ALEXANDER-SMITH ACADEMY APPLICATION FOR ADMISSION

Size: px
Start display at page:

Download "ALEXANDER-SMITH ACADEMY APPLICATION FOR ADMISSION"

Transcription

1 ALEXANDER-SMITH ACADEMY APPLICATION FOR ADMISSION RICHMOND AVENUE #100 HOUSTON, TEXAS off.(713) fax (713) International Application, request for student visa, current transcripts, passport, immunization records, and a non-refundable $500 application fee must accompany this completed application. Applicant s Full Name

2 Alexander-Smith Academy Richmond Ave Houston, Texas / Fax 713/ Application for International Students and Request for a Student Visa Student Information: Please fill a form for each student requesting a student visa. Family Name: Middle Name: First Name: Country of birth: Country of Citizenship: 1) 2) Date of birth: \ \ Grade for which the student visa is requested: DD\MM\YYYY U.S. cell phone number ; U.S. address Expected Graduation Date: Student s Passport Number: (Please attach a photo copy of passport to this application) Parent Information: 1) Relationship to Student: Family Name: Middle Name: First Name: 2) Relationship to Student: Family Name: Middle Name: First Name: International Address Address: Country: Postal Code: Home Phone: Mobile Phone:

3 Guardian Information (must be a Texas resident) Family Name: Middle Name: First Name: Address: City: State: Zip Code: Guardian s relationship to student Guardian s Passport Number Home Phone: Work Phone: Mobile Phone: Guardian s Employer: Position: Work Address: City: State: Zip Code: If the student will be living with a parent(s), what visa does the parent(s) currently hold? Reason for Visa Please state your reason for a visa request/change of visa status: Please note: All students requesting a student visa are required to pay full tuition and fees before Alexander-Smith Academy will process an I-20. Alexander-Smith Academy s program officer will meet with parents and guardian/texas resident in person when the file is created. Alexander- Smith Academy is mandated to update student files at the beginning of each term, and know of travel plans in advance. Guardians and students will be made aware of the visa program requirements. Parent Signature: Date: Guardian Signature: Date: Program Officer: Date:

4 PERSONAL INFORMATION How did the applicant hear about ASA? Has the applicant been enrolled in any accelerated courses? If yes, please list courses, grades: Has the applicant s school attendance been regular? If no, please explain. Has the applicant been tested for academic or behavioral concerns? If yes, please indicate: ADD ADHD Dyslexia Other (Please explain) A COPY OF TEST RESULTS MUST ACCOMPANY THIS APPLICATION. Has the applicant ever been referred to Educational Services for learning differences? If yes, please explain: Has the applicant ever received psychological or personal counseling? If yes, please explain. Are there any prior or continuous emotional or behavioral problems which ASA should be aware of in order to work successfully with the applicant? If yes, please explain.

5 If the applicant is on medication, please indicate what medication and dosage. Will it be necessary for an ASA advisor to dispense medication during the school day? Is there any health information the school should know? If yes, please explain. Name of applicant s physician: Phone: In case of emergency, please list who should be contacted and their phone number, in the order of preference: OTHER REQUIRED INFORMATION 1. Have you ever been found responsible for a disciplinary violation at any secondary school you have attended, whether related to academic misconduct or behavioral misconduct that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? Yes No 2. Have you ever been convicted of a misdemeanor, felony, or other crime? Yes No 3. Are you or have you ever been on probation for a misdemeanor, felony or other crime? Yes No If you answered yes to either or both questions, please give the approximate date of each incident and explain the circumstances. If necessary, attach a separate piece of paper.

6 RELEASE OF RECORDS By signing this application I authorize Alexander-Smith Academy to request any records or documents from previous schools attended or educational consultants if deemed necessary. ACCURACY DISCLAIMER My signature on this application verifies that to the best of my knowledge, the information given in the application is true and complete. I also affirm that I shall immediately notify Alexander-Smith Academy of any changes to the information given in this application. I authorize the school to verify any information given in this application should it so desire. I understand that if any information given in this application is false, it may result in the immediate expulsion of my son/daughter. Parent Signature REFUND POLICY THERE ARE NO TUITION REFUNDS. In the event a student withdraws or transfers, payments are discontinued as of that date. If an international student is not permitted through a U.S. port of entry by a U.S. official, then the tuition will be entirely refunded. This page is to be handwritten by the applicant. STUDENT PROFILE Name: Nickname: Please list extra-curricular activities in which you have participated while attending high school: What is your favorite class? Why? What is your least favorite class? Why?

