Central Oregon Community College Study Abroad
Fall Quarter in Barcelona
Sept. 21-Dec. 5, 2015
Application process
1. Complete this form electronically. (Spaces expand as you type, tab between blanks, fill
in the information, save the form and print a copy for yourself.)
2. Email the completed application to jbouknight@cocc.edu
3. Print out the Release and Conduct form (see COCC study abroad website for this form)
and complete by hand, signing your name in the appropriate blanks. Attach a check for
the non-refundable application fee of $450 made out to COCC with “Barcelona Fall
2015” in the memo line and mail or hand-deliver to the address below by the deadline of
May 1, 2015. (If you prefer to charge your fee, please call Jon at 541-330-4394 well
before this date and then mail the conduct form separately.)
Jon Bouknight
Fine Arts and Communication
Central Oregon Community College
2600 NW College Way
Bend, OR 97701
4. Pay balance of program fees, $7390, and the refundable damage deposit, $250, by
the deadline of June 15, 2015 (Note: the total Cost is $8090 for the program fees of
$7840 plus the damage deposit of $250). Financial aid students must pay a
reservation deposit of $2,000 and the refundable damage deposit of $250 by this
date.
Program fees include
 Round trip flight Portland to Barcelona and airport transfer for group flight arrival/departure.
 Double bedrooms in apartments, with shared living room, kitchen, bath
 4-credit Spanish language course, four hours weekly, two to three levels possible depending
upon enrollment (e.g. SPAN103, 201)
 Hosted welcome and farewell dinners
 3-credit Spanish Life and Culture course taught by local faculty (such topics as History of
Spain, contemporary culture, Spain vs. Catalonia, sports, the politics of national languages,
gentrification, immigration) and overseen by COCC faculty.
 Weekly cultural activities, such as a futbol stadium tour, tours of Gothic quarter, the
gentrified Raval neighborhood, and the Born District; a historical tour of the Spanish Civil
war in Barcelona and a cooking class—culminating in a Catalan meal.
 Day-trip to Dali museum and medieval quarter of Besalu.
 Spanish-English language partners and orientations for intercultural competence
 Activities at local universities, discounts and subsidized cultural events.
 comprehensive medical insurance
 24-hour emergency cell phone on-site with Barcelona SAE staff, and institutional support
from Rich Kurtzman, Director, student services and activities coordinators
 Re-entry workshop to articulate study abroad experience in resumes, application letters and
interviews; preparation for return culture shock
 One COCC instructor offering three more AAOT transferable courses
 Optional weekend trips (for an added fee) may include overnights to Zaragoza or Granada
Program fees do not include
 Tuition and fees, ranging between $1300 and $1700, depending on coursework selected
 textbooks or other learning materials
 local transportation, field trips or excursions required by your instructors
 food, personal expenses or independent travel while in Barcelona
 Cost of obtaining a US Passport
Fall Quarter in Barcelona
Personal data
Name
Gender: male
female
College
Student number
Mailing address
City
State/ZIP
Phone ( )
Email
(with area code)
Cell phone ( )
Passport No.
Expiration date
In case of emergency, notify (Name)
Relationship:
Phone:
( )
(with area code)
Mailing address
City
State/ZIP
Email
Payment Options: Non-refundable application fee of $450 must accompany the Release and Conduct
form, which constitutes part of this application.
I will use financial-aid for program costs (please attach copy of current award letter):Yes
No
If you plan to pay for either your application fee or your program fee of $7,390 and refundable damage
deposit of $250 by credit card, please contact Jon Bouknight at 541-330-4394. Note: COCC cannot
accept debit cards above your daily limit. Please check with your card’s issuing bank to be aware of this
amount. COCC accepts only MasterCard, VISA, or Discover credit cards.
Academic Approval: A COCC study-abroad representative must sign your Assumption of Risks form to
approve your enrollment in the program. Please be advised that you must have completed 12 college
credits with a GPA of 2.5 or better in order to qualify for the program.
Study Abroad
Medical/Personal History Form
Name:
Primary Insurance Company:
Policy #:
Food Restrictions/Special food requirements:
Allergies:
Yes
No
Explain:
Medications: Yes
No
Explain:
Documented learning disability?
Yes
No
Describe:
If yes, bring a letter from your college disability counselor suggesting specific acommodations to
your instructors in Barcelona.
Relevant Medical History (injuries, disease, emotional health, etc.):
(Prior conditions must be declared and waived for students to obtain health care coverage.)
Have you ever been convicted of anything other than a minor traffic offense?
Yes
No
If yes, please explain:
Barcelona Program Refund Policy
1. The $450 application fee is refundable only if COCC cancels the program for low
enrollment.
2. The $7,390 program fee deposit or the $2,000 reservation deposit (for financial aid students)
is fully refundable only if a new applicant can assume a withdrawing student’s place between
June 15, 2015, when such payment is due, and July 15, 2015.
3. If a student withdraws between these dates and no replacement student is available, s/he will
receive a partial refund, reduced by a $500 processing fee plus any non-refundable deposits
already paid on behalf of the student. After July 15, 2015, refunds cannot be made on prepaid airline tickets beyond the refund date set by the airline.
4. The $250 damage deposit is fully refundable at the end of the program if no damage is
reported by the Barcelona housing office. Only that amount necessary to pay for damages to
apartments or furnishings will be deducted, and the balance will be refunded.
5. Please note that students who are academically withdrawn by COCC after their applications
have been processed are subject to the standard refund policy.
6. Once the program has started September 21, 2015, students withdrawing receive no refund
unless COCC suspends the program in an emergency.
Study Abroad
Shared Apartment Profile
Name:
Age:
Please note that specific housing preferences cannot be guaranteed. Likewise, single rooms are
very limited and are allocated only according to special needs (medical, age, etc.)
1. Do you smoke? Yes
No
Do you mind if a housemate smokes? Yes
No
2. What time do you usually get up in the morning?
3. What time do you usually go to bed at night?
4. Do consider yourself a quiet person? Yes
5. Do you prefer a neat and tidy living space? Yes
No
No
6. Describe where you prefer to study.
7. Studying abroad generally requires a great deal of physical mobility. If you have any physical
condition that prevents you from climbing stairs, describe:
If you have any special needs,
describe the assistance you would request and how this would enable you to participate.
8. If you have any special reason for requesting a single room, please describe:
9. Do you like to cook your own meals? often
occasionally
never
10. Describe the type of music you prefer.
11. Describe any hobbies or interests you would like to pursue while in Barcelona.
12. Are you open to sharing an apartment with members of different genders? Yes
No
13. If you feel there is anything else we should know in order to best place you with compatible
housemates, please indicate:
14. If you have any roommate preference, please list in order:
(1)
(2)