Spanish for Educators: Immersion Program Application

Teachers Immersion Registration Form

We’re excited to have you on our upcoming Spanish Immersion program!

Please complete your trip registration. If you have any questions or trouble completing this registration form, please contact u s.

Spanish for Teachers Immersion Application

No problem if you can’t fill out this registration form all at once. On the bottom of this form, you can see an option to “Save and Continue Later”. Go ahead and get started!

"*" indicates required fields

Select Your Immersion Program

Which Spanish immersion program are you registering for?*

Which dates are you registering for?*

Programs technically begin on Monday morning at 8am. However, we usually have activities scheduled for the Sunday prior. We suggest you arrive in country on the Saturday before the program begins. If you’re arriving while the program is already underway, consider arriving on the Friday before so that you can join us on a weekend excursion!

Program Location*

Choose your immersion program location from the following location options. **If you plan to switch locations from week to week, you may select more than one of the following. If you will stay in one location, please choose only one.

Cuenca, Ecuador

Santo Domingo, Costa Rica

Start Date (usually a Saturday)

“On Program” start dates for Sum’26 are: ➡️Ecuador: 6/20/26 & 6/27/26 | ➡️Costa Rica: 7/11/26 & 7/18/26

End Date (usually a Saturday)

Do you anticipate needing flexible start/end dates? OR – Have you pre-arranged custom trip dates?

We’re happy to work with you on your start/end dates within reason; let us know what you need! If you’ve pre-arranged custom dates with CGI, please specify here…

How Many Class Hours Per week?*

20hrs/week

15hrs/week

10hrs/week

Will all participants take the same amount of class hours per week?*

Yes

Please provide details*

Please specify in case a participant won’t be taking the classes, or will take a different amount of class hours than the rest of the family, or targeted specific classes (like Medical Spanish, or Spanish for educators).

How did you hear about this program?*

Do you remember if you were searching online… some sort of advertisement… social Media… a presentation?

What is your Tshirt size?

Please select your size. These are standard unisex T-Shirts… and they fit pretty true to size.

Personal Information

Name*

First Last

Profession/Area of Study*

Grade level / Subject Area

Employer / School where you currently teach

Home Phone

Cell Phone*

Email*

Please provide an email address that you check regularly. Program updates and documents will come to you primarily via this email address.

Gender Identity*

Please add your preferred pronouns here as well

Date of Birth*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Will any children, family members or special friends accompany you?*

Yes

Please list each of the family members traveling with you:

First & Last Name

Sex

Date of Birth

Passport # & Expiration Date

Allergies (food, pets, etc)

Parent / Guardian 1

Parent / Guardian 1*

First Last

Date of Birth*

Gender Identity

Thanks for being a family participant! We'd like to give you an immersion T-Shirt 🙂

Passport #

Passport Expiration Date

Please enter this date as it is on your passport: Month, Day, Year

Home Phone

Cell Phone*

Email*

Please provide an email address that you check regularly. Program updates and documents will come to you primarily via this email address.

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Is a second Parent/Guardian traveling as well?*

Yes

Parent / Guardian 2

First Last

Date of Birth

Gender Identity

Parent 2/guardian free t-shirt!

Please select your size. These are standard unisex T-Shirts… and they fit pretty true to size.

Passport #

Passport Expiration Date

Please enter this date as it is on your passport: Month, Day, Year

Cell Phone

Please provide an email address that you check regularly. Program updates and documents will come to you primarily via this email address.

Children

Please list each of the children traveling with you:*

IMPORTANT: We need a unique email address for each participant to issue their travel insurance. If your children don’t have their own email, you may use another email you have access to so you can receive their travel insurance confirmation.

First & Last Name

Gender

Date of Birth

Email address

Passport # & Expiration Date

Allergies (food, pets, etc.)

T-Shirt Size

Are your passports issued by the United States of America?*

Yes

From which country was/were your passports issued?

Emergency Contact Information

Name*

First Last

Relation to Traveler*

Email*

Cell Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Passport Information

Name Exactly as on Passport

First Last

Passport Number

You absolutely need a passport to travel in and out of Latin America, however this section is not required to fill out your application in case you don’t have one yet or it needs to be renewed. Please fill out this information if you have a valid passport.

Was your passport issued by the United States of America

Yes

From which country was your passport issued?

Date of Issue

Please enter this date as it is on your passport: Day, Month, Year

YYYY

Date of Expiration

Please enter this date as it is on your passport: Day, Month, Year

YYYY

Medical / Health Information

Primary Care Provider*

Phone Number*

Medical Insurance Carrier*

Policy Number*

Health Conditions & Medications

List any health conditions (physical, mental, etc.) and medications that we should know of. Conditions exacerbated by stress and fatigue would be particularly important to include. This information is kept strictly confidential; please include everything that will help us keep you safe and healthy while traveling abroad.

Have you completed the COVID – 19 Vaccination?*

Please select “yes” if 100% done, “No” if not at all, & “Other” and provide detail if you’ve not completed your vaccination regimen.

Yes

Other

COVID – Underlying Conditions

Please list any underlying conditions you have that may complicate your health if you were to contract COVID 19 while abroad.

Allergies

Please list any and all allergies to food, insects, pets, medications, etc – Your host family needs to know this information and we need it to make a good host family placement for you.

Special Dietary Needs

Please list all special food requirements that you have. Ex. It would be great to know if you’re vegetarian, vegan, gluten free, etc.

