el casal APPLICATION FORM

 
 

Applying for: Fall 2008 / Winter-Spring 2009 / Fall 2009
 
Applicant Information:
Last Name:

First Name:
Middle Name:
Nickname:
Date of Birth
Social Security number
E-Mail
How did you hear about us?
Permanent address:
  
Street:
City:
State:
Zip:
Telephone:
  
Area Code:
Number:
Fax:
 
Area Code:
Number:
 
Parent or Guardian Information – 1
  Mr. / Mrs. / Ms.
Last Name:
First Name:
Middle Name:
E-Mail:
Fax
Address:
 (if different from applicant’s address):
Street:
City:
State:
Zip:
Home Phone:
  
Area Code:
Number:
Work Phone:
 
Area Code:
Number:
Should information and correspondence from El Casal be sent to this person? Yes No
 
Parent or Guardian Information – 2
  Mr. / Mrs. / Ms.
Last Name:
First Name:
Middle Name:
E-Mail:
Fax
Address:
 (if different from applicant’s address):
Street:
City:
State:
Zip:
Home Phone:
  
Area Code:
Number:
Work Phone:
 
Area Code:
Number:
Should information and correspondence from El Casal be sent to this person? Yes No
 
Secondary School Information
Name:
Address:
Phone:
Fax:
E-mail:
    
Your graduation date:
Name of counselor or advisor:
 
College/University Information
Name of college or university to which you have been accepted and which you plan to attend:
 
Address:
    
Date you intend to enroll:
Have you informed the college that you intend to defer enrollment until the date above? Yes No
Has the college agreed to defer your enrollment until that date ? Yes No
 
Educational Background and Interests

Which subjects appealed to you in high school?
 
Which subjects were least appealing?
 
What do you plan to study in college?
 
What are your career interests?
 
Describe briefly your non-academic activities at school (e.g. sports, clubs, leadership positions):
 
Briefly list your other interests, hobbies, etc.:
 
Have you ever lived, worked or studied in a foreign country? Please describe your experience(s) or the program(s) in which you participated:
 
Is there anything else that you’d like us to know about you as we consider your application?
 
Language Questionnaire

How many years have you studied Spanish at the secondary school level?

 Years
What was the most advanced course that you took (e.g., Span. 3, AP Span. Literature)?
What was your grade in that course?

Please provide us with the name(s) of your Spanish teacher(s) and contact information:
1.
Name:
School:
Address:
E-mail:
Phone:
    
2.
Name:
School:
Address:
E-mail:
Phone:
    
 
Have you studied Spanish in a setting other than a high school classroom? (Describe):
 
Is Spanish spoken in your home? Yes No
Do you speak Spanish at home? Yes No
Have you studied, or do you speak, any languages other than English or Spanish? Yes No
Which language(s)?
 
Community Service and Internship Information
 
Have you ever done volunteer work or community service? Please describe the activity or activities and the extent of your commitment.
 
Have you ever held an internship in a business or civic organization? Please describe the activity or activities and the extent of your commitment.
 
Homestay Questionnaire
 
The information you provide here will help us to place you with an appropriate host family. Bear in mind, however, that we can’t “manufacture” a family just for you. The process of adjusting to cultural differences—you adjusting to your Spanish family and your host family adjusting to you—is part of the challenge and adventure of living abroad!
 
Describe your family (your parents, your siblings, their occupations, hobbies, interests, religious practices, etc.) Which interests do you share with them? In which family activities do you participate?
 
Describe, briefly, the community in which you live.
 
Tell us what you are looking for in a host family.
 
Do you smoke? Yes No
 
Would you have trouble being around smokers or smoke? Yes No
 
Do you have any health concerns of which we should be aware, especially insofar as they may affect your host family placement (e.g., allergies to pets, dietary issues)? Please describe.
 
Are you vegetarian or vegan? Yes No
If “yes”, would you be willing to modify your eating habits while in Spain?

Your questions or comments.

 

This is the end of the application. Please double-check the information you have supplied, especially the contact information (your name, address, phone number and e-mail).