CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Instruction Sheet & Checklist
CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004
1. Print, complete and remit as directed the following information. The following forms are due May 1, 2004 (with the exception of the Medical Form which is due June 1). Failure to return required forms by the designated deadline may result in withdrawal from the program. Should you foresee any delay in the remittance of any required form, please contact your CIEE Enrollment Officer immediately. Participation Confirmation: To confirm your place on the program, return this form as soon as possible. Please see the Participation Confirmation Form for details. If you are paying the deposit by credit card please fax this form. Please do not fax and then mail if paying by credit card-you may be charged twice! If you are paying by check, please mail, do not fax. If you do not intend on participating, please note that on the form and return to CIEE. CIEE Program Participant Contract: This form includes terms and conditions and release of CIEE from liability information and MUST be signed by all participants. Medical Report Form: The deadline for this form is June 1st. This form must be completed and signed by a medical doctor. Make your appointment NOW. CAIE Form: This form must be completed and sent to CIEE ONLY IF YOU WISH to pursue the Certificate of Achievement in International Education. Course Pre-Registration Form: This form must be completed and you must have it signed by your academic advisor before you return it to CIEE. Please fax completed forms by May 1 (June 1 for the Medical Form) to:

207-253-0697
(Make sure to fax both sides of any double-sided form!) If you cannot fax your forms, please mail them to: CIEE – Spain Programs 7 Custom House Street, 3rd Floor Portland, Maine 04101-4739

2. VISA REQUIREMENTS: You are required to obtain a student visa prior to departure. Please read the attached guidelines carefully as they will give you advice on how to get your visa. It is imperative that you GET STARTED RIGHT AWAY. 3. PLEASE NOTE: In the coming weeks you will be receiving several e-mails from Cari Balbo (CBalbo@ciee.org), your Enrollment Officer for Spain, regarding housing preferences/special needs, contact information, and your flight arrival info. Please watch out for these emails at the email address you specified on your application.

- REMINDER Return to the Spain webpage to download and print the PROGRAM HANDBOOK and PROGRAM DATES, DETAILS & UPDATES

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Participation Confirmation
CIEE Study Centers Summer/Fall 2004
Name (please print) ______________________________________________________________________ Program ________________________________________________________________________________ Current/Sponsoring U.S. Institution ___________________________________________________________ Social Security Number ____________________________________________________________________ Term(s) – check all that apply: ο 2004 Summer ο 2004 Fall ο 2005 January Term ο 2005 Spring ο Other ________

Submission of this Participation Confirmation reserves your place in the program and indicates that you (the above listed participant) understand and agree to all CIEE payment, cancellation and refund policies as outlined in the CIEE Program Participant Contract and on the website. Confirmation Payment $300 payment is required as part of the submission of this form. This confirmation payment is not an additional fee but is part of the published program fee. Please indicate below how you will provide payment.
**Contact your current/sponsoring institution if you are not sure about payment procedures. Questions about payment policies or procedures should be addressed to Kathy McCrea, CIEE Manager of Registration and Student Accounts at 207-553-7600.

I applied through a School of Record - Please note: If you applied through a School of Record (Spelman College, Wittenberg University, University of Connecticut, or University of Rochester) you should send your $300 confirmation payment to CIEE with this form. If you applied through Northern Illinois University all payments should be made to Northern Illinois University. It is not necessary for the School of Record to sign this form. My $300 confirmation payment is enclosed Enclosed is a check in the amount of $300 payable to CIEE I would like to pay by credit card Print name of cardholder Account number Telephone number of cardholder Authorized signature My sponsoring institution will pay the $300 confirmation payment at a later date. This option requires that your study abroad advisor complete the section below: Study Abroad Advisor: Name and Title: Telephone: Signature: Date: Expiration Date Type of card: MasterCard Visa

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

CIEE Program Participant Contract
This form is important. It includes terms and conditions and releases CIEE from liability. All participants MUST sign this form.
Name (please print) Program Term(s) – (check all that apply) ο 2004 Spring ο 2004 Summer ο 2004 Fall ο Other ________ _______ _______

I understand and agree that this agreement shall constitute a binding agreement between the undersigned and "CIEE". "CIEE" is defined to include: the Council on International Educational Exchange, its owners, agents, directors, officers, employees, representatives, affiliates, sponsoring and/or cooperating educational institutions and contracted educational institutions involved with the program known as CIEE Study Centers.

1. I certify that I do not have any physical or mental condition which will create a danger or hazard for me, other participants or hosts in the program. 2. I understand that I am solely responsible for my preprogram, program, and post-program medical care in all respects, including, but not limited to, obtaining and taking necessary medication(s), vaccinations and any other medical care and treatment. I certify that I will consult a physician qualified in travel medicine, immunizations and infectious/tropical diseases prior to my trip departure. 3. I understand that I am obligated to comply with local laws and customs while traveling abroad. Many such local laws and customs may be substantially different from those in my home country. I recognize that my conduct can have an effect on the educational and other benefits intended by the program for other participants, hosts and myself. I agree to conduct myself in a manner that will support mutually beneficial interaction with other participants and hosts. I understand that conduct considered unacceptable to CIEE includes, but is not limited to, excessive use of alcoholic beverages, loud and/or abusive behavior toward others, sexual harassment, criminal conduct of any kind, use of drugs other than prescribed drugs for legal medicinal purposes, and/or unwillingness to cooperate with other members of the program, hosts and program management. Such conduct as well as any other conduct which in the sole discretion of CIEE may be damaging to the program, other participants, working relations with governments, suppliers and educational institutions with whom CIEE contracts/cooperates, may lead to dismissal of participant from the program. Dismissal of participant by CIEE will not reduce the obligation of the undersigned for payment of full program costs.

4. I understand that I am solely responsible for any and all expenses and costs incurred by me before, during and after the program except for the costs of items, which are expressly listed in the CIEE Study Center catalog. Under no circumstances will CIEE be responsible for any of participant’s expenses incurred in preparing for the program. Said expenses include, but are not limited to, advance purchase air tickets, equipment, visa fees, passport fees, medical expenses, or any other expense incurred by participant in preparation for the program. 5. I understand and agree that if CIEE causes to be secured a visa for a participant and said participant withdraws or is dismissed from the program before departure or during program, the participant may not use the visa to enter or remain in the program country. I understand that CIEE may report withdrawal to appropriate immigration officials of the program country. 6. I understand and agree that if I withdraw from a program, I must notify CIEE in writing about my withdrawal. Withdrawals are effective only upon the date of receipt of written notification by CIEE International Study Programs department. For fall and spring term participants, the withdrawal refund policies are as follows: Withdrawal before the program starting date: If written notification of withdrawal or deferral of participation is received by CIEE more than 30 days prior to the program starting date, all fees minus the $30 application fee and the $300 non-refundable confirmation payment will be refunded. In the case of deferral, the nonrefundable application fee may be applied towards future participation on this or another CIEE Study Center Program, within the next 12 months.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

