1) Please complete and submit your application at least 60 days prior to your anticipated internship start date.
Applications may be submitted on line www.costaricainternships.com however we do require that an additional
signed application be submitted along with two letters of recommendation and your resume

2) Mail application materials to:
       Costa Rica Internship Institute (CRINI)
       P.O.Box 1171 C.P. 2050
       San Pedro, San Jose, Costa Rica

3) Once we have reviewed your application, we will notify you of your acceptance to the program.
This usually takes 10 days upon receipt of all application materials.  If you are accepted to the program,
we will send you an acceptance letter and program guide containing more detailed country, program and
project information.  At this time we will also send you an invoice for the program deposit.  We cannot begin
the formal placement process until we have received your $300 non-refundable deposit as guarantee
of your participation in the program.

Name: ______________________________________

Sex: Male/Female __________________________

Birthdate: _____ / _____ / _____

Passport No: _____________________________________

Expiration Date: ___________________________________

Street Address: _________________________________________________________

City: ________________________ State: _________ ZIP: _______________

Country: ________________________

Home Phone: ___________________ Cell Phone: _____________________

E-mail Address: ____________________________________________________________________

Current College or University (if applicable): ______________________________________

Major: _______________________________________________________

Current Employer and Occupation (if applicable) _________________________________

Internship start date: ____________________________

End date: _____________________________________

Total number of weeks: __________________________

Emergency contact (name & telephone):
____________________________________________________________________

____________________________________________________________________

FLIGHT INFORMATION (if available)

Day and date: ____________________   Airline :__________________________

Flight Number: ___________________   Arrival time: ______________________

Airport pick up (circle one)    YES       NO 

LANGUAGE

1) How many years of formal Spanish language training have you had? ________

Where and when? _______________________

2) Have you ever studied/traveled/lived in a Spanish speaking country? ______

Where and when? _______________________

3) Other languages spoken
_______________________________________

4) What is your current language level?

None ( ) Beginner ( ) Intermediate ( ) Advanced ( ) Fluent ( )

5)How comfortable are you with your Spanish skills?

Not comfortable _________ Somewhat comfortable ________ Very comfortable _______

Spanish is necessary for any internship placement.  It is recommended for some interns to take
a short intensive class prior to starting their internship or to reinforce the language skills necessary
to complete the internship.

Would you like to enroll in Spanish language classes (at an additional cost)?

Start date:   ________________    End date:  ___________________

INTERNSHIP PLACEMENT

Your answers to the following questions will help us to begin the placement process.  Please provide us
with as much relevant information as possible.  Final placement and project design will be conducted upon arrival
based upon interviews with CRINI, Viva Nicaragua! and host organization personnel.

Please state your reasons for wanting to participate in this program.
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

What skills/past experience will you bring to your internship?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

What field (s) would you prefer to work in (select no more than two) You will work in the same field in both
Costa Rica and Nicaragua.

Gender _____    

Health _____   

Health education _______    

Adolescents _______ 

Disabled children ______    

Disabled adults  _______     

Elderly  _____  

Agriculture  _______

Cooperatives  ______ 

Economics  _______  

Marketing  _______ 

Tourism/ecotourism  _____

Street children  _______  

Children  _______  

Research  ______  

Domestic violence _______

Human rights  ______  

Health Care  ______  

Social Work ______  

Environment ___________

Natural Resources _______  

National parks ______  

Other (please specify)  ______________

Why are you interested in working in this/these field(s)?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Why do you feel you are qualified to work in this/these field(s)? (Remember, motivation and interest are qualifications)

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Do you have any previous experience in this/these field(s) (professional, academic, or other internship. Please provide more detailed information in your resume )

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Describe the type of work you imagine doing in Costa Rica and Nicaragua in this/these field(s) 
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Education (Beginning with most recent)   ____________________________________________

Other skills  __________________________________________________________________

Hobbies and interests __________________________________________________________

HOUSING

Please check your housing preferences: for example a non smoking household, a family with
or without small children, pets, etc. ________________________________________________

Do you have any health problems about which the CRINI or Viva Nicaragua!  Director or your host family
should be informed (food restrictions, special medications, physical limitations or other special needs)
if so explain___________________________________________________________________

TERMS AND CONDITIONS

Application and Payment Process

After receiving your signed application, resume and letter of recommendation, we will begin the application
review process. Upon careful review of your application, we will notify you if you have been accepted. 
This process usually takes one week to ten days.

Upon acceptance to the program you will receive an invoice for your $300 non refundable deposit.
We cannot begin the official placement process until we have received your deposit as guarantee of
your participation in the program.

Complete payment is due upon arrival.   You can pay through personal check or wire transfer. 
Traveler checks and money orders are NOT accepted.
                               
There will be no refunds after the program has begun. In the event of a personal emergency,
we will review the situation and may issue a partial refund.

Intern Responsibilities and Expectations

- Interns who do not display appropriate behavior, fail to comply with the rules of the host organization
   or that do not fulfill contracted work responsibilities will be dismissed without reimbursement of program fees.
- Airfare to and from the United States is at the expense of the participant or his/her family.
- Participants agree to work the full amount of time which they have registered. No changes to program are
   permitted one the program begun.
- Time off for travel during the contracted internship is not permitted.

I have read and I agree to all the above TERMS & CONDITIONS.

Signature: __________________________________

Date: _______________________________________

WAIVER OF LIABILITY
All interns are required to be insured. Additional travel insurance can be purchased. It is recommended that interns
purchase international traveler´s insurance and/or an international student id card.

Costa Rica Internship Institute (CRINI) is not liable for any loss, illness or injury while you are in Costa Rica.

I have read and agree with the general terms as stated in this waver of liability (sign below)

Signature: ____________________________________

Date: ________________________________________

How did you hear about Viva Nicaragua! ? _____________________________________________

<< BACK TO TOP