Please complete the form below so that our Customer Service Representatives can contact you by email with instructions and a link to the Amideast Online Placement Test. First name * Last name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010 *Must be 15 years old. Address * Email Address * Phone Number * Where would you like to take your class? * - Select -TunisLac 2SousseMonastir Which session do you want to register for? (Please enter the date) * - Select -August 26 - September 12, 2024September 25, 2024 - January 24, 2025February 1 - June 5, 2025June 9 - June 27, 2025July 7 - July 29, 2025August 4 - August 25, 2025August 26 - September 13, 2025 Have you taken a class at Amideast in the last 6 months? * No Yes If yes, which level did you complete? If you are a returning student, in which office did you study? - None -TunisLac 2Sousse Please indicate below your availability for classes (please note that we cannot guarantee availability in specific days /times) Days * Wednesday Friday Saturday Sunday Times * Morning Lunchtime Afternoon Evening