this form - CSI Off-Campus Centers

SUN VALLEY SUMMER SPANISH INSTITUTE • 2015 • REGISTRATION FORM
Name: ___________________________________________________Birthdate_____/_____/_____ID#_______________
Mailing Address: _______________________________City_____________________________State_____Zip__________
Physical Address:_______________________________City_____________________________State_____Zip__________
Email Address: ___________________________________________ Phone: ______________________________________
Morning Academic Classes 9:00 am – 12:00 pm Daily (check one)
 Level 1 Beginning A
(XSSI 004 B01)
 Level 2 Beginning B
(XSSI 004 B02)
Lunch Break 12:00 pm – 1:15 p.m.
 Level 3 Intermediate
( XSSI 004 B03)
 Level 4 Advanced
( XSSI 004 B04)
Afternoon Workshops (check one for each session): Afternoon Workshops (check one for each session).
Place a “1” by your first choice and a “2” by your second choice. If your first choice is full you will be registered for your second choice.
[A] Workshops are recommended for students in all language levels. [B] Workshops are recommended for levels 3 and 4.
Monday, June 15 (1:15-2:45 p.m.)
Monday, June 15 (3:00-4:30 p.m.)
 Day of the Dead Art [A] XSSI 199 B01
 Nature Walk/Hike (Off-site) [A] XSSI 199 B04
 Grammar: Question Words [A] XSSI 199 B02
 Hip-hop in Spanish [A] XSSI 199 B05
 Advanced Grammar: Direct & Indirect [B] XSSI 199 B03
 Santiago de Compostela in the fast lane [B] XSSI 199 B06
 Monday Luncheon 12:00 pm-1:15 pm [A] and [B] (Included in registration fee) XSSI 199 B29
Tuesday, June 16 (1:15-2:45 p.m.)
 Spanish for Health and Wellness [A] XSSI 199 B07
 Clinic: Numbers and Time [A] XSSI 199 B08
 Advanced Grammar: Preterit and Imperfect [B] XSSI 199 B09
Tuesday, June 16 (3:00-4:30 p.m.)
 Yoga and Relaxation [A] XSSI 199 B10
 Tour of the Grocery Store and Panadería [A] XSSI 199 B11
 Teaching Spanish in the Classroom [A] XSSI 199 B12
Wednesday, June 17 (1:15-2:45 p.m.)
 Journey Through Peruvian Culture [A] XSSI 199 B13
 Grammar Clinic: Directions [A] XSSI 199 B14
 Advanced Grammar Clinic: Por vs. Para [B] XSSI 199 B15
Wednesday, June 17 (3:00-4:30 p.m.)
 Tour of the Botanical Garden (Off-site) [A] XSSI 199 B16
 Educational Terminology [A] XSSI 199 B17
 Advanced Cooking [B] XSSI 199 B18
Thursday, June 18 (1:15-2:45 p.m.)
 Famous Latin American Markets [A] XSSI 199 B19
 Grammar Clinic: Ser and Estar [A] XSSI 199 B20
 Advanced Grammar: The Subjunctive 1 [B] XSSI 199 B21
 Thursday Intercambio Luncheon 12:00 pm-1:15 pm [A] and [B]
Thursday, June 18 (3:00-4:30 p.m.)
 Spanish Pop Music: Get Your Groove On [A] XSSI 199 B22
 Cooking: [A] XSSI 199 B23
 Advanced Translation and Interpretation [B] XSSI 199 B24
(Included in registration fee) XSSI 199 B30
Friday, June 19 (1:15-2:45 p.m.)
 Technology and Language Learning [A] XSSI 199 B25
 Grammar Clinic: Irregular Verbs [A] XSSI 199 B26
 Advanced Grammar: The Subjunctive 2 [B] XSSI 199 B27
 The Quinceañera [A] XSSI 199 B28
Do you plan to register for college credit?
 2 lower division credits through CSI for an additional $46.
 2 upper division credits through ISU.
Credit registration will occur on-site the 1st day (June 15) only.
Tuition: $375 Full payment is required to register. If you need to cancel, you may receive a refund minus a $25 administrative fee
through June 8. No refunds will be issued after June 8. Please provide credit card information or include a check payable to CSI.
Credit card #: _________________________________________ Expiration: ______________ CID #: _______
Signature: ____________________________________________________ Date: _________________________
Submit registration and payment to the College of Southern Idaho by:• mail: CSI Blaine County Campus, 1050 Fox Acres Road, Hailey,
ID 83333 fax: (208) 788-6439 • email: [email protected]
You will receive an email confirmation of your registration and payment.