International Latin American Studies
Organization (ILASO)
does not discriminate on the basis
of race, color, national origin,
disability, age, gender, religion
or sexual orientation.
Documents from ILASO
that can not be sent via e-mail
will be mailed to your current
address prior to the payment due
date. Final documents will be
mailed to your permanent address
after the payment due date.
if
you pay by credit card, an additional
5% of the total price will be
charged. |
|
| CURRENT
ADDRESS |
Last Name
|
First Name
|
MI
|
Preferrend Name
|
Current Address
|
City
|
State
|
Zip
|
Current Phone
|
E-mail Address
|
|
| PERMANENT
ADDRESS |
Permanent Address
|
City
|
State
|
Zip
|
Permanent Phone
|
Cell Phone
|
|
| PERSONAL
INFORMATION |
D.O.B. (MM/DD/YYYY)
|
Age
|
| Place of Birth (City, State,
Country) |
Citizenship
|
Passport Expiration Date (MM/DD/YYYY)
|
Passport Number
|
|
LANGUAGE
PROFICIENCY:
HOW WOULD YOU CHARACTERIZE YOUR
ORAL PROFICIENCY IN SPANISH? |
|
Beginning |
Intermediate |
|
Advanced |
High Beginning |
|
High Intermediate |
Native Speaker |
|
PAYMENT
INFORMATION:
HOW DO YOU INTEND TO PAY
FOR THE PROGRAM? |
|
Personal Funds |
Combination |
|
Financial Aid |
Other |
Host University (ex: ULACIT)
|
Program Term (ex: Fall 1,
Fall 2)
|
Program Title (ex:
Spanish Language & Culture,
Volunteering, etc)
|
Second Choice (if first is
not available)
|
Program Price
|
|
| ACADEMIC
INFORMATION |
High School/College/University
|
Major
|
GPA
|
Minor
|
|
Freshman |
Sophomore |
|
Junior |
Senior |
|
Not Enrolled |
Other |
|
| FOREIGN
LANGUAGE BACKGROUND |
Number of Years Studied in School
|
College Language Courses Taken
|
|
PROGRAM APPLICATION