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Registration Form
14th CEMS Spanish Summer
School 6th July - 24th July 2015
PERSONAL DETAILS
First name:
Surname:
Passport number:
Date of birth:
Nationality:
Mother tongue:
Email:
Phone number (country code included):
Address:
City and state/province:
Postal code:
Country:
Home university:
CEMS Coordinator:
ACCOMMODATION:
I will make my own accommodation arrangements.
I need assistance* with accommodation and prefer the following options
I would like to share a flat;
I would like homestay accommodation with cooking facilities;
I would like to stay in student Halls of Residence.
*Altiro (www.altiro2000.com), our recommended housing agency, will contact you to arrange accommodation.
Registration deadline: June 15th, 2014.
METHOD OF PAYMENT (credit card only)
Course fee: € 1.150
Please note: Registration is not complete until the entire tuition fee has been paid. It will be
charged after your admission process has been approved.
Visa
MasterCard
American Express
Card number:
Expiry date:
/
CVV
Cardholder’s name:
ADMISSION PROCESS:
To be accepted on the course you will have to do a written test and an oral interview.
After receiving this registration form we will contact you to give you the necessary
information for the written part and to schedule the oral interview (by Skype or phone).
Place and date:
Please return the completed Registration Form
by email to: idiomas@esade.edu
More information at:
www.esade.edu/summer-school/eng/
ESADE LANGUAGE CENTER
Av. d’Esplugues, 92-96,
08034 Barcelona
Tel. +34 934 952 095
Health insurance
STUDENTS FROM EU COUNTRIES: If you are covered by
your country’s national insurance system, you should request
an E111 Form, which entitles you to free medical assistance
under the Spanish public healthcare system. If you are
covered by private insurance, consult your insurance
company regarding medical assistance while in Spain.
Please request full information about the procedure to follow
should you need medical assistance.
STUDENTS FROM NON-EU COUNTRIES: Private
insurance to cover medical assistance in Spain should be
arranged.