Student Application Form



Please complete and send this form :
(*) Obligatory fields 





Last Name* 

First Name* 

Address* 

Nationality*  

Gender*           Age*  

Telephone number and country code*   

E-mail* 

Occupation*  

Organization/University/Embassy/Company* 

 Select the course in which you wish to enroll*
MSA     MCA     MSA+MCA
  
 Select the preferred course starting date*
May     June     July     August     September     October     November 

Course fees* 

 Have you ever studied Arabic before?*  Yes     No  

If yes, where?* 

How many hours did you study Modern Standard Arabic?* 

How many hours did you study Moroccan Colloquial Arabic?*    

Were you able to practice with a native speaker?* 
  

Arrival Information

Visa from embassy or at arrival*  
 
Hotel (Please indicate if you wish for us to arrange your hotel accommodations or if you are handling your own reservations)*  
                                              
Airline*                

Flight number*         

Arrival date*          
     
Arrival time*