(+33) 667 537 741 | info@strasbourg-eleusal.com
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Association Local Institut de langue espagnole ELE USAL Strasbourg
Qualiopi certified training organization n° 2022/98948.2 | CPF eligible training courses
9 rue Saint-Aloïse – 67100 Strasbourg | info@strasbourg-eleusal.com | SIRET: 812 275 733 00036
Title * Ms.Mr.
Last Name (Surname) of the student *
First Name of the student *
Date of Birth *
Place of Birth *
Nationality *
Please provide the legal guardian's details below. (Adults can skip this section).
Parent/Guardian's Last Name
Parent/Guardian's First Name
As a parent or legal guardian, I authorize the registration of this minor and assume the associated responsibilities.
Full Address *
Phone Number (Main contact) *
Email Address *
Profession (or "School student", "University student"...)
Current Status * Select...Student / SchoolEmployedJob seekerOther
Current Spanish Level * Select...BeginnerFalse beginnerIntermediateAdvanced
Have you studied at ELE USAL before? * YesNo
Course Objectives (multiple choices possible) * School studies / SupportProfessional goalPrepare for an official exam (DELE/SIELE)Personal project / Travel
Qualiopi Requirement: What is your exact final goal and the expected result at the end of this course? *
Accessibility: Do you wish to report any special accessibility needs or disability accommodations?
Chosen Format * IndividualGroupHybridOnline
Select the course(s) you are interested in * Group course / 30h (New student: 500€ / Returning: 400€)CPF Group course / 30h (New student: 1,200€ / Returning: 900€)Mixed course / 30h group + 10h individual (2,100€)Middle/High School course (Individual: 350€ / Group: 250€)Children's course / 10 sessions (New student: 300€ / Returning: 250€)DELE PreparationOther (please specify below)
If "Other", please specify the desired course:
Desired Course Level * Select...A1-1A1-2A2-1A2-2B1-1B1-2B2-1B2-2B2-3C1C2
Chosen Payment Method * Select...Bank TransferChequeCashCPF Funding
Mandatory fixed contribution payable by the account holder of 150 € (2026 rate) – unless legally exempt. Attendance and signature are mandatory for each session.
I commit to taking the official certification exam (DELE) at the end of the training, which is mandatory for CPF funding. I am aware that failing to attend may result in the loss of my funding rights.
I certify that I have been informed of the access times for the training, the evaluation methods, and the pedagogical details (Qualiopi Transparency).
I have read and accept the school's General Terms and Conditions and Internal Regulations.
I agree to become a member of the ELE USAL Strasbourg association (mandatory membership for insurance purposes, fee included in the price).
I consent to the processing of my personal data by ELE USAL Strasbourg in accordance with the Privacy Policy (GDPR).
Image Rights * I authorize the use of photos taken during activitiesI refuse the use of photos
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