MULTICULTURAL CLASSROOM APPLICATION FORM

All information will remain confidential. 

Name 이름 *
Name 이름
Birthdate 생년월일 *
Birthdate 생년월일
If in college, please indicate your major as well.
Phone Number 전화번호 *
Phone Number 전화번호
Including country code
What aspect of the language would you like to focus to? *
When would you like to start your class? *
When would you like to start your class?
When would you like to end your class? *
When would you like to end your class?
On what days would you like your classes to be? *
What time? *
Agreement *
You must inform ACOPIA at least 48 hours in advance if you wish to cancel a class and receive a refund.