Apply form

   

You can register by the Web filling the next formulary. If you rather you can download the apply form and print it and send it by fax.

Once we receive the formulary, the directive of Ilinizas’ Residence will study it and will give you an answer as soon as possible.

 

* Name
High school and place of graduation
* Last name
Final average of graduation
Place and birth date (dd/mm/yy)
Final Grade of Graduation
ID document
Career and University of aspiration
* Email
Phone of somebody in Quito can help you
* Personal cell phone
* How did you know Ilinizas? (Internet, friend, high school…)
       
Father’s contact information
Name
Career
Last name
Place of work
Residence’s Addresses
Charge or job
Residence's phone
Office address
Cell phone
Office phone
Another contac number
Email
       
Mother's contact information
Name
Career
Last name
Place of work
Residence’s Addresses
Charge or job
Residence's phone
Office address
Cell phone
Office phone
Another contac number
Email

The ones with an asterisk (*) must be obligatory filled in order to be sent the form.

 

 
   
Ilinizas University Residence
Quito - Ecuador