If written notification of withdrawal or deferral of participation is received by CIEE less than 30 days prior to the program starting date, 75% of the program fee less the $300 non-refundable confirmation payment will be refunded. The $30 application fee is non-refundable. (In the case where payment has not yet been received by CIEE, 25% of the program fee is due.) Requests for program deferral to a different semester are only accepted up until the program start date. In the case of deferral, the non-refundable confirmation payment and 25% of program fee (if request is received less than 30 days from the start of the program) may be applied towards future participation on this or another CIEE Study Center program, within the next 12 months. All students who defer acceptance to a program after confirmation will be sent a CIEE Program Reactivation Credit Form. This form outlines the amount paid by the student toward their initial program, and must be returned to CIEE upon reactivation of their program application in order to receive a credit toward the fees for the new term. In order to be valid, the CIEE Program Reactivation Credit Form must be returned by the application deadline for the term of reactivation, and the student’s previous account balance must be zero. Withdrawal on or after the program starting date: If written notification of withdrawal is received by CIEE on or after the program starting date, the following refund policy applies (Please note that the $30 application fee and the $300 confirmation payment are non-refundable and refunds are calculated on the program fee less the confirmation payment): • • • Withdrawal on or up to 14 days after the program start – 50% refund Withdrawal between Day 14 and Day 28 from the program start – 25% refund Withdrawal at any time after Day 28 of the program – no refund is given.

deferral, the 25% of the program fee may be applied towards future participation on this or another CIEE Study Center Program within the next 12 months. Requests for program deferral to a different semester are only accepted up until the program start date. In the case of deferral, the non-refundable confirmation payment and 25% of program fee (if request is received less than 30 days from the start of the program) may be applied towards future participation on this or another CIEE Study Center program, within the next 12 months. All students who defer acceptance to a program after confirmation will be sent a CIEE Program Reactivation Credit Form. This form outlines the amount paid by the student toward their initial program, and must be returned to CIEE upon reactivation of their program application in order to receive a credit toward the fees for the new term. In order to be valid, the CIEE Program Reactivation Credit Form must be returned by the application deadline for the term of reactivation, and the student’s previous account balance must be zero. Withdrawal on or after the program starting date: If written notification of withdrawal is received by CIEE on or after the program starting date, the following refund policy applies (Please note that the $30 application fee and the $300 confirmation payment are non-refundable and refunds are calculated on the program fee less the confirmation payment): • • Withdrawal on or up to 2 days after the program start date – 50% refund Withdrawal at any time after Day 2 of the program – no refund is given

7. CIEE reserves the right to make changes in the program’s itinerary sequence, as well as other changes, including, but not limited to, substitutions of or changes in courses, excursions, activities, lectures, site visits and topics listed currently in the catalog. Any and all such changes are without liability on the part of CIEE. 8. All CIEE programs are based on group arrangements involving a minimum number of participants. In the unlikely event that a program is cancelled (due to low enrollment or any other reason), CIEE will refund all payments received but will have no further liability to participant. 9. All program participants are covered under CIEE Accident & Sickness Insurance. Coverage provided by this policy is meant to supplement private insurance and to provide coverage for activities related to traveling abroad. I understand that detailed information on the coverage of this policy has been made available to me. Further medical, evacuation, trip cancellation, trip interruption, baggage loss/damage, accident/sickness and any and all other applicable insurance is strongly recommended. I understand that health care and evacuations outside my home country are not covered by most standard insurance policies and can be extremely expensive. I am solely responsible for

For summer term, June Intensive Language Program, and January Intensive Language Program participants, the withdrawal refund policies are as follows: Withdrawal before the program starting date: If written notification of withdrawal or deferral of participation is received by CIEE more than 30 days prior to the program starting date, all fees minus the $30 application fee and the $300 non-refundable confirmation payment will be refunded. In the case of deferral, the nonrefundable application fee may be applied towards future participation on this or another CIEE Study Center Program within the next 12 months. If written notification of withdrawal or deferral of participation is received by CIEE less than 30 days prior to the program starting date, 75% of the program fee less the $300 non-refundable confirmation payment will be refunded. The $30 application fee is non-refundable. (In cases where payment has not yet been received by CIEE, 25% of the program fee is due.) In the case of

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

payment of any and all medical evacuation, trip cancellation, trip interruption, baggage loss/damage, accident/sickness and any and all other insurance expenses incurred by me during my program or related to my program. I understand I am solely responsible for my medical, psychological and physical condition during the duration of my program with CIEE. Should any medical, psychological or physical problems arise during the course of my program with CIEE, I am solely responsible for any and all care that I may need. I understand and agree that I am also solely responsible for paying for the costs and expenses of any such care. 10. Unless I check the box below, I understand that CIEE will distribute my name, address, email address and telephone number to other program participants, staff and sending schools. I do not wish to have my name, address, email address and telephone number shared with persons who are not official CIEE directors, officers, representatives, affiliates, sponsoring and/or cooperating educational institutions and contracted educational institutions involved in the CIEE Study Center program, but all information regarding my application and participation in the program may be released to “CIEE”. 11. CIEE does not own or operate any entity which is to or does provide goods or services for your program (except that it employs resident directors and staff), including, for example, arrangements for or ownership or control over houses, apartments or other lodging facilities, airline, vessel, bus or other transportation companies, local ground operators, visa processing services, providers or organizers of optional excursions, food service or entertainment providers, etc. All such persons and entities are independent contractors. As a result, CIEE is not liable for any negligent or willful act or failure to act of any such person or entity, or of any third party. Without limitation, CIEE is not responsible for any injury, loss, or damage to person or property, death, delay or inconvenience in connection with the provision of any goods or services occasioned by or resulting from, but not limited to, acts of God, force majeure, acts of war or civil unrest, insurrection or revolt, strikes or other labor activities, criminal or terrorist activities of any kind, overbooking or downgrading of accommodations, structural or other defective conditions in houses, apartments or other lodging facilities (or in any heating, plumbing, electrical or structural problem therein), mechanical or other failure of airplanes or other means of transportation or for any failure of any transportation mechanism to arrive or depart timely, dangers associated with animals, sanitation problems, food 17. CIEE reserves the right to take photographic or film records of any program. I understand that CIEE may use such records for promotional and/or commercial purposes without limitation and without liability.

