Conexiones entre Mundos & Serve Abroad Registration Form
Registration From to request services from Conexiones entre Mundos Language School and placement services with Serve Abroad. At the very end of this form, there is a video that describes all the services we can offer you to make of your stay in Bolivia a very pleasat one.
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Full Name
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Your answer
Date of Birth
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Country of Origin
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Your answer
Email Address connected to GMAIL please (this is mandatory). You may need to create one, if you do not have it.
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Your answer
Phone Number Connected to WhatsApp:
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Your answer
Occupation
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Your answer
Are you coming under a sending organisation? If so, what is it?
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Your answer
What language would you like to learn?
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Choose
Spanish
Quechua
English
Who should we contact in case of an emergency? Please provide a name, an email address and a phone number connected to WhatsApp
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Your answer
Please list the services you'd like to recieve from us. Note: For every payment you make via Paypal, you need to add 3% (the fee they charge). We also have VENMO as a payment option, but that APP is only avaliable for US citizens.
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Language classes (USD$.10 per 45-minute-session provided that you have 24 + classes per month) (One-time payments are: Registration USD$50 and materials between US$20 and $50 )
Accommodation with a Bolivian Family USD$ 15 per night - room and board included
Accommodation: Shared furnished appartment with wifi/ appliances for US$ 200 per month or US$ 10 per day.
Accommodation at our School (a small bedroom, and shared common areas, and appliances) for US$ 100 per month or US$ 8 per day
Orientation to life in Bolivia, city tour to learn how to use public transportation & find the most useful places for you, Intecultural Communication classes (2 hours), airport pick up. USD$ 120
Volunteer placement with one of our Social Projects (Partners) US$ 50 per month for coordination with project and 24/7 assistance
Other:
Required
Please give us information about your flights (arrival and departure, flight numbers, connections, airports or send us a document to:
conexionesentremundos@hotmail.com
)
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Your answer
If you are planning to live with a Bolivian family, please fill-in the following information:
When will you start living with your Bolivian family?
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When are you planning to leave your Bolivian family?
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Do you have any dietary restrictions or any special requirements? If so, please explain
Your answer
For language classes, please fill-in the following information:
You can see more information about us here:
www.conexionesentremundos.com
Here is a video of our students testimonials.
How many sessions per day would you like to study?
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2
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4
Clear selection
Please describe your experience learning the language you want to learn
Your answer
On a scale from 0 to 10 (0 being NO language knowledge and 10 being advanced) when do you think your language proficiency is at?
No knowledge
0
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2
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5
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10
Advanced
Clear selection
What is your mother language and if you speak any other languages, which are they and how well do you speak them?
Your answer
Could please give describe how you will use the language you want to learn and your language learning goals for this course?
Your answer
Is there anything that might interfere with your learning and using another language? (i.e. dyslexia, ADD, vision or hearing problems, etc.)
Your answer
Do you want your classes to be programmed in the morning shift? (8:00 a.m. to 3:40 p.m) or in the afternoon shift (12:00 p.m. to 8:00 p.m.)? Please choose.
For special cases, due to working or personal reasons, please contact us to:
conexionesentremundos@hotmail.com
Morning Shift
Afternoon Shift
Clear selection
When are you planning to start your classes?
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When are you planning to finish your classes?
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The following link will take you to a document that explains our terms and conditions. Please read it carefully and click on the check marks below.
https://drive.google.com/file/d/1yoflCo-aUutnNfn9NI1i012Rimcc4QyH/view?usp=sharing
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I have read the document for Terms and Conditions for Conexiones entre Mundos
I agree with this document
I intend to do what it is required of me for my language learning process
Required
Please send a WhatsApp audio message (+591 71745590 - Mauge) in the language you want to learn answering the following information with as much detaial as possible: 1. Could you tell us about yourself? (name, origin, occupation, family information, personality, hobbies) 2. Could you describe what you usually do from Monday to Friday (morning to night)? 3. What did you do in your last vacation? (the more details, the better) 4. What are your plans for this year?
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I have done it fully
I could not do it because I have NO knowledge of the language I intend to learn
I did it, but just the first part
Required
If you want to volunteer with a Social Project, please fill-in the following information:
You can see more information about us here:
www.serveabroad.com
Here is a video with testimonials from our volunteers:
When will you start your work?
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When will you finish your work?
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How good is your Spanish?
I have NO Spanish
Basic (memorized phrases) can communicate for basic needs
Intermediate (I can communicate mostly with one person at a time in present past and future)
Advanced ( I can teach, give conferences, write formal documents, etc)
What would you like to do?
Serve in an orphanage with children 2 - 10 years old
Serve in an Orphanage with children 10 - 18 years old
Work with teenagers and young women who have been victims of abuse
Work with an after school program to support children whose parents live in prison
Work in a veterinary clinic
Work with imprisoned youth at a detention center (14 to 18 years old)
Work with boys who have been victims of sexual abuse
Work with children who have learning disabilities
Train educators in your area of expertise
Other:
Clear selection
Please write a motivation note. Why do you want to volunteer in the project of your choice? What experience do you have in this area? Please send your resumé to:
conexionesentremundos@hotmail.com
Your answer
Almost done... Please send a copy of your passport to:
conexionesentremundos@hotmail.com
*
Done
Required
Here is a video that describes what we can do for you...
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