Application

This form is secure. Filling this form does not represent any commitment for you to join or pay for any of our sessions. No payment will be requested until you accept our proposal to be sent in response to this form.

Please submit this form ONLY if you are requesting an instructor for Tailored One-on-One Spanish Classes for teens or kids.

If instead, you are requesting an instructor for a different age bracket, an after-school program, or conversational Spanish small group Sessions for teens, please click here.

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Fields with an asterisk ( * ) are required. Other fields are entirely optional.


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CURRENT SPANISH SKILLS
(Step 1 of 4)

* (1) In each dropdown, please select the statement that best describes your teen's current Spanish language abilities:

SESSION CHARACTERISTICS
(Step 2 of 4)

* Speed (hours per week): (?)

(

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
(Step 3 of 4)

* I rank these variables in this order...





* Preferred neighborhoods:

If online, select Distant Learning as My Top Choice







* My teen can have his/her classes at... (?)
(choose all that apply)

* My teen could have his/her sessions on... (choose all that apply; time ranges are expressed in your local time zone)

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

STUDENT INFORMATION
(Step 4 of 4)

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* Student's date of birth

Student's gender (optional)

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In case of error, please save the filled form as a PDF and send it as an attachment to apply@spanishblackbelt.com.

v 10.02.2024

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