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Reservation form for Spring '24
**Please Note: this form is
not
for students**
First name
*
Last name
*
Email
*
Please enter your edu email here
University/College Name
*
Your role
*
Please Select
Coordinator
Instructor
Department Chair
Language Lab
Student
Other
Estimated Due Date for First Conversifi Conversation
*
(Approximation is fine)
Month
/
Day
/
Year
Estimated Due Date for Last Conversifi Conversation
*
(Approximation is fine)
Month
/
Day
/
Year
Estimated number of students you'll have participating
*
Package(s) to include
*
$16 Access Fee + Coach or Buy Individual Tokens ($9.00/token)
6 sessions | $6.34 each | $38 total | access fee included
8 sessions | $5.88 each | $47 total | access fee included
10 sessions | $5.60 each | $56 total | access fee included
12 sessions | $5.33 each | $64 total | access fee included
Other
What language are your students learning (L2)?
*
Please fill out a different form for each target language.
Please Select
Spanish
English
French
Portuguese
ASL (coming Fall 2024)
Any questions or comments?
Submit