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A.S.L. PraFor Programs

Cheapest programs
Public hospital assistant
Helping the elderly
Coordination of health services.
Internship in centre which coordinates emergencies
Health program Intern
Emergency Medical technician
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Public hospital assistant by PraFor

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Public hospital assistant

Personal information


Treatment: Ms.  Mrs.  Mr.
First Name :
Family Name:
Date of birth:
Nationality:
Address:
City: Zip Code:
Country:
Phone number:
Occupation:
Languages spoken:
Your Email Address:

Person to contact in case of emergency:
Emergency contact number:



Your knowledge


About Spanish Language:

Have you studied Spanish before?: Yes No
Period: months/years:
hours per week
Where?: Institution/place
What is your approx. level?:

About the Area of internship/volunteer selected or some experience:




How did you hear of our programs?



Your program


Please enrol me for   into this offer:

for  weeks from   to



Your accommodation


Please arrange the following accommodation:

Room and board with a Spanish family:(or shared flat with other students if we don't have a family available)
No board: Shared-room Single-room
Half board: Shared-room Single-room
Full board: Shared-room Single-room

I am a: Non smoker Smoker Vegetarian
As a non smoker I do not want to live with smokers: Yes I don´t mind

I am allergic to:




Agreement


Date:  Passport or ID number:

I have read and hereby agree to all booking terms and conditions.

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