ICADS - Institute for Central American Developments Studies

Term(s) applied for: (i.e. Fall, Spring )
Name: Mr./Ms.	*
Date of birth:
Passport number:
Social security number:
E-mail address:	*

College or University:
Major Field:
Present Class:	Fresh Soph Jr. Sr. not currently enrolled in college Other (specify)
Current Address:
Telephone:
Name of Parent or Guardian:
Parent E-mail:
Address (include ZIP)

Home Telephone (include area code):
Parent Fax:
Mother's Profession:
Father's Profession:
Addresses, telephone number and specific dates for any times (e.g., vacations) that you will be off-campus until the begins:
Contact Person to be Notify in Emergency:
Contact Address (if different from home address) and Phone:
Contact E-Mail:

I have asked the following persons to write in support of my application:

Name:	Title:
Name:	Title:
Required Signatures (ON HARD COPY ONLY)
Applicant:	Date:
Applicant's Academic Advisor: **	Date:

** Your signature will affirm that this program is consonant with the applicant's academic program. Also, your signature will indicate that to the best of your knowledge the applicant has demonstrated sufficient emotional stability and maturity to participate in an off-campus program requiring adjustment to a different environment and intensive interaction within a small group of fellow students.

How much formal study of Spanish have you had and where?

Have you ever traveled or lived in a Spanish speaking country?
If so, where and for how long?

List all courses not on your transcript but which you will have completed before the beginning of the program.

List any courses which you may have taken involving statistics, fieldwork, quantitative data analysis, and/or research methodology in the discipline in which you plan to do field study while in Costa Rica.

What course work and reading have you done on Latin America?

Have you ever participated in a field work program or independent research project? (If so, please specify.)

List any honors or scholastic awards.

Do you have any health problems about which the Program Director in Costa Rica should be informed (e.g., food restrictions, allergies, special medications, disabilities)?

Have you participated in extracurricular activities related to issues covered by this program? If yes, please describe them.

Describe your reasons for wishing to participate in this program.

Have you ever worked with or lived among people quite unlike yourself? If so, please discuss the circumstances and your adjustment to them.

This program places emphasis on independent field research and work. You are bly urged to consult with appropriate faculty members on your home campus about a project before departure for Central America. Please outline your proposed project (not required) and designate the professor(s) with whom you have consulted. If you are undecided, please discuss several topics in which you might be interested.

PROGRAMS

Field Course in Resource Management & Sustainable Development
(Costa Rica and Nicaragua)

PROGRAMS

Field Course in Resource Management & Sustainable Development (Costa Rica and Nicaragua)

Field Course in Resource Management & Sustainable Development
(Costa Rica and Nicaragua)