Intercultural Programs for
High School Students
Study Abroad in Spain

HOW TO APPLY

1º Fill in and send the application form
PERSONAL DETAILS
First Name:


Last Name:


Middle Initial:


Gender:
MaleFemale


Country of citizenship:


Date of birth:


Passport number:


Cell phone:


Email:


City:


State:


Current address:


ZIP code/country:


Current country:


Social Security number:


Place of birth:


Expiration date:


Home phone:



PERMANENT ADDRESS
City:


State:


Permanent address:


ZIP code/country:


Country:


Home phone:



EMERGENCY CONTACT INFORMATION
Please note: you must list a parent or legal guardian as your primary emergency contact.
1. Name:


Relationship to you:
ParentGuardian


Day phone:


Evening/cell phone:


Email address:


2. Name:


Relationship to you:
ParentGuardian


Day phone:


Evening/cell phone:


Email address:



COMMENTS/OTHER CHOICES OR SPECIFIC NEEDS (MEDICAL ATTENTION, DIETARY RESTRICTIONS)

CURRENT ACADEMIC INFORMATION
High School:


Current GPA:



Course: FreshmanSophomoreJuniorSenior
CHOOSE YOUR CURRENT SPANISH LANGUAGE LEVEL
Spanish language level: BasicIntermediateAdvancedProficiency


LIST SPANISH COURSES INCLUDING THOSE TAKEN IN HIGH SCHOOL

CHOOSE ACCOMMODATION
Accommodation for Academic Program: HotelDorm accomodationHost family
PROGRAM INFORMATION
Please indicate the date and courses you would like to study abroad with CIRI:
From


To


Academic Program: 2 weeks3 weeks4 weeks6 weeksCustomized Program
Inmersion Program: One weekTwo weeksThree weeksFour weeksFive weeksSix weeksCustomized Program

How did you hear about CIRI?:
Search engine on the internetProfessor (please, indicate the name below)CIRI Representative/Advisor (please, indicate the name below)Other person or institution (please, indicate the name below)
Please indicate name if corresponds:
Please press send the data in the page footer.


2º After sending the application form, click http://shop.ciricultura.com/authentication?back=my-account.php to create your account.


3º Once your account is registered (you will read WELCOME TO YOUR ACCOUNT. HERE YOU CAN MANAGE YOUR ADDRESSES AND ORDERS) select your program to the left of the page and pay the application $75 and either the First Payment - 30% of the total cost of the selected program as program fee deposit - or Full Payment. Both, the application fee and program fee deposit are non-refundable.


4º Select payment method: First payment 30% or Full payment


5º Then click “add to cart” and go to the left side of the page and click “check out”. Your personal information will appear and, if everything is correct, click “next”.


6º Shipping page will appear. Read and accept terms and conditions. Then click “next”.


7º Select PayPal or Bank wire option and you will be ready to pay.


8º When completing the application process, student must include two letters from their current high school or the graduating high school, from two staff members. These staff members may be a teacher, counselor or administrator.


9º If you selected 30% (as First Payment), you should pay the 70% of total cost no latter than 60 days before the start of the program. For this payment, go to shop, log in to your account, select your program and in payment method click on ‘second payment 70%’


10º Submit by email, no latter than 60 days before the start of the program, the next documents:

A copy of your passport and flight itinerary
Emergency Contact Information
Digital photo


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