Applying & Admission / Apply on-line                                              
 
Apply on-line Cuernavaca, Morelos Mexico at Universidad Internacional Registration Form
  
 

Remember: As of January 08, 2007 U. S. citizens need a passport

After you complete this form, press the " SEND " button.
All payments are payable to the University of Houston-Victoria
Fields with * are required

Note: A $250 deposit must be made to UHV at this time and will be refunded only if you are not accepted in the program.

Mail to:

UHV, Study Abroad

University West 108,

3007 N. Ben Wilson,

Victoria, TX. 77901
Institution or Consortium who sent you:
* Contact E-mail:
* Telephone:
* How did you know about us?:

 

Student Personal Information:

 
*  First Name:
(Please donīt use nicknames or similar)
* Last Name:
 (Please donīt use abbreviations)
* Gender:
  Male    Female
* Date of Birth:
Student ID # if you are a current UHV student, please include ID #
* Native Language:
Emergency #
Passport #

 

Mailing / Permanent Address:

 
* Address:
* City:
* State:
* Zip Code:
* Country:
 

 
FAX:


 

Organization (Company / Education Institution / Etc.)

 
Name:
Main Activity of Institution:
Your Position:
Address:
City:
State:
Zip Code:
Country:


 


Previous Spanish Experience:

University / College / School :

Level:

Please describe:


Reason for learning Spanish?

 


You Are Coming As

* Independent     University Group     Other

* SELECT THE PROGRAM: * New Programs

* Anticipated period of study: Weeks

* Date starting classes:
Month:           Day:           Year:          



 


Housing:

* Please select the plan you prefer:


Housing Date:
Month:           Day:           Year:

* Smoking? Yes No

Diet restrictions and Allergies:


Host Familyīs Departure Date:
Month:           Day:           Year:

 

Transportation

Transportation to and from the Mexico City airport is included in the package price.

Do you need transportation from the airport? (Check the Prices page) Yes No

Flight Information: (If available)
 

Port of Departure:
Arrival Date:
/ / Arrival Time:
Airline:
Flight Number:

NOTE: If flight information is not available make sure you send us your complete flight information as soon as possible at UIMX@uhv.edu

 

Other Comments:

 

 


Registered by: Name:

IMPORTANT:

  • Please note that your confirmation may be directed by your server as junk mail.
  • Please check messages with "ENROLLMENT CONFIRMATION" subject in your junk mail box.
  • If you donīt receive a reply within 48 hours, please call our toll free # (1-877) 970-4848 ext 311

    		•