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CIS
Colonia Libertad,
Avenida Bolívar # 103
San Salvador, El Salvador
Teléfonos:
(503) 2226-5362
(503) 2235-1330
e-mail: cis_elsalvador@yahoo.com
Please type or print neatly
Name:
Date of birth:
Address:
Country:
Telephone:
Fax:
Email:
Passport number and expiration date:
What dates are you interested in attending the school?
How did you hear about the school?
Occupation:
Do you have any special skills (technical, health care, teaching ESL, computers, etc.)?
Have you been active in community, international solidarity, or political organizations or parties? Please describe.
Have you traveled to Latin America or elsewhere? If so, where, when, and what did you do?
Have you studied Spanish or other languages before? Please describe.
At what level do you consider your Spanish speaking skills? (circle one)
zero beginner intermediate advanced conversational fluent
Do you plan on participating in the afternoon political-cultural program? If so, what are your interests for this program?
What are your housing preferences? Do you prefer a home stay with a family, a guest house, with other students, by yourself?
Are you a vegetarian? Do you have any allergies to food or medication? Do you have any health problems or restrictions?
Medication currently being taken:
Please briefly answer the following questions
Why do you want to participate in this program? What do you hope to get out of the experience?
Please give us your views on Central American issues.
To apply, either print and mail this application to our address above with your US$25 application fee, or copy and paste it into email and send it to us at cis_elsalvador@yahoo.com.
We hope to see you in El Salvador!