Apply

13. Have you done an international homestay (with a family you did not know before)? *

Yes

No

18. While we do not guarantee a project placement that always matches an application's request, we do our best to match you with a population you are interested in working with. Please select from below, what project population(s) you are interested in working with *

Older Adults

Children

Healthcare Setting

11b. Graduate Degree Date Received or Anticipated

10c. Undergraduate Field Placement Agency (if applicable)

10a. Undergraduate Degree and Major Subject *

19. If you have questions, concerns, or requests regarding gender identity, sexual orientation, reasonable accommodations, or anything else not already addressed, please share here so that we may be of support.

2. Date of Birth *

4. Racial and Ethnic Identification (optional)

3. Gender *

12. Have you lived or traveled internationally before? If so: where, for how long, and for what purpose? *

15. Please indicate your long-range professional plan and how this trip will contribute to them? *

11c. Graduate Field Placement Agency

14. Please indicate here what interests you about this opportunity? What do you hope to gain? *

9. Do you currently use Spanish to serve clients? *

Yes

No

7. Address *

16. Please discuss any past history or special circumstances that could impact your adjustment in an international field placement or home stay that should be considered in the selection of your field placement agency and or homestay family. This does not only refer to traumatic situations, but also to positive things as well. Consider health concerns, allergies, strengths or vulnerabilites, etc. *

13a. How do you feel about the opportunity to stay with a homestay family? Do you have any concerns or special needs to be considered related to allergies, health or diet? *

11a. Graduate Concentration

11. Graduate Education

9b. If you chose other, please describe below:

10b. Undergradute Degree Date Received or Anticipated *

10. Undergraduate Education *

20. Attach a copy of your resume. *

9a. If so, in what capacity do you use your Spanish skills with clients?

Case Management

Therapy

Other

8d. If yes, how proficient do you consider yourself? Writing:

1 - Elementary Proficiency

2 - Limited Working Proficiency

3 - General Professional Proficiency

4 - Advanced Professional Proficiency

5 - Functionally Native Proficiency

8c. If yes, how proficient do you consider yourself? Reading:

1 - Elementary Proficiency

2 - Limited Working Proficiency

3 - General Professional Proficiency

4 - Advanced Professional Proficiency

5 - Functionally Native Proficiency

8b. If yes, how proficient do you consider yourself? Listening:

1 - Elementary Proficiency

2 - Limited Working Proficiency

3 - General Professional Proficiency

4 - Advanced Professional Proficiency

5 - Functionally Native Proficiency

8a. If yes, how proficient do you consider yourself? Speaking:

1 - Elementary Proficiency

2 - Limited Working Proficiency

3 - General Professional Proficiency

4 - Advanced Professional Proficiency

5 - Functionally Native Proficiency

8. Do you speak Spanish? *

Yes

No

1. Name: *

5. Email: *

6. Phone *