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

2025 Educators Immersion Registration

Please fill out this registration form in its entirety and submit. Your information may or may not be saved on this page if you navigate away.

"*" indicates required fields

Tell us how you heard about this program?*

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

Select Your Immersion Program

Which Spanish for Educators Immersion Program are you applying for?*

Programs technically begin on Monday morning at 8am. However, we usually have activities scheduled for the Sunday prior, including an orientation and walk around town. 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!

What is your shirt size?

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

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...

Personal Information

Name*

First Last

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

Gender

Date of Birth

Passport number & Expiration

Allergies (Food & other)

Medical Conditions

Emergency Contact Information

Full Name*

Relation to Participant*

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, 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.

Date of Issue

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

YYYY

Date of Expiration

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

YYYY

Is your passport issued by the United States of America?

Yes

What country has issued your passport?

Medical Information

Primary Care Provider*

Phone Number*

Medical Insurance Carrier*

Policy Number*

Health Conditions*

List any health conditions (physical, mental, etc.) 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.

Medications*

Please list any medications / vitamins you are taking. This information is kept extremely confidential, but is useful in case of emergency.

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, medications, etc

Special Dietary Needs

Please list all special food requirements you require.

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

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? Dietary, physical, other?*

Do you smoke?*

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

Briefly Describe your Spanish experience*

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

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

Speaking Proficiency*

Oral Comprehension*

Reading Comprehension*

Writing Ability*

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

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*

8 thoughts on “Teachers Immersion Registration Form”

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