Application Forms by AndrewBrocklehurst

VIEWS: 7 PAGES: 2

									                APPLICATION FORM
Please check ( ✔ ) for which semester/session you wish to apply
                                                           DEADLINE
FALL 2009 (SEPT. 6 – DEC. 3, 2009)                ☐        AUG. 15, 2009
WINTER/SPRING 2010 (JAN.4 – APRIL 2, 2010) ☐               NOV. 15, 2010
SUMMER 2010 (JUNE 21 – AUG. 20, 2010)             ☐        MAY 15, 2010
FALL 2010 (SEPT. 5 – DEC. 3, 2010)                ☐        AUG. 1, 2010

LET US KNOW ABOUT YOU

LAST NAME:         _______________________________
FIRST NAME:        _______________________________
GENDER:            F☐         M ☐    DATE OF BIRTH:         __/ __/ __
                                                           MO DAY YR

NATIONALITY:       _______________________________

CURRENT MAILING ADDRESS:       _________________________
                               _________________________
                               _________________________
EMAIL ADDRESS: _________________________________________

UNIVERSITY/BUSINESS SCHOOL PRESENTLY ATTENDED:
_________________________________________________________

MAJOR OF STUDY:                 ______________________________
MINOR OF STUDY:(IF ANY)         ______________________________

HOW WOULD YOU RATE YOUR ENGLISH PROFICIENCY?
•SPOKEN: GOOD ☐    FAIR ☐   AVERAGE ☐      POOR ☐
• WRITTEN: GOOD ☐  FAIR ☐   AVERAGE ☐      POOR ☐

SIGNATURE: ___________________ DATE: __________

 PLEASE, SCAN AND EMAIL THE COMPLETED AND SIGNED
    APPLICATION FORM TO: apply@ asiacademy.com,
                      c/o Dr. Francis Piron
Tuition Payments and Refund Policy
AsiAcademy’s tuition fee is invoiced in three components, as indicated on the website
(“Tuition Fees”).

AsiAcademy reserves the rights to alter fees, as necessary. Upon registration (i.e., once
the completed application form and 25% payment are received) participants receive an
admission letter and receipt. While the registration fee is not refundable, it is transferable to
another semester/session. The balance of the program fees is due as indicated on the
website and confirmed in the acceptance letter.

In the event of cancelation between 1 week and 29 days of the beginning of the semester
AsiAcademy will refund 40 % of the program fee. There will be no refunds after the
beginning date of the program.

Force Majeure
Force majeure means any circumstances beyond the reasonable control of AsiAcademy
including, but not limited to, acts of God, explosion, flood, tempest, fire or accident,
earthquake, war or threat of war, sabotage, terrorism, insurrection, civil disturbance,
requisition, sickness, quarantine, government intervention, adverse weather conditions or
other untoward occurrences. Should AsiAcademy’s program be impacted by force
majeure, it will immediately notify the participants.

								
To top