ENROLLMENT
FORM (Please read the REFUND POLICY at the end)
Please
complete, print and send the following application form. Send it by postal mail to:
Amistad Institute S.A.
Apdo. 258-3009, Heredia.
COSTA RICA
Print it, scan it and send it by email to ([email protected])
or by fax (506) 269.0005.
Also,
please remember to send your deposit information.
Type
of program:
from week
to
Week 1 is your first week of classes.
If
you choose VOLUNTEER, please write the area.
If
you are applying for two different programs please select the
second program from the menu below.
from week
to
If
you choose VOLUNTEER, please write the area.
Total
number of weeks at the Institute:
(please fill this)
Comments about your program:
Classes start:
_ _ Homestay:
Yes
No _ Homestay starts:
Your
complete name:
Tel.:
Fax:
E-mail (required field):
Sex:
Male
Female
Age:
Citizenship:
Are you interested in receiving credit through a university? If
so, please detail:
Professor:
Department:
University or college:
Email:
Where did you hear about Amistad Institute? (please name)
Date of arrival:
Comments:
The deposit will be paid in the following way:
REFUND POLICY: $100 of the enrollment deposit is non-refundable.
$50 will be refunded if Amistad Institute receives a written cancellation
notice at least 1 week before the beginning of the program.
The fee paid for the first 4 weeks of any program is non-refundable.
Substituting one component for another is not allowed. Students who,
for any reason, withdraw from a program or any portion of it within
the first 4 weeks, do so at their own expense.
All refunds after the first 4 weeks will incur a 15% cancellation fee,
and will be made only if the student notifies Amistad Institute,
in writing, at least 1 week in advance of the cancellation.
There will be no partial refunds for days of class,
homestay or excursions missed, nor will the student be able to make
them up at a later date.
Refunds will be given only to those students who have enrolled
directly and made their payments to Amistad Institute. Refunds will be made
to the source of payment and never in cash.
Students who have signed up through another organization must
request refunds directly from them.
LATE REGISTRATION: There will be a late registration fee of $25 for
applications received less than two weeks before classes begin.
I am submitting this application form in order to get enrolled with Amistad Institute.
By sending this application I accept that I have read and accept
Amistad Institute's refund policy as described above.
Specials 