7 What do you like to do after school or on weekends? What is the name of the last novel you read that was not a school assignment? Please tell us anything about yourself that would help the Faculty of ASA get to know you and help us work with you: Briefly describe any voluntary community service you have done and how that activity has contributed to the betterment of society: Write a short essay below describing how you think you would benefit from an education at ASA.

International Undergraduate Application for Admission

International Undergraduate Application for Admission CHECKLIST Application fee: US$30 (required) Completed application form Request academic records International Undergraduate Application for Admission Request exam score reports Copy of passport Completed

More information

Emergency Medical Technician Course Application

Emergency Medical Technician Course Application Community Health Network Emergency Medical Technician Course Application January 2018 First day of Class January 8,2018 EMERGENCY MEDICAL SERVICES & EDUCATION Thank you for your consideration in choosing

More information

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here. DUAL ENROLLMENT ADMISSIONS APPLICATION SM You can get anywhere from here. Please print or type: DUAL ENROLLMENT APPLICATION Last Name First Name Maiden/Middle Social Security # Local Address (include apt.

More information

2018 Summer Application to Study Abroad

2018 Summer Application to Study Abroad Page 1 of 7 Attach one COLOR driver's license or passport sized photograph here. 2018 Summer Application to Study Abroad More than one photograph may be required during the application process. Check individual

More information

Application Form Master Course Altervilles First Year M1

Application Form Master Course Altervilles First Year M1 http://altervilles.universite-lyon.fr/ Application Form Master Course Altervilles 2015-2016 First Year M1 Application form to be sent to: christelle.morel.journel@univ-st-etienne.fr harold.mazoyer@sciencespo-lyon.fr

More information

The application is available on the AAEA website at org. Click on "Constituent Groups", then AAFC and then AAFC Scholarship.

The application is available on the AAEA website at  org. Click on Constituent Groups, then AAFC and then AAFC Scholarship. TO: FROM: SUBJECT: Arkansas High School Principals and Counselors Christie Jay, AAFC Scholarship Chair Scholarship Award -Arkansas Association of Federal Coordinators The Arkansas Association of Federal

More information

Undergraduate and Graduate Study Abroad / Exchange Application Form

Undergraduate and Graduate Study Abroad / Exchange Application Form Undergraduate and Graduate Study Abroad / Exchange Application Form Photo Dear Prospective Student, Thank you for your interest in our courses! This application requests important information for your

More information

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke

Duke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke Office Use Only Durham, North Carolina Application Fee $30 received Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke BEFORE completing this application,

More information

Cy-Fair College Teacher Preparation and Certification Program Application Form

Cy-Fair College Teacher Preparation and Certification Program Application Form Cy-Fair College Teacher Preparation and Certification Program Application Form Date Name (circle one) Mr. Mrs. Ms. Miss. (Last, First, Middle) Address (Number, Street, Apartment Number) (City, State, Zip)

More information

Enrollment Forms Packet (EFP)

Enrollment Forms Packet (EFP) Enrollment Forms Packet (EFP) Based on r student(s) grade and applicable circumstances, complete one enrollment package and review the information below to determine what should submit for each student

More information

Scholarship Application For current University, Community College or Transfer Students

Scholarship Application For current University, Community College or Transfer Students (AN INSTRUMENTALITY OF THE TOWN OF WESTLAKE) 2014-2015 Scholarship Application For current University, Community College or Transfer Students In 2013 TSHA awarded in excess of $420,000 (market value) scholarships

More information

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities.

Please fill in the application form below if you wish to apply for any of the study programs of the Faculty of Humanities. 20170112-001 Application Form for International Students EÖTVÖS LORÁND UNIVERSITY FACULTY OF HUMANITIES APPLICATION FORM FOR INTERNATIONAL STUDENTS ACADEMIC YEAR 2017/2018 INTERNATIONAL STUDENT APPLICATION

More information

Placentia-Yorba Linda Unified School District 1301 E. Orangethorpe Ave., Placentia, CA (714)

Placentia-Yorba Linda Unified School District 1301 E. Orangethorpe Ave., Placentia, CA (714) 1 INTERNATIONAL STUDENTS Welcome to the. This information is for international students who are seeking a one year public high school experience for Grades 9-12. Esperanza High School (www.esperanzahs.net),

More information

George E. Sims, Jr. Nursing Scholarship Application PERSONAL INFORMATION. WellStar West Georgia Medical Center s

George E. Sims, Jr. Nursing Scholarship Application PERSONAL INFORMATION. WellStar West Georgia Medical Center s Submission Instructions Please complete the application by typing or handwriting answers. Mail or deliver a printed, completed application along with the required documents by Friday, February 3, 2017

More information

GPI Partner Training Manual. Giving a student the opportunity to study in another country is the best investment you can make in their future

GPI Partner Training Manual. Giving a student the opportunity to study in another country is the best investment you can make in their future 2017 - Version 1.0 Giving a student the opportunity to study in another country is the best investment you can make in their future GPI Partner Training Manual Contents Welcome...........................

