IPSA - International Partners for Study Abroad 



to Granada Spanish Language School

Please print out this form from your browser, complete (print or type) and sign the Apllication and send it by mail to: IPSA Enrollment Center 224 Datura Street, Suite 1100 West Palm Beach, FL 33401, USA or by Fax to: +1 (561) 629-5983 Application Deadlines Normally, we must receive a complete set of application documents and fees no later than 30 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): ___________________ Native language: __________________ Do you need a student visa to study in Spain? __yes __no 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:

Which course would you like to study? Intensive, Superintensive and Spanish for Life Courses Please check one of the following courses: __Intensive (1-11 weeks) __Superintensive (1-11 weeks) __Spanish for Life - 12 weeks and more - Intensive __Spanish for Life - 8 weeks and more - SuperIntensive Examination Courses Please check one of the following courses: __D.E.L.E.: C.I.E. (26 classes) __D.E.L.E.: D.B.E. A - 40 classes __D.E.L.E.: D.B.E. B - 60 classes __D.E.L.E.: D.B.E. C - 80 classes __D.E.L.E.: D.S.E. - 80 classes Individual Training Course: Please enter the specialization you would like to study: ___________________________________________________________________________ Please check the number of private lessons per day: __2 __3 __4 __5 __6 Specialized Courses __Intensive Tourism* __Part I __Part II *To obtain the Chamber of Commerce Basic Certificate in Business and Tourism it is necessary to do the 2 parts of the course. __Curso de Repaso for Teachers of Spanish: __group __individual __Work Experience Program Program includes 6 weeks minimum of language course, 2 weeks of Professional Orientation course and 12 weeks of Internship. If you apply for the Work Experience program, please also select Intensive or super-intensive Spanish language course (6 weeks minimum). We will also need the following: 1. Resume either in Spanish or English, depending on the student's stronger language. 2. Short essay (1-2 pages) in Spanish: the student has to focus on the kind of experience he/she wants to have, what he/she wants to learn what kind of internship the student wants, and why. 3. Two recommendation letters from former employers. 4. Home campus authorization for those seeking academic credit. You should apply as far in advance as possible (at least 3 - 5 months in advance of the language study start date) to allow for all phases of the enrollment process, document collection, approval and arrangements to be completed. Spanish and Fun __Christmas course (Seville, Granada and Tenerife) __Junior Summer Spanish Program (Granada) __Spanish and Specialization in Arabic Culture I Wish to Start Classes on ___(Day) _____________ (Mo) ______(Year) For how many weeks do you want to register: ____Number of weeks What is your present level of Spanish? __Beginner __Elementary __Low Intermediate __Intermediate __Advanced


Please select the accommodations you prefer: Host family accommodation: __Single room: __with breakfast __half board __full board __Double room: __with breakfast __half board __full board Student Flat: __Single room __Double Room Student Residence: __Single room __Double Room 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 C. Payment of Fees:

Please note that your application will be considered only when your payment of the non-refundable Application Fee of 80 USD and the Tuition Deposit of 200 USD has been received. Payments of the application fee and deposit must be made in U.S. dollars and payable through U.S. banks. Any collection charges will be the applicant's responsibility. Please select one of the following payment options: 1. __Please find enclosed a certified check/money order for the application fee and the tuition deposit. Cashiers Checks or international money orders must be made payable to IPSA. Please send a check or international money order with your application to: IPSA 224 Datura Street, Suite 1100 West Palm Beach, FL 33401, USA 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 and the tuition deposit by wire transfer. Please send me instructions on how to send the wire transfer to your bank account. 3. Payment by Credit Card: Please select credit card: ___VISA ___MasterCard Credit Card No: _____________________ Expiration Date: Month ____ Year_____ Card Verification Value: ___________ (The last three digits on the back of your credit card after the credit card number.) Cardholder Name: __________________________________________________________ Street Address: __________________________________________________________ City:______________________ State:___________________ Zip Code:__________ I authorize to charge the above credit card account: ___ application fee and deposit ___ application fee and full payment due Even if you select a "full payment" option, we will charge the application fee and the tuition deposit at the time of accepting your application and will process the payment of the balance to your credit card only after registering you for the course. Please also note that if you would prefer to pay the balance by credit card, a 4.5% payment processing service fee will be included in the invoice. 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 Study Abroad International web site constitute part of my agreement with IPSA 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 assume all risks and responsibilities and discharge IPSA and the study abroad program host and all their officers, agents and employees from and against any and all claims of damage to personal property or personal injury which may result from my enrollment and participation in the study abroad program host courses, excursions, and/or on and off-campus activities. I have read all terms and conditiones and rules and agree to follow all IPSA and study abroad host procedures and regulations. This Agreement will be effective when my application is accepted by IPSA and shall be governed by the laws of the State of Arizona. Applicant's Signature ______________________ Date: ___________________ Parent's/Legal Gardian'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.