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CIS
Boulevard Universitario #4
Colonia El Roble
San Salvador, El Salvador
Centroamérica
Tel/FAX: +503 226-2623
cis_elsalvador@yahoo.com
APPLICATION TO PARTICIPATE IN CIS SPECIAL PROGRAM:
Women’s history, the struggle for equality and human rights:
25th anniversary of U.S. churchwomen killed in El Salvador
CIS - delegaciones_cis@yahoo.com
NAME
ADDRESS
CITY / STATE /DEPT/PROV.
COUNTRY
PHONE NUMBER
PASSPORT NUMBER, EXPIRATION DATE, COUNTRY OF CITIZENSHIP:
DATE OF BIRTH
____Application to Salvadoran Women/Special Spanish Program:
November 12 – 28, 2005
____Application to Churchwomen anniversary Delegation:
November 28 – December 6, 2005
____Application to both programs
· Are you coming as an individual or with the backing of your community group, solidarity group, church, university, etc.? Please note if we can use your sponsoring group's name in publicity.
· How would you describe your Spanish level?
ZERO - BASIC - INTERMEDIATE - ADVANCED- FLUENT
· Are you fluent in English?
· If you are fluent in English and Spanish, are you willing to help translate?
· Are you a Vegetarian, or do you have any special food needs?
· Why do you want to participate in the CIS program?
· Do you have any special interests you would like to see included in the program? (We cannot guarantee it will be included, but will take your requests into account in designing the program).