Day of birth
Month of birth
Year of birth
Program you are enrolling for:
Number of weeks:
Type of classes:
Hours per day
Days per Week
Dates you will be at the academy?
Will you require a grade or transcript?
Do you want to be picked up at the airport?
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?
Why did you choose CRLA.?
What type of lodging do you prefer:
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:
PERSON TO NOTIFY IN CASE OF EMERGENCY
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.