Individual Registration Form - All Languages
Please fill out this form so that we can find the best possible teacher to match your needs and schedule!
Which language are you interested in learning?
How did you discover Speak?
Best Phone Number
Please tell us about your level of experience with the language--professional and/or personal.
What are your current goals for this course?
Which days/times are best for you? How many hours would you like to meet per week?
Any special requests in terms of your instructor's background?
Would you prefer to have your lessons at Speak! Language Center or at another location? If the latter, please specify the location.
Please select the total tuition due:
10 hours (discount for full-time graduate students): $500
10 hours (Skype lessons): $500
10 hours: $600
20 hours: $1,150
25 hours: $1,400
30 hours: $1,650
37 hours: $2,000
50 hours: $2,650
60 hours: $3,000
Other (see below)
If you would a number of hours not listed above, please provide this in the space below and we will contact you with a price quote:
Got a coupon?
Please type in the total tuition in the box below.
(If using a promo code, deduct the coupon value from the total.)
How would you like to pay?
Credit/Debit card through Paypal (next step)
Mail a check to Speak!
Payment and Cancellation Policy: 1) Payment for the total course is due at or before the first lesson; 2) A notice of 24 hours is required to cancel an individual lesson; otherwise, the lesson time will be charged; 3) Partial refunds for courses cancelled by the student may be given on a case-by-case basis, and if requested in writing within 45 days of the start of the one-on-one course; 4) courses funded by UVa education benefits expire one calendar year from the date of approval.
Please type YES to indicate you agree to these policies.
Do Not Fill This Out