β° You have up to 1 hour to fill this form! Please make sure that your browser is not blocking all cookies or that you are not using a private or incognito window as this will prevent this form from working.
CURRENT SPANISH SKILLS
* (1) In each dropdown, please select the statement that best describes your teen's current Spanish language abilities:
a. In terms of my current fluency in Spanish,my teen speaks...
nothing or almost nothing
very few words or phrases
very slowly
slowly
not that slowly
at medium speed
at medium-high speed
fast
very fast
like a native
b. While listening my teen understands...
nothing or almost nothing
a few words or phrases
slow pace so so
slow pace well
regular pace so so
regular pace well
regular pace very well
regular pace perfectly
fast pace well
fast pace very well
c. When speaking my teen can use these verb tenses (exemplified by the verb "comer")...
no tenses at all
yo como
estoy comiendo, voy a comer
comía, comí
comeré, he comido
había _ido, estuve _iendo
comería, coma, comiera
esté/estuviera _iendo
habría/haya/hubiera _ido
habré estado _iendo
d. When speaking, the knowledge of vocabulary allows my teen to use...
no Spanish at all
only a few words or phrases
basic sentences
mid-sized sentences
unsmooth sentences
well-structured sentences
subjunctive
advanced vocabulary
industry-specific jargon
country-specific jargon
e. When reading in Spanish, my teen understands...
nothing or almost nothing
a few words or phrases
a few sentences
the overall picture
OK but use dictionary often
OK but use dictionary at times
OK but use dictionary rarely
80%
90%
almost everything
f. My teen can write in Spanish...
nothing or almost nothing
a few words or phrases
survival sentences
about familiar topics
short descriptive texts
with precision/detail
about diverse topics
using complex logic
medium-sized articles
well-structured essays
(2) Your teen's current level and prior spanish learning experiences...
(if your teen can answer this question in Spanish even better)
What are your teen's difficulties and/or strengths?
(3) Your expectations for the SpanishBlackbelt program are... (if you can answer this question in Spanish even better)
(4) How did you learn about us? Please
be as specific as possible.
SESSION CHARACTERISTICS
* Speed hours per week ): (? )
* Desired number of levels to pre-pay:
Number of levels
1 level (16 hours)
2 levels (32 hours)
3 levels (48 hours)
4 levels (64 hours)
5 levels (80 hours)
6 levels (96 hours)
7 levels (112 hours)
8 levels (128 hours)
9 levels (144 hours)
To check prices (tuition amount) for one-on-one sessions if you haven't done so already, please click here .
Please do not submit your application if you cannot afford our prices at this time.
* Choose program mostly interested
in: (? )
SCHEDULE PREFERENCES
* Ideal start date :
* I rank these variables in this order...
#1
ideal location ideal day
ideal time
first
#2
ideal location ideal day
ideal time
second
#3
ideal location
ideal day
ideal time
third
*
Preferred neighborhoods If online, select Distant Learning as My Top Choice #1
My Top Choice
Riverside
If your top choice is not listed, please
enter neighborhood here:
#2
My Second Choice
Riverside
If your second choice is not listed, please enter neighborhood here:
#3
My Third Choice
Riverside
If
your third choice is not listed, please enter
neighborhood here:
* My teen can have his/her classes at... ? )(choose all that apply)
(1 level of 16 hours starts at
$1,173 per student; 6% cheaper if class takes place sometime between 8am and 5pm, Monday through Friday - most popular
(1 level of 16 hours starts at
$1,349 per student; 6% cheaper if class takes place sometime between 8am and 5pm, Monday through Friday)
* My teen could have his/her sessions on... (choose all that apply ; time ranges are expressed in your local time zone)
Of
all of the options chosen on the chart
above, my top three options are :
(please rank
them and specify how
early in the morning and how late at
night your teen can meet); if you want your teen to have his/her classes over Skype, please specify your time zone here:
STUDENT INFORMATION
* Student's first name
* Student's last name
* Parent's first name
* Parent's last name
* Preferred phone
Alternate phone (optional)
Home Neighborhood
* E-mailWe respond by email. We
do not resell your personal information.
Alternative E-mail (optional)
Providing an alternative email increases the chance that you receive our answer.
* date of birth
Month
Pick One
January
February
March
April
May
June
July
August
September
October
November
December
Day
Pick One
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
Student's gender (optional)
Student's languages spoken
