All fields are required. Minimum age for placement is 22 years. Please answer each question carefully. The information you provide will be used by Hables English to initially assess your English language proficiency and for appropriate session placement. This will assure you and your group mates of the optimal experience with Hables English.

PERSONAL INFORMATION
Surname
Given name
What do you prefer to be called (this name will
appear on your program name badge)
Gender Male Female (for room assignment)
Profession/
Occupation
Date of birth
Email address
Telephone (including country dialing code)
City, State/ Province, Country of permanent residence
Where did you hear about us?
EMPLOYER INFORMATION
Employer/Company
Employer Contact Name
Employer Contact Email
Employer Contact Address
Individual Participant    OR     Employer Sponsored 
HABLES ENGLISH USERNAME AND PASSWORD
Choose an ID and password. These access codes will be needed to later log into your personal program page.
Hables English ID (minimum 5 characters)
Password   (minimum 5 characters)
Re-type Password  
PROFILE INFORMATION
1.How often and in what ways do you communicate in English?
2. Tell us about yourself, who you are, your passions, your education, your interests, where you have lived and traveled.
3. What aspects of English do you find most difficult? Be specific.
4. At what age and by what means did you learn English? At this time, with whom do you practice? Do you speak English at home with family or friends? How often?
5. Please use this box for extra comments if necessary.
6. Do you have any medical condition or allergies we need to be aware of? Do you smoke?
Are you currently in or near Panama? If yes, tell us when you are leaving in the question 5 box above.
Would you like to be notified to fill a last-minute vacancy (1-3 weeks before a program)
Are you or your employer interested in reserving a session for a “special group” (maximum of 10)?
SESSION DATE SELECTION
Please indicate which start dates are best for you. Sessions are limited and subject to availability. Please indicate a first, second and third choice.
1st choice
2nd choice
3rd choice
PLEASE REVIEW

Your commitment to our program is vital to its success. Everyone else who participates in your group will be affected by the level of energy, creativity, and attitude that you bring with you. Please consider carefully your commitment to your group mates. We promise you, in exchange, an experience of learning, self reward, confidence and wonderful new friends - and all in a place of incredible wonder and beauty.

Many thanks for your interest.

The result of your application will be sent by email. Please allow 3 weeks. Please be sure you have saved our email address on your contact list to ensure filters don’t block us from sending you further information. We will attempt to reach you if your email fails so we encourage you to provide us with current alternate contact information. (Use box 5).
LEGAL NOTICE
Please be advised that the information you provide in this form, or during any part of the application process will be incorporated into the files of Hables English for the purposes of assessing your qualification for placement in our English Language Program and for responding to your request and keeping you informed of related company activities.
No part of this information wil be shared with anyone without your written consent.
We also inform you of our rights to access, cancel or oppose your participation in our program for any reason based on the information you provide.