poisoning, lack of, access to or quality of medical care, difficulty in evacuation in case of a medical or other emergency, or for any other cause beyond the direct control of CIEE. 12. I understand that perceived or actual epidemics (such as, but not limited to, SARS) can delay, disrupt, interrupt or cancel programs. I agree to assume all risk of any such problems which could result from any such occurrences. 13. CIEE retains the right, in its sole discretion, to contact participant’s school, parents and/or guardian with regard to health issues or any other matter whatsoever which relates to participant or participant’s program. These rights transcend any and all privacy regulations that may apply. 14. I understand that travel in other nations is not similar to travel within the United States. Programs outside the United States can involve inconvenience and risk, including, but not limited to, forces of nature, geographic and climatic conditions, different hygienic standards, infrastructure problems (including road maintenance, transportation delays and accommodation conditions or available at all), civil unrest, political stability and terrorism. Medical services or facilities may not be readily available during all or part of a program and, if available, may not be equal to standards in participant’s home country. I assume all risk of bodily injury, death, emotional trauma, property damage, inconvenience and/or loss resulting from negligence or any other acts of any and all persons or entities, however caused, including, but not limited to, those risks mentioned above. It is my intention fully to assume all of the risks of travel and participation in the CIEE program and to release CIEE from any and all liabilities to the maximum extent permitted by law. If this form is also signed by a parent or legal guardian, that parent or guardian is making a similar release. 15. CIEE, in its sole discretion, can approve or disapprove of any participant’s change of housing including, but not limited to, participant opting out of CIEE provided housing. If CIEE agrees to allow participant to choose his or her own housing, participant agrees that CIEE is not responsible for any problems which result therefrom. 16. CIEE reserves the right to decline, accept, dismiss, or retain any person as a participant in any program at any time before or during the program for any reason whatsoever, without liability for refund of payment except refunds regarding cancellation by CIEE of programs will be issued as per the terms of paragraph 6 above. 18. If by my acts or omissions I cause or threaten to cause damage of any kind whatsoever to third parties, I accept full responsibility therefor. Further, in the event of such damage or loss, I agree to indemnify and hold CIEE harmless from any and all actions taken by third parties for said damages or loss.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

19. This "Release and Agreement Form" shall be legally binding upon myself, all minors traveling with me, my heirs, successors, assigns and legal representatives. This entire agreement is entered into on behalf of all members of my family who accompany me. I certify that I am the parent or legal guardian of any legal minors under the age of majority who accompany me. 20. All program applications are subject to acceptance by CIEE in Portland, Maine, U.S.A. 21. I agree that any dispute concerning, relating, or referring to this contract, the brochure, or any other literature concerning my program, or the program itself shall be resolved exclusively by binding arbitration in Portland, Maine, according to the then existing rules of the American Arbitration Association. Such proceedings will be governed by substantive Maine law. 22. Any claims on my behalf shall not exceed the sum of the listed cost of my program with CIEE as listed in the CIEE Study Center catalog. I further agree that should any legal action on my behalf

against CIEE fail to prevail, I, or my legally designated representative, hereby agree to pay all reasonable attorneys’ fees incurred by CIEE arising from the dispute. 23. In the event any part of this "Release and Agreement Form" is found to be legally void or unenforceable, then such part will be stricken but the rest of this document will be given full force and effect. 24. I have carefully read this document entitled "Release and Agreement Form" and I have carefully read all of the CIEE catalogues, program brochures and other descriptive materials provided to me by CIEE relating to my participation in the program and I have understood all of the contents of all such documents. I understand and agree to comply with all stated terms and conditions set forth in this "Release and Agreement Form" as well as those terms and conditions set forth in the CIEE catalogues, brochures and other descriptive materials provided to me by CIEE relating to my participation in the program. I understand that the terms and conditions in this document as well as the terms and conditions in all of the above stated documents constitute a binding contract between myself and CIEE.

I certify that all statements made in this "Release and Agreement Form" are true and correct and made of my own free will.

Signature of Participant

Date

Signature of parent or legal guardian of participant if participant is under the age of majority in the jurisdiction where this document is signed.

Date

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Medical Report Form
Name (please print) Program Term(s) (check all that apply): ο 2004 Spring ο 2004 Summer ο 2004 January Term ο 2004-2005 Fall/Spring ο 2004 Spring/Fall ο Other _____________ ο 2004 Fall

About Medical Insurance
CIEE provides all program participants coverage under the insurance policy: CIEE Accident & Sickness Insurance. Coverage provided by this policy is meant to supplement your private insurance and to provide coverage for activities related to traveling abroad. CIEE Accident & Sickness Insurance: Each participant is covered by an Accident & Sickness Insurance policy designed to cover the cost of accidents and routine sicknesses while abroad. Additionally, the policy offers Emergency Evacuation coverage, together with a 24-hour Worldwide Assistance Service. Coverage begins two weeks before the program’s start date and continues for two weeks after the day of the program. A complete description of the Accident & Sickness Insurance policy, including a claim form, is included on the website at http://www.ciee.org/alumni.cfm?subnav=Alumni . The CIEE Accident & Sickness insurance policy is designed as an additional or supplemental policy only, and does not cover liability. The policy does not include coverage for routine physical or dental examinations or preventative medicine. Students are not covered for injuries resulting from acts of war or other political unrest such as riots and demonstrations. If you are covered by a personal or parental insurance plan, CIEE recommends that you continue this coverage while abroad. Prior to departure, you should contact your current insurance carrier concerning coverage for accidents, illnesses, and liability cases that occur outside the United States. Check your policy's limitations before making any assumptions about coverage. Most U.S. based insurance companies will not cover property lost or stolen overseas. It is important that you read all policy information carefully and note exactly what coverage is provided; note items that are excluded from coverage. CIEE strongly recommends that coverage, beyond that which is provided as part of the program, is secured and understood by the participant before departure. CIEE recommends that you name a beneficiary to this policy. Please use the space below to designate a person that will serve as a beneficiary for insurance purchased on your behalf by CIEE International Study Programs.

Name of beneficiary

Address

Relationship to insured

To the Applicant
Please fill out the reference data below and then give the form to your physician. Participation in the program is contingent upon CIEE International Study Programs staff receiving a completed medical report from you and your physician. Your doctor should complete this report based on an examination within four months of the program departure date. Provide your physician with a stamped envelope addressed to CIEE, International Study Programs, 7 Custom House Street, 3rd Floor, Portland, Maine, 04101-4739. Please be sure the physician knows the deadline for returning this form to the CIEE International Study Programs home office. Note: It is our policy not to accept reports filled out by a parent-physician.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Participant’s Name (please print)___________________________ To be completed by the applicant: Every item must be completed. If more space is needed than is available, please provide information on a separate page. YES NO 1. Do you have any present medical problems, under the regular care of a physician or other medical health provider? Please explain. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 2. Are you under the regular care of a psychiatrist, psychoanalyst, psychologist or other mental health provider for any mental, emotional, or nervous disorder? Permission may be requested for a confidential report of additional information from the psychiatrist or therapist. 3. Does your health prevent you from participating in any physical activities? Please explain. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 4. Are you taking any prescription medications regularly? If yes, please list the medication(s) along with the condition(s) for which they were prescribed. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 5. Have you been hospitalized in the past five years? Please explain. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 6. Do you have any allergies or reactions to any medications, foods, insects or other agents? If yes, please list which ones and describe the effects? _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 7. Have you ever had any of the following? If you check yes to any box, please explain in detail on a separate page. ο ο ο ο ο 8. Heart Disease High Blood Pressure Asthma/Lung Disease Stomach/Intestinal Problems Foot, Leg or Back Problems ο Vision/Hearing Impairment ο Diabetes ο Hepatitis or Jaundice ο Arthritis ο Altitude Sickness ο ο ο ο Eating Disorders Sleep Disorders Epilepsy/Seizure Disorders Mental Illness

Do you currently have any of the following symptoms: Chest pain/pressure with exertion, heart palpitations, unexpected sweating, shortness of breath, dizziness/fainting, muscle cramps? Please explain.

