Are you able to combine programs? Which would you recommend?

Yes, you could combine programs. I recommend business in the city and English teaching in the village of San Miguel. And I definitely recommend to go to Panama. During break time, go to San Carlos with the Cacique cruiser to surf. A great dream for Midwestern US people, without many beach chances to go. You can go even in December here within Panama.

Yes you can combine and even create your own path. You must provide a gameplan to reach your goals. In the summer business interns stay in the city, all other times I think its a mix of jungle and city. I loved the city and was working on a MA degree in business so I loved the business program. The most important thing is to understand who you are before you plan to go into a rainforest!