Costa Rican Culture and Language Institute - ICLC - The Place where you can learn spanish abroad in Costa Rica
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ICLC

Enrollment Form

  • In order to start with the registration process and to reserve space during high season (from May through July), the following Enrollment Form must be received at least six months before program starts.

  • During regular season, registration process could begin at least three months before program starts.

  • Last minute registrations will be accepted depending on space availability.

 

Section A.  Personal Information

1. Name            
  Last Name     First Name  
               
2.  Gender   3.1 Passport Number  
3.2 Nationality  
4. Occupation   5. Date of birth  
               
6. Age   7. Marital Status  
               
8. Telephone
  (Country + Area Code + Number)
       
               
9. Address            
  Street     City  
  State     Country  
  Zip Code          
10. E-Mail Address  

Section B.  Program Information

11. Date your program starts
(Language program begins on Mondays)
 
12. Last date of your program
(Language program ends on Fridays)
 
13. Select type of program  
14. Total of weeks on the Spanish Program   weeks
15. Spanish Level Information  
16. Name of your High School/College/University  
17. Course number registered at your College or University  
18. Do you need transcripts to be sent
to your College or University?
 
19. Name of the contact person that will process your
transcripts at your College or University?
 
20. E-mail address of the contact person that will process
your transcripts at your College or University?
 
21. Do you need curricular adequacy?  
  Please specify:  
22. Do you need facility access adequacy?  
  Please specify:  
23. What do you expect from the program chosen?  
24. How did you learn about ICLC
(The Costa Rican Culture and Language Institute)?
 
       
 

Official documents for curricular or facility access adequacy must be sent to ICLC Academic Direction before arrival to Costa Rica to the following e-mail address: academic + _at_ + iclc.ws

Observed holidays. Local holidays are to be observed accordingly and no work is required to be performed on these days: New Year's Day (January 1st); Juan Santamaria's Day - Costa Rican National Hero (April 11th); Holy Week (for 2016 ICLC will remain close Holy Thursday March 24thth and Good Friday March 25th), Labor Day (May 1st); Annexation of Nicoya to Costa Rica (July 25th); Virgin of Los Angeles Day, honouring St. Mary, Patron Saint of Costa Rica (August 2nd); Mother's Day (August 15th); Independence Day (September 15th); Meeting Among Cultures Day (October 12th); Christmas (December 25th). There is no compensation nor refund concerning these days.


Section C.  Emergency Contact Information and name of the Insurance company that you have or that you will acquire to cover you in case of an emergency.

25. Name of the emergency contact

Name of the emergency contact:

 

Address
(Please enter the address, city
and ZipCode in one single line)

 

Telephone
(Country Code + Area Code + Number)

 

E-mail address of the emergency contact:

 

     
26. Name of the Insurance company

Name of the Insurance Company:

 

Policy Number:

 

Emergencies telephone number of the Insurance Company
(Country Code + Area Code + Number)

 

E-mail address of the contact person
of the Insurance company:

 

     
If you do not have this information yet, you can send it as soon as you can, before arrival to Costa Rica, to the following e-mail address: registrar + _at_ + iclc.ws

Section D.  Flight Information

27.

Flight Arrival Information

Date of arrival  
    Airline  
    Flight Number  
    Time  
         
28.

Departure Information

Departure Date  
Airline
    Flight Number  
    Departure Time  
         
 

If you do not have this information yet you can send it as soon as possible, to the following e-mail address: registrar + _at_ + iclc.ws

 Airport transfer will be provided upon request, if arrival time to Juan Santamarķa International Airport in Costa Rica is before 10:00 p.m.

Send your picture to the following e-mail address: registrar + _at_ + iclc.ws to help the host family identify you at the International Airport.


Section E.  Information for placement with a host family

If you are not requesting host family accommodation please ignore the following questions and continue reading on section F.

