Tropical Conservation Semester Enrollment Form

We’re so excited that you’ll be joining us in Ecuador this spring!

Congratulations on your acceptance to the Ceiba Foundation Tropical Conservation Semester in Ecuador.  Please fill out this form completely in order to confirm your enrollment in the program by the deadline indicated in your acceptance letter.  Please note, you cannot save this form so make sure to gather all information needed before you fill it out. All fields marked with an asterisk are required.  Please see the Preparing To Go checklist for other steps to prepare for your trip!


  • Personal Information

  • Please confirm your email address
  • We require your passport number to make in-country travel arrangements; however, if you do not yet have a passport, please email us the number as soon as you obtain one. Note that your passport must be valid to at least 6 months beyond your date of return.
  • Only for students not at the University of Wisconsin; if you are a UW student we will notify you when those documents are available for pickup on campus.
  • Diet and Health Information

    Please be as complete as possible. Detailed health information allows us to offer you the best possible service at field sites and provide you with appropriate care in the event of a medical emergency.
  • You may use the box below to provide more information on your specific allergies.
  • If you indicated any allergies above, please provide a detailed explanation including the types of medications and/or insects or other allergens you are allergic too, and the nature of your reaction.
  • Please indicate by checking the box if you have had or are presently experiencing any of the following. If none of these conditions apply to you, please check the NONE box.
  • If you checked any of the conditions above, please provide a detailed explanation, including how recently you have experienced the condition and what routine treatments you require:
  • Enter "none" if you do not take any prescription drugs.
  • Host Family Preferences

    Please tell us a little more about yourself, and your preferences for your host family household. Your responses will be used to pair you with an Ecuadorian family best suited to your needs, abilities, and preferences.
  • Write a short summary of your personality, including the aspects that you'd like your future host family to know about you. For example, are you interested in sports or photography, or learning to cook local specialties, or speaking only Spanish in the home.
  • If you said Yes to pets, please provide any other comments about your pet preferences or history.
  • Select whether you would prefer a household with any of the following members (or choose No Preference)
  • Emergency Contact Information

    Please provide complete information about who we should contact in the event you are involved in an emergency situation while in Ecuador.
  • Alternate Emergency Contact

  • Certification and Signature

  • I understand that by submitting this form I am formally enrolling in the program, and am responsible for paying tuition and completing other required steps to prepare for my semester in Ecuador. I certify that the information I have provided on this form is true and correct. Please see Refund Policy in program packet.
  • Please type full name.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Thanks for enrolling!

As you check items off the Preparing to Go list, please keep an eye on your email for updates about key events like the Pre-Departure Orientation, and any other program details we need to pass along.  For now, make sure you have a passport valid for at least 6 months beyond your return; getting a passport can take up to 8 weeks, so if you need a new one or have to replace yours, it’s best to get started right away!