Costa Rica Frika (CRF) Exchange Trip
Welcome and thanks for your interest in participating in our  Costa Rica programs.  To get started please fill out the form below so we can find out more about you and your interests.  You'll receive more detailed information after completing this form.
If there are any questions that don't pertain to you, please mark "NA" in order to continue filling out the form.

Sign in to Google to save your progress. Learn more
Participant Full Name *
Write full name as it appears (or will appear) on your passport
Date of Birth (MM/DD/YY) *
Gender *
Address (include city, state, zip) *
Participant Email Address *
Participant Phone number *
Parent's names (first, last) *
Parent Email Address *
Parent's cell phone and/or home phone *
What high school do you attend? *
What teacher is organizing your exchange?
If applicable
Do you have a current passport that is valid for at least 6 months after conclusion of the trip? *
Do you have any dietary or medical conditions/medications? *
example: allergies, asthma, vegetarian, diabetic etc.
Would you be open to sharing a bedroom with your host? *
Would you be open to sharing a host family with another exchange student? *
If yes, please list someone you'd be able to share with.
Please tell us a little bit about yourself.  What are your interests/hobbies?  What kind of host family/exchange student would be ideal for you? *
Could you be hosted by a male or female family?  Could the family have pets?  Is it important for you to attend religious services?
What kind of experience are you looking for?  In other words, what are your goals for this trip? *
How would you grade your level of Spanish? *
How did you hear about the trip? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Costa Rica Frika. Report Abuse