Institute for International Perspectives

First Name

Last Name

Address

City

State/Province

Country

Zip/Postal Code

Phone Number

MiraCosta College Student ID number (if you have one)

Email

Country of Citizenship

How did you hear about the Costa Rica Program?

All participants must be 18 years of age or older by the date of departure.  Will you be 18 by June 13, 2008?
Yes
No

All participants must register for a 4-unit Spanish class to be completed during the 4-week study abroad program.  For a description and course pre-requisites, please review the course descriptions in the MiraCosta College General Catalog.  Which course do you plan to register for? 
Spanish 101
Spanish 102
Spanish 201
Spanish 202

Any comments or questions?