More information

Pharmacy Technician Program

Pharmacy Technician Program Pharmacy Technician Program 12800 Abrams Road Dallas, Texas 75243-2199 972.238.6950 www.richlandcollege.edu/hp Health Professions Division Pharmacy Technician Program Application Packet Equal Opportunity

More information

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

GRADUATE APPLICATION GRADUATE SCHOOL. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 GRADUATE SCHOOL Empowering Leaders for the

More information

Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610)

Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) University Avenue Fax: (610) Schock Financial Aid Office 030 Kershner Student Service Center Phone: (610) 436-2627 25 University Avenue Fax: (610) 436-2574 West Chester, PA 19383 E-Mail: finaid@wcupa.edu Title IV Federal Student Aid

More information

Northwest Georgia RESA

Northwest Georgia RESA Northwest Georgia RESA Office of Executive Director 3167 Cedartown Hwy SE Rome, GA 30161 (706) 295-6189 Fax: (706) 295-6098 Date of Application: Date Available for Employment: Personal Information Full

More information

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer

EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV Equal Opportunity Employer EMPLOYMENT APPLICATION Legislative Counsel Bureau and Nevada Legislature 401 S. Carson Street Carson City, NV 89701-4747 Equal Opportunity Employer Read Instructions Before Proceeding I am applying for

More information

Freshman Admission Application 2016

Freshman Admission Application 2016 We are pleased that you have requested application materials from Governors State University. We recommend that you review all program requirements carefully. Major requirements may vary. Please review

More information

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014

UNDERGRADUATE APPLICATION. Empowering Leaders for the Fivefold Ministry. Fall Trimester September 2, 2014-November 14, 2014 Fall Trimester September 2, 2014-November 14, 2014 Application Deadline: August 8, 2014 Classes Begin: September 2, 2014 Add/Drop Deadline: September 12, 2014 Winter Trimester December 1, 2014 March 13,

More information

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION

ADULT VOCATIONAL TRAINING PROGRAM APPLICATION Ph: ADULT VOCATIONAL TRAINING PROGRAM APPLICATION Applicant: Enclosed is the application packet you requested for the Adult Vocational Training Program (AVT). If you are a first time applicant, the AVT

More information

Attach Photo. Nationality. Race. Religion

Attach Photo. Nationality. Race. Religion Attach Photo (FOUR copies of recent passport-sized photos) PC S/N C/N Class F/W For Office Use Date of Registration (dd/mm/yy) Year of Admission Programme - Primary 1 2 3 4 5 6 (circle the programme the

More information

Study Abroad Application Vietnam and Cambodia Summer 2017

Study Abroad Application Vietnam and Cambodia Summer 2017 Study Abroad Application Vietnam and Cambodia Summer 2017 Program: COM 220: Storytelling Then and Now Vietnam and Cambodia Course Dates: 5/24/17 7/20/17; Trip Dates 6/16/17 7/3/17 Information meetings

More information

The Sarasota County Pre International Baccalaureate International Baccalaureate Programs at Riverview High School

The Sarasota County Pre International Baccalaureate International Baccalaureate Programs at Riverview High School 2016/2017 The Sarasota County Pre International Baccalaureate International Baccalaureate Programs at Riverview High School See Page 8 for explanation APPLICATION FOR ADMISSION 2016/2017 1 Ram Way Sarasota,

More information

Department of Social Work Master of Social Work Program

Department of Social Work Master of Social Work Program Dear Interested Applicant, Thank you for your interest in the California State University, Dominguez Hills Master of Social Work (MSW) Program. On behalf of the faculty I want you to know that we are very

More information

Cypress College STEM² Program Application

Cypress College STEM² Program Application Academic Year 2016 2017 ********************************************************************************* INSTRUCTIONS Complete this application thoroughly and submit ONLINE OR IN PERSON. Make sure to

More information

ADULT VOCATIONAL TRAINING (AVT) APPLICATION

ADULT VOCATIONAL TRAINING (AVT) APPLICATION Attention Education Department AVT 2468 West 11 th Eugene, OR 97402 ADULT VOCATIONAL TRAINING (AVT) APPLICATION The following documents or information will be required to complete the application: Documents

More information

COMMUNITY RESOURCES, INC.