     

For more details in your answer, use the text box

29. Do you smoke?  
30. Do you like pets?  
31. Would you like a family with children?  
32. Do you have any dietary requirements?
33. Do you suffer from any types of allergies?  
34. Do you have special interests, activities or hobbies?  
35. Do you have any physical or emotional disability
we should take into consideration in choosing
an appropriate host family for you?
 
36. Specify height and weight if you consider it necessary
for the selection of a proper homestay accommodation:
(please specify the unit you are writing the values)
 
37. List any medications you are taking:  
38. Are you traveling with a companion?  
37. If the answer to previous question is yes, would you like you and your companion to be placed with the same host family?  
38. If not in the same house, would you like to be
in the same neighborhood with your companion?
 
39. If you feel there is anything else we should known in order to best place you with a compatible host family, please indicate.  

Section F.  Request for volunteer work opportunity

If you are not requesting volunteer work opportunity please ignore the following questions and continue reading on section G.

40. Specify the purpose
to request volunteer
work opportunity
  To complete internship hours
To complete community service hours
To complete volunteer work hours
To complete service learning hours
With the sole intention to practice the Spanish Language with locals
Other reason
41. Length of
Volunteer Work
  weeks
       
42. Volunteer work
starting date (Monday)
 
43. Volunteer work
ending date (Friday)
 
       
44. Ideal number of
work hours per day
  hours
45. Expectations  
       
46.     Program preferences (please select three (3) and also enter its priority):
  Priority Selection    
 

  National Park projects throughout the country. Available all year.
 

  Day care Centers.
Closed the first two weeks of July and from December to February.
    Public Elementary School.
Closed the first two weeks of July and from December to February.
    Private Elementary School.
Closed the first two weeks of July and from December to February.
    Public High School.
Closed the first two weeks of July and from December to February.
    Children Social Institutions. Available all year.
    Seniors home. Available all year.
    Art Academy (private). Available only if there are students in Modern Arts enrolled.
    Foundation for special education.
Closed the first two weeks of July and from December to February.
    Special Education School.
Closed the first two weeks of July and from December to February.
    Hospitals. Available all year.
       

Requirements:

  • US$120 nonrefundable placement fee
  • Payment for homestay accommodation for the duration of the volunteer work
  • Send to the following e-mail address: voluntarios + _at_ + iclc.ws
    • Resume including picture
    • Two recommendation letters
    • Personal letter describing yourself, explaining expectations and specifying why you wish to participate on volunteer work opportunity

  • In regards to prove of attendance:

    If you require prove of attendance of the volunteer work completed, you need to personally inform the Director of the work Institution at the beginning of the experience.

    ICLC Administration is not authorized to extend certifications or to provide number of hours attended at the work Institutions where students will work as volunteers.

Section G.  Terms and Conditions

  • If a change of plans in regards to scheduled tours and/or cultural activities occurs, the Institute will either plan another excursion or activity of the same value or the student will be compensated with the amount corresponded to that activity.

  • A US$200 charge will be requested for all cancellations

  • 25% charge will be requested for all cancellations if you belong to a group program

  • No refund is granted once the course begins. Programs cannot be altered or changed once the student has started the classes at ICLC.

  • Click here to read: Terms and Conditions

  • I have read ICLC cancellation policies and I agree.

  • I understand that if I belong to a group from a High School, College or University I also need to read and understand the terms and conditions from that specific Institution.

  • Should it become necessary to enforce the terms and conditions of this agreement with ICLC by any means, including but not limited to arbitration, negotiation or the filing of any legal action, the prevailing party in such action shall be entitled to reasonable attorney's fees and costs.

  • The validity, interpretation and performance of this agreement shall be controlled by and construed under the laws of Costa Rica.

 

Comments:


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For questions or information regarding the new family homestay, please contact:
Instituto de Cultura y Lengua Costarricense
P.O. Box 609-4050
Alajuela, Costa Rica
Phone: +506 2-458-8485   Fax: +506 2-458-8473
Contact link form.

Last Update:  2016-09-18

     
 
 
 
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