California Association for Bilingual Education First Annual Conference on Bilingual Education and Cultures in Oaxaca

OAXACA Trip Application Form | June 19 - 23, 2024

First Name (as it appears on your passport) *

Middle Initial or Middle Name (as it appears on your passport) *

Last Name (as it appears on your passport) *

I acknowledge that I need to be 18 years or older to participate on this CABE trip to Oaxaca, and confirm that I am 18 years old or older. *

Yes

No

Street Address *

Address Line 2

City *

State *

Zip Code *

Best Phone Number to Reach You *

Birthdate * +

Email *

District, University or Organization *

Position *

Travel Questions

1) Why are you interested in traveling to Oaxaca with CABE? *

0/500 words

2) What do you hope to gain from journey? *

0/500 words

3) This trip to Oaxaca will require travelers, at times, to walk several blocks, ride in a van, climb stairs, walk on cobblestone streets, eat a wide variety of foods, and participate in programming from morning to evening. We will also stay in private hotels. Do you have any health restrictions that would prohibit you from participating in this type of travel? *

4) Have you traveled to Oaxaca previously? If so, when and where? *

0/500 words

5) Do you possess a US passport or permanent residency card? *

6) Passport Number *

7) Preference for Departure City *

8) How do you rate your level of Spanish *

9) What type of rooming would you prefer? *

Single Occupancy

Double Occupancy

Double/Double (Two beds) occupancy

10) If you choose double or double/double occupancy, do you have a preferred roommate? If so, who? If you have no preference, please add “no preference”. *

11) I understand that my payment of $2500 is due to CABE on or before April 30, 2024. *

Yes, I understand and agree to pay the amount of $2500 by April 30, 2024

No, I do not understand nor agree to pay.