_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ 9. Do you require any special support because of a learning disability? If yes, please attach a letter specifying the special support received at your home institution. 10. Are you currently on a restricted diet? Please explain, and mention vegetarianism if applicable. _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ I hereby certify to CIEE that I am solely responsible for my medical, psychological and physical condition for the duration of my program with CIEE. I am aware of any medical, psychological and physical problems that would, in any way, impair my ability to participate in this program. Should any medical, psychological or physical problems arise during the course of my program with CIEE, I am solely responsible for obtaining any and all medical, psychological and physical care that I may need. I am solely responsible for paying for the costs and expenses of any such care. I am solely responsible for having adequate insurance coverage for any such care, including, but not limited to, adequate insurance coverage for the costs and expenses of trip cancellation, evacuation, baggage loss or damage, trip interruption, travel accident/sickness, and medical care. Signature of Participant Date

Signature of parent or legal guardian of participant if participant is under the age of majority in the jurisdiction where this document is executed.

Date

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Participant’s Name (please print)___________________________

To the Physician
You are being asked to provide information on the physical and mental health of the above-named student for participation in the program listed above. Depending upon the program, participants spend anywhere from 3 weeks to 12 months studying abroad. The pressures of living and studying abroad are considerable. It is extremely important that all participants be able to adjust to dramatic changes in climate, diet, and living conditions. Living overseas can also create emotional and physical stress for those not able to meet the demands of living in a new and different environment. In some cases, mild disorders can become serious under the stress of life in alien surroundings. Students generally live in university dormitories or in homes with local families; in some cases, participants live and study in situations that offer few amenities and little privacy. They need tact and sensitivity when dealing with people of their host country and with the members of their own group. It is essential that your reply be based on a current and thorough physical examination and knowledge of the applicant’s medical history. Any additional comments relevant to the patient’s physical or psychological condition should be provided on a separate sheet signed and dated by you, the physician. Return your evaluation in the envelope provided by the applicant. To be completed by the physician: 1. How long have you known the 2. What is the date of the applicant’s applicant? most current examination? 3. Are you: ο Applicant’s family physician ο College physician ο Other Please indicate the applicant’s vital signs (at rest): c. Respiration 4. What is the applicant’s general state of health? ο Excellent ο Fair a. Pulse Rate d. Temperature ο Good ο Poor b. Skin e. Blood Pressure

5.

If the answer to any of the following questions is yes, please give details on a separate sheet. In each case please indicate whether the condition is likely to affect the student’s full participation in the program. YES NO 6. Are the statements given by the applicant on the “To the Applicant” portion of this form accurate to your knowledge? If not, please explain. 7. Is the applicant seriously underweight or overweight? 8. Is the applicant currently taking any medications? 9. Is the applicant allergic to any form of medication? 10. Has the applicant received the following immunizations? If yes, please provide the date of last immunization. DATE a. Diphtheria, Pertussis, Tetanus (DPT) b. Mumps, Measles, Rubella (MMR) c. Polio (Oral or Injectable) d. Hepatitis A e. Hepatitis B f. Typhoid g. Other ____________________________________________ 11. Has the applicant ever suffered from asthma or any other respiratory ailment? 12. Is the applicant currently under treatment or observation for any physical or emotional condition? 13. Does the applicant have any speech, hearing, or eyesight impairment that might affect participation in the program? 14. Has the applicant any physical disability that might cause hardship through change of diet, carrying luggage, or strenuous travel? 15. In your judgment will the applicant require assistance from an aide or other second party because of an existing condition at any time on the program? 16. Is there any congenital malformation now existing that may require additional treatment? If yes, what is this congenital condition and what treatment is to be pursued? (Please note that CIEE’s insurance coverage does not include treatment of preexisting conditions.) 17. Does this person have a history of emotional disturbance? Has the applicant displayed any of the following? Please explain. a. difficulties in relations with parents, authority figures, peers b. behavior disorders c. symptoms such as mood swings, depression, severe sleep disorders, unusual degree of anxiety, fear, or guilt 18. To your knowledge, are there any predisposing medical, surgical, or emotional factors that may under stress or duress during the program present a need for immediate therapy while abroad? Please explain. Any additional comments relevant to the patient’s physical or psychological condition should be provided on a separate sheet signed and dated by you, the physician. Physician’s Name Physician’s Address Physician’s Signature Date Physician’s Phone Number

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

CIEE Certificate of Achievement in International Education
Fall 2004
Name (please print) Program Term(s) – (check all that apply) ο 2004 Summer ο 2004 Fall ο 2005 Spring ο Other ________ _______ _______

Objective: The Certificate in Achievement in International Education (CAIE) is offered to students who wish to who wish to show a specific international education credential on their résumé. The CAIE is a way for CIEE to acknowledge students who want to immerse themselves fully in the experience of international education and are willing to put forth extra effort, time, and study into this rewarding endeavor. The objective is to provide students with tools to help them gain understanding of the host country culture and reflect on American culture, acquire knowledge, and develop skills for living in a globally interdependent and culturally diverse world. Methodology: The granting of the Certificate of Achievement in International Education is based on the student’s performance and achievement, and includes criteria related to attendance, participation and a final paper. This is accomplished through an extensive reading list, group and one-on-one meetings with the Resident Director, experiential exercises, and the completion of a paper. Logistics: The certificate is offered outside the regular CIEE Study Center course requirements and works like an independent study course. Successful students are highly motivated, independent learners. The certificate option is offered outside of the regular CIEE Study Center course requirements and carries an additional, non-refundable fee of $300 USD. In order to plan accordingly for those who elect to pursue the Certificate, participants must decide whether or not they would like to pursue this certificate prior to departure. Instructions: Please return this form if you wish to pursue the CAIE. Please indicate below how you will pay the additional $300 fee. 1 YES! I wish to pursue the Certificate of Achievement in International Education. Enclosed is a check in the amount of $300 payable to CIEE. I would like to pay by credit card. Print name of cardholder Account number Authorized signature Telephone number of cardholder Expiration Date Type of card: MasterCard Visa

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Course Pre-Registration Form
CIEE Study Center at the Universidad de Sevilla, Seville, Spain Liberal Arts Program, Fall 2004
Name: _________________________________Sponsoring Institution: _______________________________

Email: _____________________________________ (a working email where we can reach you prior to departure) ****RETURN TO CIEE BY May 1, 2004**** If you return this form early, it is more likely that you will be registered for your first choice courses. If this form arrives after the deadline, you may not be able to enroll in the courses you have selected. • Complete this form in consultation with your academic advisor who MUST SIGN this form. CIEE CANNOT process registration forms without the appropriate number of courses selected and an advisor’s signature. Changes to your course pre-registration in Seville will be permitted ONLY under the following circumstances: time conflict with courses selected; space availability, and the results of on –site language evaluation. CIEE Staff strongly recommends that students take at least one language course during the semester to reinforce overall Spanish language acquisition. All permitted changes on-site MUST be approved by your academic advisor IN WRITING.

