Spanish Language Center 0f Intibuca (SLC)

Submit Your Application To The

Spanish Language Center

 Please print out this form from your browser

  Complete (print or type) and sign the Aplication
                               and send it by mail to:

Dr. Carol Cross, Director

Asociación Intibucana de Comunicación

Barrio Lempira de Intibuca,

Contiguo a la cooperativa mixta de COMIXCIL

Intibuca, Intibuca, Honduras

011-504-783-0199  or by Fax to: 011-504-783-0054

Or email to honducopa@yahoo.com

Application Deadlines

We must receive a complete set of application  documents and fees no later than 21 days before the program starts.
 

Part A. Personal data:

First Name: ___________________  Last Name:  ______________________________

Home Address: _____________________________________________________________

___________________________________________________________________________

Telephone: (____)________________  Fax: [optional] (____)__________________

E-mail: [optional] ________________________________________________________

Date of Birth: (month/day/year) _____/____/___________    __ Male  __Female

Place of Birth (country, city):  __________________________________________

Nationality:  _________________  Citizenship (country): ___________________

SSN (U.S. citizens): _____-___-_______  Native language: __________________

Other languages, if any: __________________________________________________

    I am a college    __ freshman    __ sophomore    __ junior    __ senior

    __ Graduate Student    __ High School Senior        __ Interested Adult

    __ Professional.  Please enter your profession: _______________________

If you are a graduate or undergraduate student, please provide the
following information:

Current college/university/graduate school:  ______________________________

___________________________________________________________________________

Major field of study: _____________________________________________________

Address of your college, university: ______________________________________

___________________________________________________________________________

 

Emergency Contact:

Name:   ________________________________________________________________

   Relationship:______________________  Telephone: ________________________
 
   Address:   _____________________________________________________________

Part B. Program data:

Entry to Honduras

__Puerto Cortes  __ La Ceiba  ____San Pedro Sula   ___ Tegucigalpa


Which course would you like to study?

__Spanish Language Course, 20 hours per week

__Individual One-to-One Spanish Language Instruction

  Please enter a number of hours of instruction per day: ______


__8-week Summer Program

__14-week Spring Semester Program

__14-week Fall Semester Program


For how many weeks you want to register:  Number of weeks: ______ 


I Wish to Start Classes on ___(Day) _____________ (Mo) ______(Year)


What is your present level of Spanish?

__Beginner  __Elementary  __Low Intermediate  __Intermediate  __Advanced

Part C. Accomodations.

Do you require help with accommodations?  __yes  __no

If yes, please select the accommodations you prefer:

__Homestay                           

__Local Hotel:                          
 
Please give us details and your requirements, if you have selected Local
Hotel:

__________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

 
If you require accommodations, please also fill in below: 

Are you a smoker?   __yes     __no
 
If you have a special diet, please specify:

___________________________________________________________________________
   
If you have allergies, please specify: 

___________________________________________________________________________
 
If you have other requirements, please specify

___________________________________________________________________________

___________________________________________________________________________

Part D. Payment of Fees:

Please note that your application will be considered only when your
payment of the non-refundable Application Fee of $75 has been received.

Upon registering you for the course, we will send you an invoice for the balance
due and different payment options and instructions  (you will be able to pay the
balance by check/money order, wire transfer or by credit card).

All payments must be made in U.S. Dollars and payable through the US banks. Any
payment processing charges will be the applicant's responsibility.

Checks or international money orders drawn on foreign banks will not be accepted.


You can also select one of the following payment options to pay
the registration fee:


1.  Pay Through PayPAL - Go To Course Fee Page

011-504-783-0199

2. International Wire Transfers

You can make your payment by wire transfer. Just fax us your application
and request our account and bank information:

___I want to pay the application fee by wire transfer. Please send me the
   instructions on how to send the wire transfer to your account.


3. Payment by Western Union

Send Payment In Full To Dr. Carol Cross, La Esperanza, Intibuca, Honduras.  Email us at least two days in advance of all payments sent through Western Union.

      ___ application fee only   ___ application fee and full payment due



Comments: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Part D. Agreement and release.

By signing this Application, I certify the above information is complete and
correct. I understand that my misrepresentation may result in my expulsion
from the program. I acknowledge that the terms and conditions appearing on the
web site constitute part of my agreement with AIC and study abroad program host
(university, college, language school, or other institution and/or organization),
including sections concerning responsibility, health, refunds, changes in dates,
accommodations, courses and billing of the selected options. I have read the
Agreement and agree to follow all AIC and study abroad host procedures. This
Agreement will be effective when my application is accepted by AIC and shall be
governed by the laws of the Republic of Honduras..



Applicant's Signature ______________________       Date: _____________________


Parent's/Legal Guardian's 
Signature if applicant 
is under 18 years     _______________________       Date: _____________________



Please do not forget to make a copy of this completed and signed application
for your records and enclose your payment of the application fee

Links to Intibuca and Lenca Culture

Children of Intibuca  | Come and Roast Coffee the Lenca Way  | About Intibuca | Farming In The  Mountains Of Intibuca | Food and the Lenca | Lenca Arts and Crafts | The Lenca People | Get To Know The Lencas | Scenic Beauty is Everywhere | The Heritage of Lempira | The Land of Flowers | The Lenca Indian Heritage | The Lenca Mask | The Tourism Municipalidad of San Juan  | The Town of La Esperanza | The Mountain Cloud Forest  | Baile Folklorico de Intibuca |  Muebles Y Artesanias Intibucana | The First Festival Folklorico Intibucana | Manos Ajiles -Women Artisans de Yermaranguila | Intibuca Ranchero Musicians | Yamarangilla - Artisan Center of Intibuca

Contact Information 

Welcome To Open Ended World Of Culture Experiential Tourism.

Learn Spanish The Fun Edutainment Way. Join our Yahoo Group, FunSpanish and learn to speak the Language of over 400 million people.  Email to FunSpanish-subscribe@yahoogroups.com or go to the weboage at http://www.weshemsoc.com/funspanish_yahoo_group.htm  Soccer is the universal language of the world.    Your Child Can Learn Spanish And Play Soccer In Our SoccerNSpanish Camps.

 Subscribe to our free online tourism marketing newsletter,  Win-Win Marketing  Online Newsletter by emailing to honducopa@yahoo.com . Learn English Without Travelling to the USA in our English Language Center Become Certified To Teach English Through Our Online TEFL Certification .

  Home Page: www.weshemsoc.com/indexaid.htm  email us at honducopa@yahoo.com  Phone- 011-504-783-0199

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Copyright © 2005 AIC Spanish Language Center
Última modificación: 29 de March de 2006

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Ut wisi enim ad minim veniam, quis nostrud exerci taion