SPANISH LEARNING ABROAD APPLICATION
Full Name of Applicant as Appears on Passport ........................................................................................................................................................................................................
Passport # ........................... Expiration ............................. Country of Issue .............................. Date of Birth (dd/mm/yyyy) ............................................. Male ........ Female ........
Current Grade ........ School ........................................................................ Current Spanish Level ................................. Teacher Reference ..............................................................
Home Address .........................................................................................................................................................................................................................................................................
Parent/Guardian Name ................................................................................. Phone .................................. Cell ............................... Preferred Email ....................................................
Parent/Guardian Name ................................................................................. Phone .................................. Cell ............................... Preferred Email ....................................................
Passport # ........................... Expiration ............................. Country of Issue .............................. Date of Birth (dd/mm/yyyy) ............................................. Male ........ Female ........
Current Grade ........ School ........................................................................ Current Spanish Level ................................. Teacher Reference ..............................................................
Home Address .........................................................................................................................................................................................................................................................................
Parent/Guardian Name ................................................................................. Phone .................................. Cell ............................... Preferred Email ....................................................
Parent/Guardian Name ................................................................................. Phone .................................. Cell ............................... Preferred Email ....................................................
Program Selection (please check one)
Four Weeks Session One ________ June 15 - July 13 ($6150) Session Two ________ June 22 - July 20 ($6150) Session Three ________ June 29 - July 27 ($6150) Two Weeks Session One ________ June 15 - June 29 ($4550) Session Two ________ June 22 - July 6 ($4550) Session Three ________ June 29 - July 13 ($4550) Three Weeks Session One ________ June 15 - July 6 ($5350) Session Two ________ June 22 - July 13 ($5350) Session Three ________ June 29 - July 20 ($5350) Six Weeks Session One ________ June 15 - July 27 ($7950) Additional Program Features Special Tours Asilah (Morocco) Tour (June 29 & 30) ________ ($370) Barcelona Tour (July 13 & 14) ________ ($460) Bilbao Tour (July 20 & 21) ________ ($385) Tennis Program ________ ($280 per week) |
Flight Arrangements (please check one)
____ I will contact the Spanish Learning Abroad travel agent to make the flight arrangements for our son/daughter (Jose Araujo, Tirma Tours at 703-237-1196 or [email protected]) ____ We’ll make our own flight arrangements for our son/daughter (please send a copy of the flight itinerary to Spanish Learning Abroad) Please note that the departure dates are from the US. Students joining us in Madrid need to arrive in Madrid the morning of the day after each of the departure dates. The return flights should depart from Madrid the morning of the final day of each session or on the last day of the special tour they are participating in. |
AGREEMENTS
"We hereby state, as sole guardians of the applicant, our wish to enroll him/her in the selected 2013 program offered by Spanish Learning Abroad. In signing this application form, we are stating that we have read all the pertinent information regarding the program and believe that the applicant is fully able to meet the physical and emotional requirements necessary for its successful completion. Also, we have read and understood the guidelines governing the selected 2013 program, and agree to fully support their letter and spirit. We further understand that if our son/daughter is unable to comply with these guidelines, his/her participation will be abbreviated at our expense. We also accept the fact that travel may involve possible risks from strikes, civil unrest, war, weather, and other potentially dangerous circumstances which are beyond the control of Spanish Learning Abroad. and we voluntarily accept these as risks of my son/daughter’s participation in this program. We have enclosed the deposit to be credited to the tuition, which will only be refundable if this application is not accepted. We agree that if the application is accepted we are obligated to the full tuition amount, even if the applicant later withdraws from the program. We also agree to reimburse Spanish Learning Abroad for any medical expenses incurred on behalf of our son/daughter. We further agree that in future promotional material Spanish Learning Abroad may use photographs or film of this year’s program that may include our son/daughter, or statements made by him/her or by us regarding the program.”
Signature (parent) ........................................................ Date ................................................ Signature (parent) ........................................................ Date ................................................
“I, the applicant, have read and understood the objectives of the selected 2013 Spanish Learning Abroad program and agree to commit my best efforts to helping achieve them. I enthusiastically commit to speaking Spanish at all times. I have also read and understood the rules and guidelines governing the program. I agree to fully comply with their letter and spirit, and help others do so. I specifically commit to remaining alcohol/drug-free for the entire duration of the trip, and understand that failure to sustain this commitment will result in my participation being abbreviated. I also agree that in future promotional material Spanish Learning Abroad may use photographs or film of this year’s program which may include me, or statements that I make regarding the program.”
Signature (student) ........................................................ Date ................................................
APPLICANT HEALTH INFORMATION
In the event of an emergency, this is the information that will be used as reference. Please be as complete as possible.