Refer to the 2004-2005 Program Catalog and the online Program Handbook (http://enrollment.ciee.org) for course descriptions and academic policies. Course descriptions are also listed on our website. Copies of syllabi are available upon request. Recommended credit for each course is 3 semester/4.5 quarter hours. I. Required Intensive Language Program Course: These courses will complete the 45 contact hours: 3 semester/4.5 quarter credit class. Place an “X” before 1 first choice course from the list below. Please note: students who place below a certain percentile in their language placement exam, will be required to take SPAN 3501 CSCS: Spanish Life through Advanced Spanish Grammar during the intensive session. ______ SPAN 3501 CSCS: Spanish Life through Advanced Spanish Grammar This intensive language class emphasizes all areas of linguistic competence in order to strengthen the student’s ability to perform well in content classes taught exclusively in Spanish. Special focus is placed on social and cultural issues related to Seville in the Andalusian and Spanish context. This class has several levels in which students are placed based upon the results of the language exam. Class size is limited to 15 students ______ HISP 3502 CSCS: Cultural History of Spain - (Recommended for students with advanced Spanish skills and a solid background in Western European History) - This is a hands-on course; in addition to classroom lectures much time is also spent in the city looking at historical monuments, ruins, walls, churches, museums, etc., using Sevilla as the laboratory for the classroom.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Student Name: ________________________________________ II. Required Semester Courses: These courses will complete the 45 contact hours necessary for a 3 semester/4.5 quarter credit class.

Place an “X” before the 4 first choice courses** and indicate with an "A”, your 2 alternate courses. You may choose any combination of CIEE Study Center Courses (ending with CSCS) and Cursos Para Extranjeros, (ending with SECE), regular University of Seville and University of Pablo de Olavide courses. **Students who want to take Cursos Para Extranjeros (SECE) must take a minimum of two. If you desire to take all your classes through Cursos, then you are required to take 5 courses during the regular semester.** A. CIEE Study Center Courses (CSCS) - Please note: a certain percentage on the on-site language exam will be required in order to enroll in these courses. ______ SPAN 4102 CSCS: Advanced Composition and Stylistics ______ SPAN 4103 CSCS: Spanish for Students of Business and Economics ______ LITT 3101 CSCS: Contemporary Spanish Literature ______ HIST 3101 CSCS: Twentieth Century Spanish Political History ______ ECON 3101 CSCS: Contemporary Spanish Economic History ______ AHIS 3101 CSCS: Contemporary Spanish Art ______ INRE 3101 CSCS: European-Latin American Relations since Independence ______ INRE 3102 CSCS: U.S. –European Relations since World War II. ______ LITT 3102 CSCS: The Novel and the Cinema: Two Ways of telling the Story ______ SPAN 4104 CSCS: Translation: Practice and Theory ______ LITT 3103 CSCS: Women Writers in Twentieth Century Spain ______ SPAN 4105 CSCS: Comparative and Contrastive Syntax ______ SPAN 4106 CSCS: Spanish Phonetics and Phonology ______ SPAN 4107 CSCS: Advanced Spanish Syntax and Grammar ______ SPAN 4108 CSCS: The Meaning of Words: Spanish Lexicology and Semantics ______ LITT 3104 CSCS: Cervantes and El Quijote ______ BUSI 3101 CSCS: Protocol and Etiquette in Business and Foreign Affairs ______ INRE 3103 CSCS: Spain and European Integration ______ POLI 3101 CSCS: Transition to Democracy in Spain and Contemporary Spanish Politics ______ EDUC 3102 CSCS: Methodology of Teaching Spanish as a Foreign Language (ELE) ______ PSYC 3101 CSCS: Psychology of Learning a Second Language ______ LITT 3105 CSCS: Latin American and Spanish Literature of the Margins ______EDUC 3101 CSCS: Professional Teaching Development ______LITT 3106 CSCS: Survey of Andalusian Literature: From Al-Andalus to Post-Modernity ______FILM 3101 CSCS: Contemporary Spanish Film ______SOCI 3001 CSCS: Islamic Culture and Art in Muslim Spain ______SPAN 3101 CSCS: Introduction to Spanish Linguistics ______ INDE 3101 CSCS: Special Projects * NOTE: Your project proposal must be attached. *If you are considering taking Special Projects (INDE 3101 CSCS) you must submit a detailed outline of your study project, prepared in consultation with your advisor, by May 1st, 2004 to maritheresa.frain@ciee-spain.org. Your academic advisor’s signature should appear on the proposal indicating approval. Due to the many difficulties involved in making arrangements for Special Projects, you will not be permitted to enroll in this course if you do not submit the required outline via email to the Resident Director who will approve your project. There is also an additional cost associated with this course. The Special Projects fee is $600. If you decide to take this course, please check the appropriate box below for billing of the Special Projects Fee: 1 Please check this box if the additional cost for course number INDE 3101 CSCS should be added to your personal bill 1 Please check this box if the additional cost for course number INDE 3101 CSCS will be paid by your institution. PLEASE NOTE: If you check this box, your Study Abroad advisor’s signature below certifies this fee should be included with the regular program fees that are billed to your school. This signature is only for the Special Projects fee, NOT the entire course pre-registration form. Study Abroad Advisor authorization for Special Projects fee: Name: ____________________________________ Signature:_____________________________________ Email: ____________________________________

