Student Information

    Gender

    MaleFemale

    Birthday

    Documents

    Requires Visa

    Yes

    Documentation 1 (*Only if required by school):

    Documentation 2 (*Only if required by school):

    Language Classes

    EnglishItalianPortugueseRussianSpanishFrenchGermanChinese

    Language Level (You can find information on levels in our brochure and our website)

    Unknown Elementary (CEF A1)Pre-intermediate (A2)Intermediate (B1)Upper-intermediate (B2)Advanced (C1)Post-advanced (C2)

    Course (See our price list in our brochure or website)

    GeneralGeneral PlusIntensiveMini GroupIndividual ClassLanguage for BusinessLanguage for Hospitality & TourismDELE Exam PreparationSIELE Exam PreparationOxford Exam PreparationCambridge Exam PreparationLanguages & SurfLanguages & CookingLanguages & YogaLanguages & Adventure SportsLanguages & DanceExtensive CourseLong-Term Programme

    Start Date:

    End Date:

    Insurance

    If you would like information on LC’s preferred insurance provider, tick here

    If you would like to purchase insurance through Language Campus, tick here

    Accommodation details (Please refer to our brochure to check the options available and our price list)

    Arrival date (if different from course):

    Departure date (if different from course):

    Room preferences:

    Single roomTwin roomDouble roomTriple roomDormitoryEn-suite/Private bath

    Food:

    Room onlyBreakfastLunchEvening meal

    Accommodation with Pets

    YesNo

    Student Smoker

    YesNo

    Accommodation with Smokers

    YesNo

    Do you require smoking accommodation if it is available?

    YesNo

    If you are booking a shared room, and you know with whom you would like to share, please state their name here:

    Transfers

    Do you require transfers?

    YesNo

    Arrival Date

    Departure Date

    Extra

    Payment

    We accept payments by most major credit and debit cards as well as by bank transfer. Simply tell us bellow that you would like to pay by card and we’ll send you the details of how to make your payment.
    Your payment will be made:

    By debit/credit card

    Please specify:

    By bank transfer (Account number: ES3201820761200201758698)

    Declaration

    By signing this application form you are agreeing that: you have read, understand and agree to the Terms and Conditions for Students and the privacy policy and the current Price of LC Idiomas Gran Canaria; the laws of the place where you will study will apply to any agreement arising out of this application form, and you will abide by and study within the terms of any visa which may be
    required for your course.

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    I have read and accept the site's privacy policy.