Costa Rican Quest

Why Costa Rican Quest?

Costa Rica

CRQ Student Interest Survey

To setup your free trip consultation in English or Spanish, please contact our customer relations affiliate company, Learn Costa Rica in California, US at (408) 268-5598 or visit their website at http://www.learncostarica.com

If you would like to fill out our interest survey, Costa Rican Quest will put together the right package for you and we will have our customer relations affiliate company, Learn Costa Rica contact you.

If you are interested in studying Spanish in Costa Rica , please fill out the following form and click “submit” at the end. We will reply to you via email with information about classes available including prices and instructions in how to reserve your space.

Complete Name

E-mail

Mailing Address

Country

City

State

Zip Code

Telephone

Fax

Emergency Contact

Permanent Home Address

Gender

Male

Female

Age

Nationality

Profession

Marital Status

Hobbies

Spanish Level- Please choose one*

Biginner (have never taken an Spanish class)
Mid-Biginner (Basic conversation/present tense/easy sentences)
Intermediate (Selected conversation/past, future & present tense)
Advance (Conversation/reading/writing/subjunctive)

If you are a professional seeking to learn specific Spanish for your field of work,
please describe your interest.

When are you planning to be in Costa Rica ?
Please give us approximate dates if not yet confirmed.

From:
To:

If are confirmed date time airline flight number

For how long would you like to study Spanish? Minimum 1 week

Would you like to be picked up from the airport?

Yes

Would you like to be part of “My Tico Family”– Homestay Program?

Yes

If yes to “My Tico Family” Program please state any preferences you might have (for example: Would you like to be the only foreign student in the house? Do you like children? Do you like pets? Do you mind smoking? Are you vegetarian? Any physical concerns that we should be aware of?) Please be as specific as possible.*

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