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APPLICATION Via Regular Post
PLEASE PRINT and SEND TO COSTA RICA ADDRESS ALONG WITH A DEPOSIT CHECK EQUAL TO 15% OF YOUR TOTAL TUITION MADE OUT TO " IPEE "

Checks should be at Teller's or Cashier's check, personal checks accepted with prior approval.

Name: __________________Street address: _________________________
City:___________________ State: ______________ Zipcode: __________
Country:___________
Telephone: (____) _____________ Fax: (____) _________
Email: ______________________ Age: ___ Sex: ____
Marital status: __________ Name of course: ________________________
Length of course: _____________
Course start date: ______________ Home stay start date: ______________
Home stays usually start the Sunday before class and end the Saturday after your last class. $20.00 PER DAY FOR
EACH EXTRA DAY).
Will you require extra home stay days? ________
How many before Sunday? _______  How many after  Saturday? _______
Will you require transcripts of a grade? ___________
From where did you learn of IPEE? ______________________________
-Flight information is not required to apply.  However, it is important that we
know when to pick you up, and so we can alert your host family.  E-mail
your flight info as soon as you are able.-
Date of Arrival: ___________ Flight No. _________ Time: ___________
Last Airport before landing in San Jose? ___________
Do you have any physical disabilities?_____________________________
Are you a vegetarian? __________
Special dietary needs?____________________
Do you have any preferences of your host family, or any special requirements?
_____________________________________________________________
_____________________________________________________________
Approx. language level: ____ Beginner _____ Intermediate _____ Advanced 


REFUND POLICY: $100 OF THE ENROLLMENT DEPOSIT IS NON-REFUNDABLE. $100 WILL BE REFUNDED IF IPEE RECEIVES A WRITTEN CANCELLATION NOTICE AT 4 WEEKS BEFORE THE BEGINNING OF THE PROGRAM. THE FULL DEPOSIT WILL BE REFUNDED IF THE SCHOOL CANNOT ACCEPT THE STUDENT AT THE TIME HE OR SHE WANTS TO ATTEND. STUDENTS WHO WITHDRAW FOR ANY REASON DURING THE FIRST 4 WEEKS OF A PROGRAM DO SO AT THEIR OWN EXPENSE. ALL REFUNDS AFTER THE FIRST 4 WEEKS WILL INCUR A 20% CANCELLATION FEE AND WILL BE MADE ONLY IF THE STUDENT NOTIFIES THE SCHOOL IN WRITING AT LEAST 2 WEEKS IN ADVANCE OF THE CANCELLATION. REFUNDS ARE CALCULATED ON A WEEKLY BASIS. THERE WILL BE NO PARTIAL REFUNDS FOR DAYS OF CLASS OR HOME STAY MISSED, NOR WILL THE STUDENT BE ABLE TO MAKE THEM UP AT A LATER DATE. STUDENTS WHO REQUEST HOME STAYS BUT DECIDE LATER TO MAKE THEIR OWN LODGING ARRANGEMENTS WILL STILL BE CHARGED FOR THE HOME STAYS, UNLESS WRITTEN NOTIFICATION AT LEAST 2 WEEKS PRIOR TO THE BEGINNING OF THE PROGRAM.REFUNDS WILL BE GIVEN AT THE SCHOOL ONLY TO THOSE STUDENTS WHO HAVE ENROLLED DIRECTLY AND MADE THEIR PAYMENTS TO THE SCHOOL. STUDENTS WHO HAVE SIGNED UP THROUGH A DIFFERENT ORGANIZATION MUST REQUEST REFUNDS DIRECTLY FROM THEM.

ENROLLMENT: TO ENROLL, PLEASE SEND THE COMPLETED APPLICATION ALONG WITH YOUR DEPOSIT MADE OUT TO "Emma Valverde / IPEE". THE BALANCE OF YOUR FEE WILL BE MADE AT THE SCHOOL (CASHIERS CHECK OR MONEY ORDER OR TRAVELLERS CHECKS ALSO IN US FUNDS).

I AM SUBMITTING THIS APPLICATION FORM IN ORDER TO BECOME ENROLLED IN IPEE. I HAVE READ AND ACCEPT THE SCHOOLS REFUND POLICY AS DESCRIBED ABOVE, AS WELL AS CONDITIONS PUT FORTH BY ANY AGENCY THROUGH WHICH I HAVE ENROLLED. ANY OF THESE TERMS MAY BE WAIVED BY APPROVAL BY THE DIRECTOR OR AN IPEE ADMINISTRATOR, THIS WAIVER MUST BE IN WRITING.

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APPLICANTS SIGNATURE and DATE


Approximately one week prior to your class start date, IPEE School will send your family information and cultural tips that help you plan your trip and know what to expect approximately 1 week before your class start date.  Applications are accepted even if you don't have your flight information yet, but make sure you keep us informed as soon as you receive your flight schedule. The home stay families will then know when to expect you, and our airport pick-up service will then meet you when you arrive.