• Spain 2015: Language, Culture & Service

    Sponsored by: IMPACT-LLS (Language Learning & Service) Inc. and Entrelenguas
  • Student Application and Deposit Form

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  • Parents and Emergency Contacts

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  • Passport Information

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  • Medical Information

  • The medical information provided on this form is confidential and will only be shared with the staff that will be working with your child and to the host family. It is imperative that all health issues be shared so that we can determine the best course of action for your child in the event of a medical emergency. Providing this information could be a key factor in the event of an emergency situation. 

    We also respectfully request a copy of your child's most recent physical for our records, as this information will be helpful and necessary. In addition to any pertenint medical information, any behavioral or psychological conditions or disorders should be mentioned below. If your child is seeing a therapist, please share the doctor's contact information in the event of a personal crisis.

    IMPACT hires the most qualified teachers and adminstrators in the world to work with your children. We are not staffed with an "on site" social worker or psychologist, but we do have a service on call for emergency reasons. For reasons of liability, it is imperative that all emotional/psychological health information is also shared so that we can put an action plan into place in the event of an emotional crisis.

    Failure to comply with this agreement will result in being charged the emergency hourly rate for the services IMPACT-LLS retains in the United States.  If the situation is untenable and the student requires serious medical attention or the student places an extraordinary burden on the support staff that exceeds beyond the scope and responsibilities IMPACT-LLS/Entrelenguas, IMPACT-LLS will withdraw the student from the program, and the child will be sent home at the parent/guardian's expense.

  • Home Stay Preferences

  • All families have gone through a comprehensive screening, which includes a criminal background check, a home inspection, and a persoal interview. We tend to favor families with previous hosting experience, with small or adolescent children, and most importantly, all families must have a genuine interest in working with your child.

  • Language Course History and Language Skill Self-Evaluation

  • Upon arrival, students will take a brief placement exam that will carefully examine six major criteria: vocabulary knowledge, familiarity of grammar, speaking, listening, writing, and reading abilities. Upon completion of the exam, students will be placed in the appropriate level of their ability. All levels are immersion-based classes, which means that all content will be taught in the target language (Spanish). The pacing will be swift and participation is crucial to the learning process. 

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  • Tuition and Payment:

  • The estimated program cost is: *$6,199.00  As soon as we collect the first deposit, we will begin searching for the best airline tickets available. This program cost includes: airfare, home stay (3 meals per day), travel insurance, mobile phone in Spain, instruction, classroom and instructional materials, school building lease, local transportation, admission to all museums and cultural events.

    SPENDING MONEY IS NOT INCLUDED IN THIS PRICE.

    *Prices may rise slightly to accommodate shuttles or transports out of Salt Lake City and we will keep you informed in the event of a price increase.

    Payments can be made by check or by Credit Card through Paypal (a 3% credit card fee rounded up to the nearest dollar will be added to the total amount).

    Payment Options:

    Plan: D1

    This plan divides your tuition into two simple payments after your initial deposit. 

    Tuition: $6,199.00

    Deposit: $1,500.00
    Payment 1: $2,350.00
    Payment 2: $2,349.00

    Plan: D2

    This plan divides your tuition into three simple payments after your initial deposit. 

    Tuition: $6,270.00

    Deposit: $1,500.00
    Payment 1: $1,590.00
    Payment 2: $1,590.00
    Payment 3: $1,590.00

    Plan: D3

    This plan divides your tuition into four simple payments after your initial deposit. 

    Tuition: $6,320.00

    Deposit: $1,500.00
    Payment 1: $1,205.00
    Payment 2: $1,205.00
    Payment 3: $1,205.00
    Payment 4: $1,205.00

    Plan: D4

    This plan divides your tuition into five simple payments after your initial deposit.

    Tuition: $6,375.00

    Deposit: $1,500.00
    Payment 1: $975.00
    Payment 2: $975.00
    Payment 3: $975.00
    Payment 4: $975.00
    Payment 5: $975.00

    Plan: D5

    This plan divides your tuition into six simple payments after your initial deposit.

    Tuition: $6,420.00

    Deposit: $1,500.00
    Payment 1: $820.00
    Payment 2: $820.00
    Payment 3: $820.00
    Payment 4: $820.00
    Payment 5: $820.00
    Payment 6: $820.00
    Please make checks payable to:
    IMPACT LLS c/o Laura Davenport 
    P.O. Box 6
    Kelly, WY 83011
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