COMMUNITY RESOURCES, INC. COMMUNITY RESOURCES, INC. 3245 E. Exposition Ave Denver, Colorado 80209 Voice: 720-424-2300 Fax: 720-424-2301 Website: www.communityresourcesinc.org ACADEMIC MENTORS PROJECT STUDENT NOMINATION FORM (P.

More information

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages)

WASHINGTON STATE. held other states certificates) 4020B Character and Fitness Supplement (4 pages) WASHINGTON STATE TEACHER RENEWAL AND CONTINUING CERTIFICATION WAC 181-79A-250 APPLICATION INSTRUCTIONS (For more information visit our certification website at http://www.k12.wa.us/certification/) Attention:

More information

UNIVERSITY OF BIRMINGHAM CODE OF PRACTICE ON LEAVE OF ABSENCE PROCEDURE

UNIVERSITY OF BIRMINGHAM CODE OF PRACTICE ON LEAVE OF ABSENCE PROCEDURE UNIVERSITY OF BIRMINGHAM CODE OF PRACTICE ON LEAVE OF ABSENCE PROCEDURE 1 Index of points 1. Introduction 2. Definition of Leave of Absence 3. Implications of Leave of Absence 4. Imposed Leave of Absence

More information

Application. All original documents must be received at UC San Diego by February 23, 2018.

Application. All original documents must be received at UC San Diego by February 23, 2018. Application Instructions: 1. Scanned copies of this application must be emailed to enlace@ucsd.edu by the program deadline of February 9, 2018. The document must be sent as a single file attachment in

More information

Pierce County Schools. Pierce Truancy Reduction Protocol. Dr. Joy B. Williams Superintendent

Pierce County Schools. Pierce Truancy Reduction Protocol. Dr. Joy B. Williams Superintendent Pierce County Schools Pierce Truancy Reduction Protocol 2005 2006 Dr. Joy B. Williams Superintendent Mark Dixon Melvin Johnson Pat Park Ken Jorishie Russell Bell 1 Pierce County Truancy Reduction Protocol

More information

Application for Full-Time Freshman Admission

Application for Full-Time Freshman Admission Application for Full-Time Freshman Admission About You Biographical Information Name Fill in legal name exactly as it appears on official documents. Are you a New York State resident? First/given name

More information

Application for Admission

Application for Admission 2018 Application for Admission 1 Mail completed application to: OFFICE OF ADMISSIONS GROVE CITY COLLEGE 100 CAMPUS DR. GROVE CITY, PA 16127-2104 Office of Admissions: 724-458-2100 admissions@gcc.edu GCC

More information

The Foundation Academy

The Foundation Academy The Foundation Academy 3675 San Pablo Road South, Jacksonville, FL 32224 PH (904) 493-7300 FAX (904) 821-1247 www.foundationacademy.com Application for Admission School Year 2014-2015 Enrollment is capped

More information

Arizona GEAR UP hiring for Summer Leadership Academy 2017

Arizona GEAR UP hiring for Summer Leadership Academy 2017 GEAR UP Summer Leadership Academy (GUSLA) Arizona GEAR UP hiring for Summer Leadership Academy 2017 NAU/AZ GEAR UP will host a six (6) day summer enrichment experience for GEAR UP students on the NAU Mountain

More information

Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES

Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Child s Name: Date of Birth: Address: Age: Gender: City: State: Zip: Grade in Sept 17 : Home Phone: Emergency Phone: T-Shirt

More information

Upward Bound Math & Science Program

Upward Bound Math & Science Program Upward Bound Math & Science Program A College-Prep Program sponsored by Northern Arizona University New for Program Year 2015-2016 Students participate year-round each year beginning in 2016 January May

More information

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements

Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements P.O. Box 4310 Arlington, VA 22204 9998 novac@dstnovac.org Northern Virginia Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated Scholarship Application Guidelines and Requirements In 2017, the

More information

The Louis Stokes Scholar Internship A Paid Summer Legal Experience

The Louis Stokes Scholar Internship A Paid Summer Legal Experience The Louis Stokes Scholar Internship - 2016 A Paid Summer Legal Experience The Cleveland Metropolitan Bar Association s Louis Stokes Scholars Program is an amazing opportunity for college students or high

