You must keep us informed of your flight information if you don’t have it yet.
IPEE E-MAIL APPLICATION

Open your e-mail program, and paste the application (the part between the dashed lines)  into it.
You can can complete the application once it is pasted into your the e-mail message.
If you double click on this  ipeecr@racsa.co.cr  it should open your e-mail program.
If you have any problems just e-mail me, and I’ll send an e-mail application to you.

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Name:
Street Address:
City:
State:
Zip:
Country:
Telephone:
Fax:
Email:
Age:
Sex:
Marital Status:
Name of Course:
Length of Course:
Course Start date:
Home stay start date:
How many extra home stay days:
Will you require grades or transcripts:
What school are you attending now:
Name of your professor or study abroad adviser:
From where did you hear of IPEE:
Last airport before arriving in San Jose?
Date of arrival:
Flight Number:
Time:
Physical Disabilities:
Vegetarian:
Special dietary needs:
Family preferences:
Approximate language level:
Balance due:
Deposit:
Comments:

Emergency Contact: Please provide the following information of someone close to you whom we can contact in case of emergency.

Name(s): 

Relationship:

Street:

City:                    State:               Zip code:

Phone:  

 Fax:
E-mail:

Work phone:

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Approximately one week prior to your class start date, you will be sent your host family information, emergency phone numbers and cultural tips to help you get ready for your trip.

You will receive an e-mail verification upon reciept of your application, SO DON’T FORGET TO INCLUDE YOUR E-MAIL ADDRESS ABOVE!

The Balance Due will be payable at the school when you get there, and that payment should be made out to “IPEE”, only.  This payment should be in the form of a money order, cashier’s check or travellers checks.  We can not accept US Postal Money Orders, since they are negotiable only within the US.