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| First
Name |
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Last
Name
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| Sex |
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| Birth
Date |
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| Nationality |
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Passport
#
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| Occupation |
Student
Work (please skip #3 Studies)
Retired (please skip part #3 Studies)
Others (please skip part #3 Studies) |
| Interests/Hobbies |
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| Apt#
/ Street |
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| City
and State |
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Postal
Code
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| Telephone |
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| E-mail |
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Telephone # and name of a responsible person for emergencies
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A) High School |
B)University |
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| Name
of High School |
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Name
of University
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| Do
you wish to obtain credits? |
Yes ($15 for handling paper work when applying for college credits) |
|
No |
|
If
yes, answer the questions below |
| How
many credits do you wish to obtain ? |
|
| What
kind of credits are you applying for ? |
Graduate credits |
Undergraduate credits |
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C)Others |
Please
specify
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| Spanish
Level |
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| Mother
tongue |
Other
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| Other
Language |
Other
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| Have
you studied Spanish before? |
Yes
No |
|
If
yes, answer the questions below |
| Where? |
|
How
long?
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A)Language Studies |
| You
wish to study |
Spanish |
Spanish OnLine |
K'iché |
|
|
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| When
do you want to start your classes? |
|
| How
many weeks do you want to study? |
|
Which
method do you
prefer to learn Spanish?
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| The
focus of your Studies will be |
|
|
Personal Interest |
Business |
|
CLEP |
Academic |
|
PRAXIS PPST
|
Survival |
|
SAT II Spanish |
Prep for an Oral Proficiency Exam |
|
Spanish for Business |
Prep for Foreign Services Institute Interview |
|
Spanish for Children |
Spanish for Health Care Professionals |
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Spanish for Educators |
Others
|
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B) Spanish Literature Studies |
Please
enter here the kind of literature you want to study
|
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Precolombina
Description |
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|
Conquista
Description |
|
Modernista
Description |
|
Vanguardista
Description |
|
Boom
Description |
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Narrativa
Testimonial Description |
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| Special
dietary needs |
No
Vegetarian |
Others
|
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| I
would rather live with a family |
with children
without children |
|
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| Do
you have any medical problem? |
No
Yes
|
| Do
you have any allergies? |
No
Yes
|
|
|
| Would
you like to be met at the airport for the extra fee? |
Yes
No |
Which
Airport?
|
|
|
|
If
yes, answer the questions below |
|
|
| Airline |
|
Flight#
|
|
|
|
|
| Date
of arrival (Guatemalan Time) |
|
Time
of arrival
(Guatemalan Time)
|
**Specify AM or PM** |
|
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|
| You
wish to pay by: |
Bank Transfer (Please see our contact
page for accopunt information.) |
|
Check (indicate check number, amount, date and send
to our USA office) |
| Total
amount of check (US$) |
|
Number
of check
|
|
|
| Date
send by mail |
|
If paying by bank transfer,
please call our USA office (see Contact
page) for account information.
If paying by check, send to USA office (see Contact
page).
If we do not receive your
check within 8 days of receiving your application (for your
US citizens), your name will be automatically deleted. Students
from Canada 12 days and 15 days for students from other parts
of the world. For students applying for internship, after
receiving your registration and deposit, we will call you
for an interview. If you are accepted, we will e-mail you
a confirmation. Please do not forget to send us all the neccesary
items listed on the requirements page.
*The
Casa Xelajú bus will be at the airport on June 18,
June 22, and July 8, 2007. We can take your directly from
the airport to your host family´s house in Quetzaltenango.
Space is limited and reservations are based on a first come
first served basis. If interested, put in your application
under comment section that you would like this service or
send an email to jaime@casaxelaju.com.
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| Where
did you learn about Casa Xelajú? |
|
Comments
and sugestions will be appreciated.
|
| Do
you wish to volunteer for our community project in the afternoon
? |
Yes
No |
|
For more information
on the volunteer project, please see our La
Pedrera web page.
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