Residencia Universitaria Ilinizas

Sing Up

You can register online by filling out the form below. Alternatively you can download the form and send it via fax.

After receiving the form, the directors of Ilinizas will review it and give you a timely response.

 

A. THE RESIDENT:

Your Information:

Last Name:*

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First Name:*

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Birthday (dd,mm,yyyy):*

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Place of birth:*

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Identification (passport): 

Email Address:*

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Home Address (Street, n°, city, state, country):*

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Home Phone:

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Mobil Phone:*

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You live with:

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Completed studies and work :

High school (City, Country):*

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Year of graduation (High school):*

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University (if you have been previously):

Academic Achievements:

Languages:

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Organizations in which the applicant has participated:

Have you ever worked? Where? What did you do?

 

 

Studies:

1st career option:

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2nd career option:

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1st university option:

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Have you been admited?
lease make a selection.

2nd university option:

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Have you been admited?

 

 

Interests:

How did you find Ilinizas?

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Why do you want to live in Ilinizas?

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What do you think are the advantages of Ilinizas?

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What do you think are the disadvantages of Ilinizas?

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What sports do you play?
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Do you have any hobbies?

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Who do you admire? Why?

What books have you read? Which do you prefer?

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Health:

The following information enables us to help our residents in case of any emergency.

Do you have any illness which the people who live with you should know about? What is it?

What kind of help might you need?

Do you take any medications regularly?

Should you visit a doctor regularly?

Do you need a special diet?

 

 

B. THE FAMILY:

FATHER'S INFORMATION:

Full name:

Has he lived in any residence like Ilinizas?

Profession:

Employer:

His position:

Office phone:

Mobile phone:

Email address:

Does he participate in any charitable organizations? Which one? When?

Civil status:

MOTHER'S INFORMATION:

Full name:

Has she lived in any residence like Ilinizas?

Profession:

Employer:

Her position:

Office phone:

Mobile phone:

Email address:

Does she participate in any charitable organizations? Which one? When?

Civil status:

SIBLING'S INFORMATION:

Number of siblings:

Have any of them lived in Ilinizas before?

 

 

C. REFERENCES:

Provide the names and contact details of personal references.

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If you are thinking about studing in Quito in any of the universities of Ecuador, you have probably thinked about the problem of lodging. Where will you live while you are studying your carreer?. In Quito you have a lot of lodging options, but we assure you that anybody will offer you as many services as "Residencia Uuniversitaria Ilinizas."