(p.e.allergies,preferences):_______________________________________________________

Signature:________________________________
Date:___________________________________

Submittingthiscourseregistrationreferenceimpliesknowledgeandexpressacceptanceofthegeneralconditions
of enrolment and participation and particularly of the cancellation policy of the course and/or accommodation
appliedfor.