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Student Name: ________________________________________
B. Courses through "Cursos para Extranjeros" (SECE) –If you decide to take SECE classes you must take at least two of these classes. The University does not allow you to take only one. ______SPAN 4101 SECE: Spanish Phonetics and Phonology ______SPAN 4102 SECE: Spanish Semantics ______SPAN 4103 SECE: Spanish Syntax ______SPAN 4104 SECE: Corrective Phonetics and Conversation ______SPAN 4105 SECE: Spanish Stylistics and Composition ______LITT 3101 SECE: Arabic Contributions and Influences on Spanish Literature ______CINE 3101 SECE: Contemporary Spanish Cinema ______ANTH 3101 SECE: Cultural Anthropology of Latin America ______HIST 3101 SECE: The Historical Projection of Three Cultures: Christians, Muslims, Jews in Medieval Spain ______SPAN 4109 SECE: Flamenco: Socio-Linguistic Expression of Andalusia ______ANTH 3103 SECE: Flamenco: Cultural and Anthropological Expression of Andalusia ______LITT 3001 SECE: Spanish Literature I, Middle Ages ______LITT 3003 SECE: Spanish Literature II, The Golden Age ______LITT 3005 SECE: Contemporary Spanish Poetry ______LITT 3007 SECE: Contemporary Spanish Drama ______LITT 3009 SECE: Intro. Textual Commentary and Literary Criticism (theory and practice) ______LITT 3011 SECE: The Contemporary Latin American Novel ______GEOG 3001 SECE: The Geography of Andalusia: Natural Resources and Landscapes ______SOCI 3001 SECE: Culture and Society in Contemporary Spain ______HIST 3001 SECE: Greece and Italy in the Classic Period ______POLI 3001 SECE: Intro. History of Modern Political Philosophies (18th-20th Centuries) ______HIST 3003 SECE: History of Modern Spain (1491-1833) ______AHIS 3001 SECE: Andalusian Art of the Golden Age ______AHIS 3003 SECE: Pre-Hispanic and Latin American Art ______AHIS 3005 SECE: Art of Islamic Spain ______HIST 3005 SECE: History of Spanish Colonization in America ______SPAN 4001 SECE: Spanish of Latin America ______SPAN 4003 SECE: Sociolinguistics of Andalusia ______HIST 3007 SECE: Pre-Hispanic American History C. University of Seville/University Pablo de Olavide Courses: These are regular university classes with Spanish students. • Please contact resident staff via email concerning the availability of the classes which interest you: lucia.quintana@ciee-spain.org and maritheresa.frain@ciee-spain.org. Final Registration will take place in Seville after you have been properly advised. • Liberal Arts students may only take classes in the Schools of Philology (www.siff2.us.es for class listings and syllabi) and Geography/History at the Universidad de Sevilla and any classes from the facultades at the Pablo de Olavide (www.upo.es). • Please refer to the Spain catalog pages (Advanced Liberal Arts section) for a detailed list of courses that are recommended. PLEASE CONFIRM WITH RESIDENT STAFF THAT THE CLASS YOU WANT IS ACTUALLY BEING OFFERED DURING THE FALL SEMESTER. • List below the title in Spanish of any regular university course(s) in which you plan to enroll • When selecting these courses, choose fields in which you have a background. The Spanish university system is much more rigid than in the United States and professors will assume that you have the same background as the Spanish students. These courses are easy to add on once you are in Seville. • Only students who are going to be in Seville for the academic year may register in yearlong classes. *Final exams for regular university courses take place in late January/early February. You must stay until this time if you want to receive a grade as exams may not be taken early. NAME OF COURSE IN SPANISH: ____________________________________________________ UNIVERSITY: ____________________________________________________________________ NAME OF COURSE IN SPANISH: ____________________________________________________ UNIVERSITY: ____________________________________________________________________ NAME OF COURSE IN SPANISH: _____________________________________________________ UNIVERSITY: ____________________________________________________________________

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Student Name: ________________________________________

Please ensure your ACADEMIC ADVISOR has signed below, BEFORE submitting this form.

ACADEMIC ADVISOR MUST SIGN BELOW: Attention Advisor: Signing this form indicates your approval for 7 courses selected by this student, for the Fall 2004 semester: • 1 required Intensive Language Session course • 4 semester courses (5 if all SECE courses) that may be any combination of CSCS, SECE or regular Universidad de Sevilla courses • 2 semester alternate courses Name (Please Print): _______________________________________________________ Signature: ______________________________________________________________ Institution: ______________________________________________________________ Telephone: _________________________________Fax: __________________________ Email: ________________________________________________________________

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Special Project Proposal Guidelines
Note: This is optional-you do not need to return this form if you do not plan to do a special project Deadline: May 1, 2004 Working on a special project while in Seville can be an intellectually rewarding and stimulating experience. We want to help you produce a solid proposal for consideration by resident staff. Please work closely with your academic advisor to complete the following points. All details and agreements with your university support must be completed before you arrive on site. Please have your advisor sign the proposal and provide contact information. Please also send an electronic copy of the project proposals to Dr. Maritheresa Frain by May 1, 2004 to maritheresa.frain@ciee-spain.org There is a Special Project Fee of $600 for this course. NOTE: Resident staff will review your proposal and decide how viable it would be to do in Seville. Resident staff must approval all special projects.

Your proposal must address the following points: 1. Purpose (clearly stated and doable) 2. Methodology (how do you plan to go about doing your research/project?) 3. Resources (Spanish publications, web sites, reference materials) 4. Special needs (access to specific libraries, interviewing specific persons, in situ work experience—hospital/clinic, art facilities, etc.) 5. Academic objectives (why do I want to do this class in Seville?) 6. Required work (what do I expect to do for this project?) 7. Grading (who is expected to give this grade and based upon what?)

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Spanish Visa Application Guidelines
Fall 2004
This information is VERY IMPORTANT. Be sure to read these instructions very carefully during the visa application process. PLEASE NOTE: Some Spanish Consulates are now REQUIRING students to go in person TWICE to the Consulate-once to drop off their application and again to pick it up. These are new rules and you MUST follow the instructions of the Consulate having jurisdiction over your permanent address, regardless of the inconvenience and expense of traveling. CIEE cannot help you obtain a student visa beyond giving you the following instructions and providing you with the required letters. A student visa is mandatory for any foreigner wishing to study in Spain for 3 months or longer. Each CIEE student is responsible for obtaining his or her own visa and for any costs related to obtaining the visa. The following general guidelines are accurate to the best of our knowledge. Requirements, however, are subject to change without notice. Always use the instructions provided by the Consulate. If they differ from our instructions, always use the Consulate’s instructions. The application for a student visa is made at the Spanish Consulate having jurisdiction over the student’s place of permanent residence. See end of this document for a list of Consulates and their jurisdictions. You must IMMEDIATELY request a visa application upon being accepted to CIEE’s program. Do not leave this until the last minute. Consulates have cut-off periods after which they will not accept visa applications. CIEE is not responsible for any problems you may encounter in obtaining a visa, nor can CIEE intervene on your behalf with the Consulate. Spanish Consulates are strict and you must follow their instructions EXACTLY. Please note that the visa is processed in the student’s country of residence prior to departure. A student visa cannot be acquired in Spain, nor can a student visa be sent to Spain. The visa is affixed in the student’s passport by the Spanish Consulate before departure from the U.S., and must be presented to border officials upon entry into Spain. There are currently two types of visas that allow for study in Spain – the 180-day visa and the 90-day visa. The 180-day visa is for individuals who plan to study in Spain for a period of less than 6 months. Individuals presenting this type of visa to border officials will be permitted to enter Spain for the purpose of study for no more than 180 days (6 months). With the 180-day visa, the length of stay cannot be extended. If there is any possibility that a student will want to study in Spain for a period of more than 6 months, the student should enter Spain with a 90-day visa. The 90-day visa is for students who plan a stay of longer than 6 months. Individuals presenting this type of visa to border officials will be permitted to enter Spain for the purpose of study for an initial period of 90 days. During this 90-day period, however, students (with the help of CIEE Resident Staff) work with local authorities to acquire a student residency card. With this residency card, the student may remain in Spain as long as he or she is enrolled in an academic program. Due to the demand for student visas, it is important to allow enough time for the Spanish Consulate to process a visa application. Start this process immediately as normal visa processing time is between 4 to 7 weeks. Many Consulates will not accept applications less than 45 days before departure. IF YOU ARE NOT A US CITIZEN, contact the nearest Spanish Consulate IMMEDIATELY as there may be different instructions for non-US citizens and it may take as long as three months to process a visa. You might also have to apply for the visa in your home country.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Please note that Consulates will not accept applications more than 90 days in advance and that, in many cases, Consulates refuse to accept applications submitted less than 4 weeks prior to the student’s departure date. In general, please be sure to apply early, and take into account that visa processing times get longer as holiday periods approach. Although there are certain exceptions, a personal appearance is usually required to submit a student visa application. Some Consulates may accept applications by mail. YOU MUST CHECK THE REQUIREMENTS OF THE CONSULATE YOU ARE USING. Specific visa application procedures vary slightly from Consulate to Consulate, so for up-to-date and accurate instructions, it is imperative that you check directly with the Consulate having jurisdiction over your place of residence. You must follow the instructions the Consulate provides with the application. The following documents are normally required for the student visa application. Again, you need to follow the instructions provided by the Consulate. Please note that documents must be originals (not photocopies). In addition to the original documentation, you’ll need at least two or three photocopies of everything submitted. • Application for Schengen Visa – four copies are normally required. You must request the “Application for Schengen Visa” form by mail directly from the Spanish Consulate that has jurisdiction over your permanent place of residence. You cannot request the application by fax. If you are applying for the visa at the New York, Boston, or Washington, DC Consulates, you can download the visa application form and visa instructions from each Consulate’s website. Please refer to the list of the Spanish Consulates included below. If you are writing a letter to request the application form by mail, ask the Consulate to send the application to your permanent address. State that you are a student planning to study abroad in Seville, Alicante, Alcalá de Henares or Barcelona as a part of an undergraduate/graduate degree and that you will be taking Spanish language, literature, and content courses taught in Spanish. Include a self-addressed return envelope with postage. Request an application IMMEDIATELY upon being accepted into the CIEE program. Passport valid for a minimum of 6 months. Make sure your passport is signed. Also, please note that the original passport is left with the Consulate while the application is being processed. If you do not have a passport yet, you need to apply for one IMMEDIATELY. You should pay to have the passport expedited to have it as soon as possible. Once your application is processed, the Consulate MAY return your passport to you via postal service, you must check with them. For express delivery (highly recommended), you must provide a US Postal Service Express Envelope with the appropriate postage and a completed air bill. Other express delivery services and/or certified or registered mail are not accepted. Tracking of mailed items is the responsibility of the applicant. Some Consulates will cover the cost of returning the passport via regular mail, but you still need to submit a self-addressed business sized envelope. Four recent pictures, passport size (stapled on each copy of the application). Digital photos, senior pictures cut down to size or photocopies of other pictures are not acceptable. These must be official passport photos. Original letter addressed to the Consulate verifying enrollment as a full-time student in an official University or School in Spain, and verification of full payment of tuition. For this purpose, CIEE program participants will receive a notarized “To the Spanish Consulate” letter and a letter from the University in Spain. These letters will be sent to you together within two weeks of your acceptance. They will be sent to the valid current address you supplied in your application. If the applicant is not a citizen of the United States, the applicant must bring his/her “green card” or other immigration documents (I-20 form, IAP-66, etc). Proof of health insurance coverage during your stay in Spain (contained in the letter that CIEE will send you). Original medical certificate typed on doctor’s stationary/letterhead verifying that the applicant is free from the following diseases: yellow fever, cholera, and the plague and/or any other diseases specified in the Consulate’s instructions. The certificate must also certify that the

