Short-stay Application form

Fill out your application for admission to the Puerta Nueva  and we will contact you.

    Start of stay*:

    End of stay*:

    Reason for the stay*:

    Centre:

    Type of room:* SimpleDouble

    Date of application*:

       

    Application information


    Last name*:

    First name*:

    Date of birth*:

    DNI (ID document number)/Passport*:

    Nationality*:

    Current address*:

    Postal code*:

    City/Town*:

    Province/Region/County*:

    Country*:

    Landline telephone:

    Mobile phone*:

    Email*:

    Degree or profession:

    Photo of applicant:

       

    Information on the parent financially responsible (if applicable)


    Last name:

    First name:

    Status:

    DNI (ID document number)/Passport:

    Profession or occupation:

    Current address:

    Postal code:

    City/Town:

    Province/Region/County:

    Country:

    Landline telephone:

    Mobile phone:

    Email:

       

    Personal Profile


    Hobbies: MusicCinemaTravellingTVLiteratureComputingSportDramaPaintingOther

    Do you play any sport?

    Have you done any volunteer or cooperative work: YesNo

    ¿Where?

    What do you expect from your stay at the Residence?

    What can you contribute to life at the Residence?

    How did you find out about the Residence?* A resident or friendA former residentWebsiteOther

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