Volunteer Nicaragua
Internships - Spanish - Experiential Learning Programs in Nicaraguahttp://www.nicaraguainternships.com
Health Care Program
Application
Application Instructions:HOME

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 complete 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.

COMPARATIVE HEALTH CARE PROGRAM COSTA RICA-NICARAGUA APPLICATION


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: __________________________

Person to contact in case of emergency (name, telephone and email):

____________________________________________________________________

____________________________________________________________________


LANGUAGE

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

Where and when? ______________________________________________________________

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

Where and when? ______________________________________________________________

3) Other language 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 all health related internships
Will you need to enroll in Spanish Language classes (at an additional cost)?

Start date: ________________ End date:  __________________

 

INTERNSHIP PLACEMENT

Please feel free to attach additional sheets if necessary.

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

____________________________________________________________________

____________________________________________________________________

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

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


What type of health care facility would you prefer to work (select no more than two)

Clinic ______________________

Medical teams that visit communities) _____

Children´s Nutrition Center ____________

School/facility for disabled people/youth/children ________________________

Hospital (primarily available in Nicaragua) _____________

Women´s health clinic ________________

Non-profit health care facility ___________

Retirement home: ______________________

Other (please specify) _______________________________

Why are you interested in working at one of these institutions/organizations?

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Why do you feel you are qualified to work at one of these institutions /organizations (Remember: creativity,
motivations and interest are qualifications)?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Do you have any previous health care or medical experience (professional, academic or other internship)?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

In Costa Rica, would you prefer to work in an urban or rural area?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

In Nicaragua, would you prefer to work in Granada or in a rural setting?
____________________________________________________________________

____________________________________________________________________

____________________________________________________________________


HOUSING
Please state your housing preferences (for example a non-smoking household, a family with or without
small children, pets, etc.) ____________________________________________________________
Do you have any health problems that CRINI, Viva Nicaragua! or your host family should be aware of
(dietary restrictions, special medications, physical limitations or other special needs)?
If so please 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.   We accept personal checks and wire tranfers.  Traveler checks,
credit cards, 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 fulfil 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: _______________________________________

How did you hear about Viva Nicaragua! ? _____________________________________________

 

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Nicaragua Internships