Lone Star Professional Development Forms and Payment – Institute of Study Abroad Ireland

Thank you for your interest in the Lone Star College Professional Development Program. Please fill out the below form and complete the deposit payment to secure your place at the Symposium.

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Institution Information

Name of Institution*

Institution Address*

Website*

Number of fulltime students

Applicant Information

Name*

First Last

Professional Title

Email*

Gender / Pronouns*

Work Phone*

Cell Phone

Trip Information

Fee per person: $400 per person based on double occupancy*, booked by June 30 2022. Single room supplement: $800 (Total) Fee includes: 2 nights in Dublin (4* Hotel),3 nights at ISAI Campus Donegal (Private Apartments), all land transfers, breakfast and evening meals, training, lectures, field trips and other excursions. Follow-up payment links will be sent for accommodation charges.

Accommodation Preference*

Dietary Requirements (Vegan/Vegetarian/Gluten-Free Etc.)*

If you would like to arrive early or depart later, and need assistance with arrangements, please let us know

Payment Information

A deposit of $98 is required to confirm your place at the forum. Deposit receipts and payments may be invoiced to institutional sponsors.

Deposit*

Price:

Total

Credit Card*

Card Details

Cardholder Name

Billing Address*

Street Address City County / State / Region ZIP / Postal Code Country