Personal Information

Honorific

(If Other, Please Specify)

First Name

Last Name

Gender

Female

Male

Other

Prefer Not To Respond

(If Other, Please Specify)

Birthday

Month

Day

Year

Do you have a valid passport through September 2026? (Participation in this program requires a passport that is valid at least six months beyond your intended stay in Guatemala. If not, be sure to check passports processing times in your country.)

Yes

Contact Information

Confirm Email

Phone Number (Include Country Code and Area Code)

Address

Multi-line address (Required)

Country/Region

Address

Address - line 2

City

Zip / Postal code

Current Role

Current Occupation/Role: (For example: Student, Nonprofit Executive, Corporate Impact Officer, Retired)

If student: Major(s), University

If professional: Title, Name of Organization:

Other

(If Other, Please Specify)

Deposit

Program Fees:

§ Double-occupancy rooms: $4,750 per person

§ Single-occupancy rooms: $5,050 per person

Payment Schedule:

§ Deposit Amount of $500.00 Due Upon Registration

§ Balance Due on or Before November 13, 2025

Registration Deposit Refund Policy:

A full refund of the registration deposit if a written request is received within 120 days before the program start date (by November 13, 2025). Written requests must be sent to treasurer@siecolab.org.

Pay the Deposit & Confirm Your Registration:

To confirm your registration and hold your spot in this SIE Immersion program, the deposit is due now. By submitting your deposit, you acknowledge that you’ve read the Registration Deposit Refund Policy. We accept these forms of payments: Visa, Mastercard, American Express, Apple Pay, PayPal . Click on this link to pay the deposit: LINK (Internal Wix link)

Pay Deposit Now

$500.00