Excursion Program Application

WebPage Design by Lars Meyer - Volunteer in the Pop-Wuj Social Work Program

Please fill in the application completely and click the Submit button at the bottom. A non-refundable deposit of 100,- USD per participant in the form of a money order or personal check made out to “Centro de Estudios Pop Wuj” is required with the application to reserve your place in the Excursion Spanish Immersion Program. The balance of the payment can be made upon arrival at the school.

Should you have any problems with the registration then please write us an E-Mail to info@pop-wuj.org or call our office under +502 (7761) 8286

Personal Details

mm/dd/yy

Address and Contact Details

Emergency Contact

Guatemalan Homestay

Spanish Skills and Interests

Arrival and Timeline

mm/dd/yy

Name

Occupation

Date of Birth

Sex

Passport No

Country of Issue

Street

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-Mail Address

Name

Relationship

Country

Home Phone

E-Mail Address

Would you like to stay

with a Guatemalan Family ?

Do you prefer a family

Please describe any allergies

(e.g. cats, smoke) special dietary

Level of Spanish skill

How did you hear about the school

If answer is Other, please specify.

Please describe briefly any particular interests you have that would help us plan your program of study

Date of arrival in Xela

Monday start date

Number of weeks you

wish to reserve

Would you like to be met at La Aurora International Airport in Guatemala City?

Airline

Date of arrival

Flight number

Time of arrival

Would you like to stay with a host family

in Guatemala City for the night?

Calendar ?