Registration

PERSONAL INFORMATION
Name*
Last*
Gender*
Day of birth
Month of birth
Year of birth
Nationality*
Occupation
Email*
Phone 1*
Phone 2
ENROLLMENT
Program you are enrolling for:
Number of weeks:
Type of classes:
Hours per day
Days per Week
Dates you will be at the academy?
IN / First day classes
Day
Month
Year
OUT / Last day classes
Day
Month
Year
With homestay?
Will you require a grade or transcript?
Do you want to be picked up at the airport?
Date
Day
Month
Year
Time (24 hour)
Airline
Flight #
What languages do you speak?
Have you received Spanish classes before? (Please specify)
In what level of Spanish do you consider to be at this moment?
How did you hear about CRLA? I am a former studentWord of mouthInternetTrip AdvisorMagazine / BookI am part of a groupOther Source
Please specify
Why did you choose CRLA.?
HOMESTAY INFORMATION
What type of lodging do you prefer:
Room
Atmosphere
Diet
Children
Smoking
Do you smoke?
Do you have allergies or other relevant health problems? (Specify)
Most Costa Rican families have pets. If you have any pet allergies or a strong dislike for pets please indicate this.
Other preferences and comments:
Dates you will be at the home stay:
IN / Arrival
Day
Month
Year
OUT / Departure
Day
Month
Year
PERSON TO NOTIFY IN CASE OF EMERGENCY
Name
Last
Phone 1
Phone 2
Email
Additional Information
Comments NOTE: The information provided will be used to make the best possible match between the student and the family. Although we try to meet as many of the student's desires, we do not require that the family or the Academy provide everything that the student has checked off.

Approximately 3 weeks prior to your class start date, you will be sent your host family information, emergency phone numbers and tips to help you get ready for your trip. In one or 2 days (or 3 days during the weekend), you will receive an e-mail verification upon receipt of your application. 

LEARN SPANISH & LEAVE A POSITIVE FOOTPRINT

CRLA students have the opportunity of contributing to make a tangible difference in our world and to leave something positive for future generations.