In the event medical attention is needed, which procedure would your insurance provider want us to follow?
___ No need to call insurance for authorization, just keep receipts.
___ Other .............................................................................................................................................................................................................................................................................................
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Please describe any relevant medical history or conditions that we should be aware of ........................................................................................................................................... ................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................
Does this student have any allergies (medication, food, cats, dogs, etc.)? ..................................................................................................................................................................... ............................................................................................................................................................................................................................................................................................................... ...............................................................................................................................................................................................................................................................................................................
Is this student taking any medication? Which? ............................................................................................. What for? ...................................................................................................... ...............................................................................................................................................................................................................................................................................................................
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Are there any special dietary needs? Which? ........................................................................................................................................................................................................................ ..............................................................................................................................................................................................................................................................................................................
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Has he/she ever shown symptoms of anxiety, homesickness or depression? .............................................................................................................................................................. ...............................................................................................................................................................................................................................................................................................................
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ADDITIONAL INFORMATION
Please describe this student's likes and dislikes, or favorite pastimes and activities ................................................................................................................................................ ............................................................................................................................................................................................................................................................................................................... ...............................................................................................................................................................................................................................................................................................................
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What do you think are the strengths and weaknesses of his/her personality? .............................................................................................................................................................. ...............................................................................................................................................................................................................................................................................................................
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Are there any aspects of this program that you think might pose a challenge to this student? ...............................................................................................................................................................................................................................................................................................................
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Thank you for your candid comments. They are very important in helping us prepare a successful experience.
spanish learning abroad - spanish teacher recommendation
STUDENT’S NAME .................................................................................................................................
TEACHERS: This student is being considered for a Spanish language immersion program in Spain with Spanish Learning Abroad. Your candid comments can help us understand this student’s areas of strength and weakness, and help us prepare the student for the challenges that he/she will face. Please fax this form to 301-309-1437, or email to [email protected]. To find out more visit www.spanishlearningabroad.com. Muchas Gracias
1. Context
How long have you known this student, and in what context? ....................................................................................................................................................................................................
How familiar are you with the Spanish Learning Abroad program? ....... Read the materials ....... Seen the website ....... Some of my students have been participants
....... I don’t really know much about it
2. The Student
Students will have daily classes and frequent excursions to places of interest, where there are extensive discussions of the historical or artistic features of those places. How likely or unlikely do you think it is that the student’s academic behavior will exhibit the following features?
Ask frequent, relevant questions Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be attentive and cooperative Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Understand native speakers’ descriptions Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be authentically curious and open-minded Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be sensitive to cultural differences Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be disciplined about speaking in Spanish always Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Will help travelmates understand Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Exhibit a positive spirit towards learning Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Has this student ever sought your academic help? For what kind of academic obstacles? ................................................................................................................................... ....................................................................................................................................................................................................................................................................................................
What do you think will be the greatest benefit that this student will get from this program ? ................................................................................................................................... ...................................................................................................................................................................................................................................................................................................
Some of our students have found it challenging to adapt to the local culture or the host family, or to having more independence than they’re used to. How do you think this student will cope with these demands?
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TEACHER NAME EMAIL PHONE SCHOOL NAME
TEACHERS: This student is being considered for a Spanish language immersion program in Spain with Spanish Learning Abroad. Your candid comments can help us understand this student’s areas of strength and weakness, and help us prepare the student for the challenges that he/she will face. Please fax this form to 301-309-1437, or email to [email protected]. To find out more visit www.spanishlearningabroad.com. Muchas Gracias
1. Context
How long have you known this student, and in what context? ....................................................................................................................................................................................................
How familiar are you with the Spanish Learning Abroad program? ....... Read the materials ....... Seen the website ....... Some of my students have been participants
....... I don’t really know much about it
2. The Student
Students will have daily classes and frequent excursions to places of interest, where there are extensive discussions of the historical or artistic features of those places. How likely or unlikely do you think it is that the student’s academic behavior will exhibit the following features?
Ask frequent, relevant questions Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be attentive and cooperative Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Understand native speakers’ descriptions Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be authentically curious and open-minded Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be sensitive to cultural differences Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Be disciplined about speaking in Spanish always Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Will help travelmates understand Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Exhibit a positive spirit towards learning Unlikely 1 2 3 4 5 6 7 8 9 10 Likely
Has this student ever sought your academic help? For what kind of academic obstacles? ................................................................................................................................... ....................................................................................................................................................................................................................................................................................................
What do you think will be the greatest benefit that this student will get from this program ? ................................................................................................................................... ...................................................................................................................................................................................................................................................................................................
Some of our students have found it challenging to adapt to the local culture or the host family, or to having more independence than they’re used to. How do you think this student will cope with these demands?
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TEACHER NAME EMAIL PHONE SCHOOL NAME