Registration Form: Portuguese | ILI Massachusetts

Student Information

Name*

First Last

Pronouns

For example: She/her, He/him, They/them, etc.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

County*

Email*

Please add heather@ili.edu to your contacts to be sure your receive our confirmation emails. Check your spam folder if you do not hear from us.

Phone*

Best number to reach you in case of cancellations.

How did you hear about us?

I want to know what's happening at ILI!*

We send out monthly newsletters about our school programs, opportunities, general news, helpful study tips, occasional reminders to register for new classes and more. We never share our mailing list.

Yes, add me to your mailing list!
No, thanks, not right now.

Portuguese Online Course Options

Choose your semester.*

Spring and Fall courses meet once weekly for 12 weeks. Summer and Winter courses meet twice weekly for 6 weeks.

Please choose your class Level

Students are placed according to their speaking level. If you are unsure of your level, please contact Samira at samira@ili.edu to schedule an assessment.

Refund and Privacy Policy*

By checking this box, I confirm that I have read ILI’s refund policy and privacy policy.

Please review ILI’s refund policy and privacy policy.

Comments

Please enter the name of your class/es or any special comments you may have.

Payment

Total

$0.00

Credit Card*

Please check if you have activated a Stripe feed for your form.

Comments

This field is for validation purposes and should be left unchanged.

Portuguese Registration Form

Student Information

Portuguese Online Course Options

Payment