• • •

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

applicant is free of drug addictions and mental illness. These items must be specified and the letter must be signed by a medical doctor. This is not the same thing as the CIEE Medical Report Form. • Those students who will stay longer than 6 months in Spain must bring a police record or a “certificate of good conduct” issued by the police department of the city (or cities) where the student has spent a period of 6 months or more during the last five years. Some Consulates require this document regardless of length of stay. You may have to supply a copy of your flight itinerary. Some Consulates require your actual airline tickets or proof of payment if it is an e-ticket. Check with the Consulate you are using. You must also submit one (although certain Consulates may require more than one) of the following items to guarantee living expenses while in Spain: o Letter from the study abroad program assuming full financial responsibility for tuition, room and board for the student during his stay in Spain. This letter must mention that you will be eligible for credit towards your Bachelor’s or Associate’s Degree. CIEE will provide you with this letter. Proof of having received financial aid or scholarship covering expenses for tuition, room, board, and personal expenses during the stay in Spain (minimum of $350 per month). Notarized letter from parents assuming full financial responsibility for the student for at least $350 per month of stay in Spain and photocopies of your parent’s last Income Tax Return where you appear as a dependent (pages 1 & 2 of the 1040 form).

• •

o o

Technically, US citizens are not charged a fee for a student visa. A “handling charge” of $100 is, however, is collected by the Consulate. This handling charge is set at the same rate as the processing fee charged to Spanish students applying for a US student visa. Acceptable forms of payment vary from Consulate to Consulate, often cash or money order ONLY. You’ll need to check directly with the Consulate having jurisdiction over your application to find out what forms of payment are acceptable. If you are not a US citizen, there may be additional costs. Be sure to keep a copy for your own records of everything you send to the Consulate, including a copy of your passport. The following points are essential for the proper completion of the Spanish Visa application. You have one chance to apply by mail—any mistakes or missing documents will result in the return of your application and passport without the Visa and you may be required to apply in person. • • • • Once you have downloaded (or received by mail) the Application for Schengen Visa, complete according to the instructions and sample form provided on the following pages AND those sent to you by the Spanish Consulate (or provided on the Consulate’s website). The Application for Schengen Visa must be complete, correct, and signed where appropriate. You must include all additional required documents and your passport must be signed. Use black or blue ink and print in block letters. If applicable: When sending your application and documentation to the Consulate, use Overnight or Express mail through the U.S. Postal Service and note your tracking number. DO NOT send your passport to the Spanish Consulate via REGULAR MAIL. Spanish Consulates WILL NOT accept Federal Express or UPS. Be sure to include a pre-paid selfaddressed express envelope (note the tracking number on this as well) for the Consulate to mail back your passport and visa when complete. Make sure you have included ALL of the necessary documents with your visa application. Make sure that your permanent address (not school or summer address) is on everything, the application, the return envelope, etc. The Spanish Consulates will not send mail to any address outside of their jurisdiction. If you are having a problem or have particular circumstances, it is best to fax the Consulate with your question or concern (be sure to include your phone number and a return fax number). It can be very difficult to reach them by telephone.

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CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Most importantly, be patient, persistent and respectful when speaking with the Consulate. They receive many student visa applications each semester and are often understaffed. Furthermore, there is no legal right to a visa.