Host Family Information

Would you like a special recommendation for Hotel or Hostel Lodging?*

Our standard program includes host family lodging and 2 meals/day. However, some travelers are uncomfortable with that. Please let us know if you plan to opt-out of host family lodging. This will require special hotel or hostel recommendations that we’re glad to provide, but you’ll take care of paying directly to the hotel or hostel.

Yes

Are you a smoker? (or anyone traveling with you)*

Yes

Do you prefer a family with or without children?*

With Children

Without Children

Doesn’t matter

Do you need any special accommodations at your host family?*

Please be sure to mention any dietary, pet, mobility, space, etc preferences that you have so that we can make an adequate host family placement for you.

Would you like your own host family or share with another participant (in different rooms)?

Please note that depending on the country and availability you might have to share host families with another participant and you will each have your own private rooms.

I prefer not to share

I’m flexible and could share

Spanish Language Experience

Are you able to comfortably communicate in the present tense in Spanish?

Sí

No, ayúdame

Are you able to comfortably communicate in the past tense in Spanish?

Sí

No, ayúdame

Are you able to comfortably communicate using commands in Spanish?

Sí

No, ayúdame

Are you able to comfortably communicate using the subjunctive in Spanish?

Sí

No, ayúdame

Oral Comprehension*

Speaking Proficiency*

Reading Comprehension*

Writing Ability*

Briefly Describe your Spanish experience*

Please include number of years of Spanish in high school, college, or any related foreign travel, etc.

Please note the Spanish language experience of each person traveling with you:*

Descriptions like below are just fine:
Beginning
Intermediate
Advanced

First & Last Name

Reading Ability

Writing Ability

Listening Ability

Speaking Ability

What is your current language ability and experience with Spanish?

Please give a short description of each family member’s experience with the Spanish language, or let us know in case you don’t have any experience.

What should we know about your children's learning styles to best work with them while on immersion?*

Please include number of years of Spanish in high school, college, or any related foreign travel, etc.

Statement of Purpose / Interest in Immersion Program

Please explain why you wish to participate in this program and what you hope to gain from it.*

Please explain your top 3 goals for your family on this trip*

You can include more if you like – no problem!

What else should we know about your family to best assist you?*

Where would you like to go on your weekend(s)?*

We’ll be glad to assist you in choosing a great spot for your family to enjoy the weekends that you have.

What made you choose us for this Immersion program?*

Are you interested in receiving CEU credits OR graduate level credits for this Spanish immersion program?

Yes

Payment Information

Is your school or employer paying for this immersion program?*

Yes

Employer / School contact name that will be handling payment*

Employer / School Contact Email Address*

Employer / School Contact Phone*

10 thoughts on “Teachers Immersion Registration Form”

Renata
April 27, 2025 at 8:19 am

I am exhilarated to be a part of this program and to continue on my language learning journey. Costa Rica has always been on my Spanish speaking countries list of places to visit. Estoy entusiasmado por aprender más sobre la cultura allí.

Reply
1. Johanna Dima
  April 28, 2025 at 9:03 pm
  
  ¡Estamos entusiasmados de que seas parte, Renata! 😊🙌🏽
  
  Reply
Diane Auten
November 19, 2024 at 4:50 pm

Heading to Ecuador for the Spanish for Educators course June 21-July 1, 2025. Can’t wait!

Reply
1. Johanna Dima
  November 19, 2024 at 5:43 pm
  
  ¡Yay! ¡Bienvenida, Diane! 🙌🏽😊
  
  Reply
rebecca.smith.conklin
May 5, 2024 at 8:02 pm

I’m super excited and can’t wait to meet others on the trip and in CR.

Reply
Pauline Katz
May 7, 2022 at 8:31 am

Pretty psyched to meet all of you and live and learn in another culture for a while.

Reply
JILL WHITMIRE
March 13, 2022 at 5:57 pm

I am beyond excited! It is my first time traveling out of the U.S., and I’m excited to meet new friends and learn Spanish to help me communicate with the families of my students!

Reply
Bennae Dillingham
February 21, 2022 at 10:17 am

I can’t wait for the trip. I am SUPER excited to take on this new adventure!

Reply
Cara Lyn Bahney
January 28, 2022 at 3:20 pm

I’m so happy to be apart of this!

Reply
Nancy Schultz
May 5, 2021 at 12:13 pm

I am super excited!

Reply

Teachers Immersion Registration Form

We’re excited to have you on our upcoming Spanish Immersion program!

Please complete your trip registration. If you have any questions or trouble completing this registration form, please contact u s.

Spanish for Teachers Immersion Application

Select Your Immersion Program

Personal Information

Parent / Guardian 1

Parent / Guardian 2

Children

Emergency Contact Information

Passport Information

Medical / Health Information

Host Family Information

Spanish Language Experience

Statement of Purpose / Interest in Immersion Program

Payment Information

10 thoughts on “Teachers Immersion Registration Form”

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Teachers Immersion Registration Form

We’re excited to have you on our upcoming Spanish Immersion program!

Please complete your trip registration. If you have any questions or trouble completing this registration form, please contact us.

Spanish for Teachers Immersion Application

Select Your Immersion Program

Personal Information

Parent / Guardian 1

Parent / Guardian 2

Children

Emergency Contact Information

Passport Information

Medical / Health Information

Host Family Information

Spanish Language Experience

Statement of Purpose / Interest in Immersion Program

Payment Information

10 thoughts on “Teachers Immersion Registration Form”

Leave a Reply Cancel reply

Search…

Product categories

Please complete your trip registration. If you have any questions or trouble completing this registration form, please contact u s.