REGISTRATION FORM

* Required item

I wish to apply for the Session: at CPI Heredia CPI Monteverde CPI Flamingo

Name:*

Personal Information

Tell us about yourself

Only one person per application!

Gender:*

Age:

Marital Status:

Occupation:

Nationality:

Do you have any health problems?

Emergency contact:*

Native language:

Mailing Address:*

Your Address

City:*

State:*

Zip Code:

Country:*

Email Address:*

Phone Number: *

Cell Phone Number: *

Educational Background:

Educational Information

University:

At what point are you in your studies?
(ie. 4th yr, etc.)

Have you studied at a language school before? (If so, where?):

Please describe your ability to understand and speak Spanish:

Do you wish to participate in the post course volunteer option after language classes?

Clinical Practice

If so, how many weeks?
(2 week minimum)

If you are staying with host family, do you have any special requests:

Accommodation Information

Please indicate here if you have any allergies, health problems or food restrictions and also mention any interests and hobbies that you have

If not staying with a host family, what type of accommodation are you looking for? Specify if you would like reservations made:

Arrival date:

Arrival Information

Arrival time:

Airline:

Flight number:

*Departure city:

*Please tell us your connecting flight details INTO San José.

If you have not made flight reservations yet, no need to worry! Please forward us your arrival information when you have it.

Please note: When beginning classes in Monteverde or Flamingo, we strongly recommend that you fly into San José the Saturday before your classes begin. That way, you may take a private shuttle to Monteverde or Flamingo on Sunday.

How did you hear about CPI?