Student Registration Form
Registration Form - Huayi Chinese Language School, Qingdao, China
Name: Address 1: Address 2: City: State/Province: Postal Code: Country: Email: Confirm Email:
Sex: Male Age: years Female Education Level: years Your Native Language: Other Languages Spoken:
Program of Interest: Intensive Group Course (20 lessons/week) One-On-One Course (20 lessons/week) One-On-One Course (30 lessons/week) Super Intensive Group Course (30 lessons/week( Your Current Level: Total Beginner Elementary Intermediate Advanced Not Sure Plus Package: Yes No Not sure Requested Start Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 Length of Program: 1 week 2 weeks 3 weeks 1 month 2 months 3 months longer . . . Accommodations Required: Single Room Apartment Single Room Hotel Double Room Hotel Host Family Not Sure Now
Any special requirements:
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