Registration form ILISA Costa Rica

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By filling out this form, you are starting the enrollment process at ILISA. Please fill out the registration form including all your contact information and details about courses and accommodation, your comments are very valuable specially to select your host family.

Email *

First Name

Last name *

Passport number *

Profession

Are you currently working?

yes

Clear selection

Current employer's name

How did you find about ILISA?

Internet

Friend's referral

Facebook

Your company or organization

Other

Clear selection

Gender

Date of birth

YYYY

Phone *

Emergency Contact name and phone number *

Address

City/state/ zip code

Country

Nationality

Organization *

Spanish Program

Number of weeks participating in the program

1 week

2 weeks

3 weeks

4 weeks

5 weeks

6 weeks

7 weeks

8 weeks

9 weeks

10 weeks

11 weeks

12 weeks

Clear selection

Are you taking classes online or face-to-face in Costa Rica?

Costa Rica

Online

Panamá

Clear selection

Current Spanish Level - Speaking

Complete beginner (no previous exposure to the language)

Survival (You can introduce yourself and greet people and give basic information, give short instructions and ask questions)

Cooperation (You can give brief answers and make remarks. You can take part in informal one-to-one conversations. You can give directions and explain activities using visual aids. )

Independence (You can carry out simple conversations and participate on informal gatherings. You can give instructions and present a project or plan)

Interaction (You can actively participate in a meeting, give a presentation and discuss a plan over )

Integration (You can participate in every conversation without difficulty. You can chair a meeting, give a presentation regardless of the complexity of the subject and argue a point)

Clear selection

Current Spanish Level - Writing

Complete beginner (no previous exposure to the language)

Survival (You can fill in simple information on forms)

Cooperation (You can draft emails or messages)

Independence (You can write short emails or text on familiar topics)

Interaction (You can write reports on activities and write business documents )

Integration (You can write a email or report perfectly or with minor errors regardless of the complexity)

Clear selection

Current Spanish Level - Listening

Complete beginner (no previous exposure to the language)

Survival (You can understand simple sentences and instructions if they are clearly pronounced)

Cooperation (You understand uncomplicated general language. You can understand a native speaker in a one-to-one conversation.

Independence (You can understand main points in audios and videos and get gist of a conversation between native speakers)

Interaction (You can follow a conversation between two native speakers )

Integration (You can follow every conversation, play, film, audios and videos in detail)

Clear selection

Current Spanish Level - Reading

Complete beginner (no previous exposure to the language)

Survival (You can understand uncomplicated information on familiar topics)

Cooperation ( You can understand simple, general texts)

Independence ( You can basically understand emails, articles and professional documents)

Interaction (You can understand both general and specialized texts well )

Integration ( You have no problem with any text)

Clear selection

Are you interested on getting US college credits while in Costa Rica? ILISA partners with Saint Petersburg College in Florida to transfer the credits

Yes

Clear selection

If you are interested on earning credits through SPC or your home institution, please select the course to enrol

SPN 1120 Elementary Spanish I, 4 credits

SPN 1121 Elementary Spanish II, 4 credits

SPN 2200 Intermediate Spanish I, 3 credits

SPN 2201 Intermediate Spanish II, 3 credits

SPN 2240 Spanish Conversation and Comp I, 3 credits

SPN 2241 Spanish Conversation and Comp II, 3 credits

Other:

Clear selection

Are you interested on internationally certifying your Spanish level at the end of your course? SIELE Examiniation using the Common European Framework of Reference for Languages (CEFR).

Yes

Clear selection

Homestay

Do you have any dietary restrictions? Please be specific:

Do you have any medical conditions or health concerns that we should be aware of to ensure your safety and well-being during your participation in our program/activity/event?

Do you experience any learning difficulties or challenges that we should be aware of?

To ensure proper support and assistance, do you grant us permission to share the information provided about your learning difficulties with professors or host families who may be directly involved in your academic or living arrangements?

yes

Clear selection

Are there any other concerns, hopes, information, that you think could help us match you to your host family?

Extra days of homestay required?

Airport pick up required?

Please note that the airport pickup covers one checked bag, one carry-on, and one personal item per person. If you'll be bringing more bags, inform us in advance, as transfers may be shared.

Accommodation Address (if you are not staying with a ILISA's host family)

Arrival Date

YYYY

Arrival flight information (airline, flight number and time)

Classes start date

YYYY

Departure Date

YYYY

Departure flight information (airline, flight number and time)

Additional notes - Include any details you consider important to communicate to ILISA before your program start date

Code of Conduct

We kindly ask you to read and sign our code of conduct: Code of Conduct

Please send the digitally signed code of conduct to: spanish@ilisa.com *

I hereby declare that I have understood, signed, and submitted the Code of Conduct to: spanish@ilisa.com

Required

A copy of your responses will be emailed to the address you provided.

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