PENOBSCOT SCHOOL
28 Gay Street, Rockland, Maine 04841
Tel.: 207 594-1084 Fax: 207 594-1067
penobscot@languagelearning.org

COURSE REGISTRATION FORM
Course & program date:  
Your name:   Sex:    M    F
Mailing address:  
Tel no: (day)   (evening)  
e-mail:    
Profession:   Date of birth  
Years of study:   
 
Raesons for study?  
Where have you studied this language? For how long?  
What is your approximate language level?  
How did you hear about this program?  
Do you have any dietary restrictions?  
COMMENTS:

REGISTRATION INFORMATION
Payment must accompany registration or be sent immediately after on-line registration. A $10 returning students discount is allowed for students re-registering in weekly courses during the following two semesters. Students joining classes after the start of the term are asked to pay full tuition. We will help you to arrange makeup classes or a per-class rate. Withdrawal from a course at any time during the first week of class permits refund, less $10 administration fee. Withdrawals after the first week of class may receive tuition credit toward classes offered during the following two semesters.

Immersion Courses: Please complete the registration form; payment must accompany registration.  Registration Deadline: 4 pm Monday, the week the course starts. Fees for weekend immersion courses are fully refundable, less $20 administrative fee, if requested by registration deadline.

Policy for Low Enrollment Classes: In most cases, a course requires a minimum of five students. If a class is canceled, students may register for another class or request a full refund.

Levels: We attempt to enroll students in classes that match skill level; however, class levels are approximate and mixed. Students are encouraged to attend as many classes as necessary during their first week to determine the appropriate class. For further help, please contact the school or course instructor.

Financial Aid: Based on need, scholarships are available for all ages, and we offer tuition payment plans. Please inquire. Deadline for scholarship application is two weeks prior to the start of the course.

Email: info@languagelearning.org

Web Site: www.languagelearning.org


Maine teachers: __check here if you wish to apply for CEU credits, and include $10 processing fee. Note: Registration Deadline for teachers wanting CEU's is Friday, two weeks prior to event.

Payments: Payment may be made by personal check, Visa or Mastercard. Please note that we cannot reserve your place until your payment is received.

_____Visa _____Mastercard # _____________________________ exp. date ___________

Name on card: _______________________________________ FEE: ______________