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Spanish Consulate Locations:
If your permanent address is in: Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont Contact the following Consulate: Boston 545 Boylston St., Suite 803 Boston, MA 02116 Phone: (617) 536-2506/2527 Fax: (617) 536-8512 Email:conspbos@mail.mae.es Website:www.spainconsulny.org/boston.html From June 15-Sept 15 and Nov 15-Jan 15 appointment is required. / Office Hours: Mon-Fri 9am-12 noon Chicago 180 North Michigan Avenue, Suite 1500 Chicago, IL 60601 Phone: (312) 782-4588/4589 Fax: (312) 782-1635 Email:cgspain.chicago@mail.ma e.es Website:http://www.consulatespain-chicago.com/ Houston 1800 Bering Drive, Suite 660 Houston, TX 77057 Phone: (713) 783-6200/6205/6214 Fax: (713) 783-6166 Email:consulatespain@houston.r r.com If your permanent address is in: Alabama, Arkansas, Louisiana, Mississippi, Tennessee Contact the following Consulate: New Orleans 2102 World Trade Center 2 Canal Street New Orleans, LA 70130 Phone: (504) 525-4951/7920 Fax: (504) 525-4955 Email:conspneworleans@mail.m ae.es

Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin

Connecticut, Delaware, New Jersey, New York, and Pennsylvania

New York 150 East 58th St, 30th Floor New York, NY 10155-0080 Phone: (212) 355-4080/4081/4082/4085 Fax: (212) 644-3751 Email:spainconsulny@mail.mae. es Website:www.spainconsul-ny.org

New Mexico, Oklahoma, and Texas

Puerto Rico, Islands of Culebra and Vieques, and U.S. Virgin Islands

Arizona, Colorado, and Utah; In California the counties of Imperial, Inyo, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, and Ventura Florida, Georgia, and South Carolina

Los Angeles 5055 Wilshire Boulevard, Suite 960 Los Angeles, CA 90036 Phone: (323) 938-0158/0166 Fax: (323) 938-2502 Email:consplax@mail.mae.es

Alaska, California (except Southern counties –see Los Angeles), Hawaii, Idaho, Montana, Nevada, Oregon, Washington State, Wyoming, Pacific Islands territories of the USA

Puerto Rico Edificio Mercantil Plaza, Avda. Ponce de León s/n,11th Floor Hato Rey, PR 00919 Send correspondence to: Aptdo Postal 9243 Santurce, PR 00908 Phone: (787) 758-6090/6142/6279 Fax: (787) 758-6948 Email:cgesp.pr@correo.mae.es San Francisco 1405 Sutter Street San Francisco, CA 94109 Phone: (415) 922-2995/2996 Fax: (415) 931-9706 Email:conspsfo@mail.mae.es

Miami 2655 Le Juene Road, Suite 203 Coral Gables, FL 33134 Phone: (305) 446-5511/5512/5513 Fax: (305) 446-0585 Email:cgspain.miami@mail.mae. es Website:http://www.conspainmia mi.org/

Maryland, North Carolina, Virginia, Washington D.C., and West Virginia

Washington, DC 2375 Pennsylvania Ave NW Washington, D.C. 20037 Phone: (202) 728-2330 Fax: (202) 728-2302 Email:cgspaindc@mail.mae.es Website:www.spainemb.org/consul ado/consuladoSpanish.html

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

Line by line instructions for the “Application for Schengen Visa”:
*REMEMBER TO WRITE IN CAPITAL LETTERS IN BLUE OR BLACK INK* Line # They ask for: You should answer: 1 Apellido(s)/Surname(s)(family name(s)) Your last name 2 Si ha lugar, apellidos de soltera/Surname(s) at birth Maiden name if applicable (earlier family name(s)) 3 Nombre/First names (given names) First name 4 Fecha de nacimiento (año-mes-día)/Date of birth Year/Month/Day of your birth (year-month-day) 5 Número del documento de identidad (optativo)/IDLeave blank number (optional) 6 Lugar y país de nacimiento/ Place and country of Name of your birth State and Country of birth birth (i.e. California, USA) 7 Nacionalidad(es) actuales/ Current nationality/ies “US” or your nationality as applicable 8 Nacionalidad de origen (nacionalidad por “US” or your nationality when you were nacimiento)/Original nationality (nationality at birth) born. 9 Sexo/Sex Circle one 10 Estado Civil/Marital status Circle the appropriate one 11 Nombre del padre/Father’s name Write your father’s full name 12 Nombre de la madre/Mother’s name Write your mother’s full name 13 Tipo de pasaporte/Type of passport Circle “National passport” unless you have something else 14 Número de pasaporte/Number of passport Write passport number 15 Expedido por/Issued by “USA” or other as applicable 16 Fecha de expedición/Date of issue Date of issue 17 Válido hasta/Valid until Write date that your passport expires Leave blank, or answer “no” or “yes” as 18 Si no reside usted en su país de origen, ¿se le applicable. permite el regreso al país en que reside?/If you reside in a country other than your country of origin, have you permission to return to that country 19 Write “Student” Ocupación actual/Current occupation Write the name and address of your home 20 Nombre, dirección y número de teléfono de la university empresa para la que trabaja. Para los estudiantes, nombre y dirección del centro en el que estudian / Employer and employer’s address and telephone number. For students, name and address of school. 21 Destino principal/Main destination The city where you will be studying (i.e. Seville, Alcalá, Alicante, or Barcelona) 22 Tipo de visado/Type of Visa Circle “Corta duración/Short stay” if you are staying in Spain for less than six months. Circle ‘Larga duración/Long stay” if you are staying in Spain for more than six months. 23 Visado/Visa Circle “Individual” 24 Número de entradas que solicita/ Number of entries Circle “Entradas múltiples/Multiple requested entries” 25 Duración de la estancia/Duration of stay Write the type of visa you are applying for– 90 or 180 days (read notes above for information on these two types). Answer if applicable 26 Otros visados (expedidos durante los tres últimos años) y período de validez de los mismos/Other visas (issued during the past three years) and their period of validity Leave blank 27 En caso de tránsito, ¿tiene permiso de entrada en el ultimo país de destino?/In the case of transit, have you an entry permit for the final country of destination? 28 Anteriores visitas a éste u otros Estados Answer as applicable

CIEE Study Center at University of Seville, Seville, Spain Liberal Arts Program, Fall 2004

29 30 31 32 33 34

Schengen/Previous stays in this or other Schengen states Finalidad de viaje/Purpose of travel Fecha de llegada/Date of arrival Fecha de salida/Date of departure Frontera de primera entrada o itinerario de tránsito/Border of first entry or transit route Medio de transporte/Means of transport Name

Telephone and fax Full address Email address 35
¿Quién paga los gastos de viaje y los gastos de manutención del solicitante durante la estancia? / Who is paying for your cost of travelling and for your costs of living during your stay?

Where it says “Other (please specify)” write “Academic reasons.” Write the day that you plan to arrive in Spain Your projected return date (it does not have to be a definite date, just the date on which you may return) Write the country from which you are entering Spain (either the US or other). Plane or other if applicable Write CIEE and Name of your Resident Director (see the Program Details page on the enrollment website for this information) Write the number of the CIEE office where you will be studying Write the address of the CIEE office where you will be studying Write the email address of your Resident Director Write “CIEE”

36

Medios de subsistencia durante la estancia / Means of support during your stay

37--41 42 43 44 45 46 47 48

Domicilio personal del solicitante / Applicant’s home address Teléfono/Telephone number Lugar y fecha/Place and date Firma (en el caso de los menores, firma del responsible o tutor) / Signature (for minors, signature of custodian/guardian)

Circle applicable means of support for you and where it says “Other” write “CIEESevilla”, “CIEE-Alcalá”, “CIEE-Barcelona” or “CIEE-Alicante”. Write the name of the health insurance that appears in your visa letter. The insurance is valid until two weeks after your program ends. Fill out if you have a spouse Leave Blank Leave Blank Leave blank Use your PERMANENT address Your phone number Place and date when you are completing this form. Your signature