Student Registration Form

Please select the course that interests you.

Are you a new student?

Yes

No

If you are a returning student, in which office did you study?

AMIDEAST Casablanca

AMIDEAST Rabat

First Name of the student

Last Name of the student

E-mail Address

The email must be valid and should belong to the student not his or her parent.

For students under the age of 18, please provide a parent’s email address

The email address must be valid and is only required if the student is under 18. This email will only be used for communication purposes.

Main mobile phone number

Example: xxx-xxx-xx-xx-xx

Second mobile phone number

Example: xxx-xxx-xx-xx-xx

City of Residence

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Country Director