More information

Rotary Club of Portsmouth

Rotary Club of Portsmouth Rotary Club of Portsmouth Scholarship Application Each year the Rotary Club of Portsmouth seeks scholarship applications from high school seniors scheduled to graduate who will be attending a post secondary

More information

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER

ALL DOCUMENTS MUST BE MAILED/SUBMITTED TOGETHER LOUISIANA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY 37283 SWAMP ROAD, SUITE 3B PRAIRIEVILLE, LOUISIANA 70769 PHONE: (225) 313-6358 or (800) 246-6050 WWW.LBESPA.ORG licensure renewal

More information

International Application Form

International Application Form International Application Form Please complete ALL sections of this form clearly and accurately. If information is missing, or we cannot read some of the sections we will not be able to process your application.

More information

NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION

NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION To better assist our Clients, here is a check off list of the following

More information

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM

GRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM READ THESE INSTRUCTIONS BEFORE FILLING IN THE APPLICATION Purpose The University of Florida (UF) Graduate School Doctoral Dissertation Award is a competitive, need based award program to provide final

More information

Adult Vocational Training Tribal College Fund Gaming

Adult Vocational Training Tribal College Fund Gaming Statement of Goals and Objectives Adult Vocational Training Tribal College Fund Gaming The Kaibab Band of Paiute Indians has instituted a long range goal of economic self-sufficiency and social development

More information

Application for Admission

Application for Admission Application for Admission Princeton University The Graduate School Exchange/Visiting Student Scholar Program (nondegree) UPON COMPLETION, PLEASE SEND TO THE GRADUATE ADMISSIONS OFFICE ONE CLIO HALL PRINCETON,

More information

Non-Academic Disciplinary Procedures

Non-Academic Disciplinary Procedures (Revised September 1, 2017) I. General Provisions Non-Academic Disciplinary Procedures A. Purpose The University Non-Academic Disciplinary Procedures are designed to facilitate fact-finding and to review

More information

APPLICATION FORM STUDY TOUR MASTER PROGRAMMES

APPLICATION FORM STUDY TOUR MASTER PROGRAMMES Please complete in capital letters Gender: Male Female Family name: Preferred first name: Home University: Country of residence: Date of birth: / / Age: City of birth: Country of birth: Nationality 1:

More information

Illinois Grand Assembly - Academic Scholarship Application

Illinois Grand Assembly - Academic Scholarship Application Illinois Grand Assembly - Academic Scholarship Application In this Scholarship Application, The International Order of the Rainbow for Girls in Illinois and Illinois Grand Assembly are used synonymously.

More information

Western Colorado Peace Officers Academy

Western Colorado Peace Officers Academy Western Colorado Peace Officers Academy Refresher Academy Application Packet 2508 Blichmann Avenue Grand Junction, CO 81505 (970) 255-2821 Rev. 12/15/2010 Application Packet Classification Before selecting

More information

North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application

North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application Instructions: Complete this application and return the completed application to the college s Financial

More information

INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM

INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM INSTRUCTIONS FOR COMPLETING THE EAST-WEST CENTER DEGREE FELLOWSHIP APPLICATION FORM Biographical Data are collected as part of record-keeping requirements and have no bearing on the selection process.

More information

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or

Anyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or SKYLINE GRIZZLIES ATHLETIC REQUIREMENTS and REGISTRATION FORMS 2017-18 According to School District #91 and Idaho High School Activities Association rules, all students interested in participating in athletics

More information

CIN-SCHOLARSHIP APPLICATION

CIN-SCHOLARSHIP APPLICATION CATAWBA INDIAN NATION SCHOLARSHIP COMMITTEE 2014-2015 CIN-SCHOLARSHIP APPLICATION The Catawba Indian Nation Higher Education Scholarship Committee Presents: THE CATAWBA INDIAN NATION SCHOLARSHIP PROGRAM

More information

MONTPELLIER FRENCH COURSE YOUTH APPLICATION FORM 2016

MONTPELLIER FRENCH COURSE YOUTH APPLICATION FORM 2016 EIL Intercultural Learning 1 Empress Place, Summerhill North, Cork, Ireland Tel: +353 (0) 21 4551535 Fax: +353 (0) 21 4551587 info@studyabroad.ie www.studyabroad.ie www.volunteerabroad.ie a not-for-profit

More information

APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches

APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches APPLICATION FORM KOI 2013: Training Course Road Safety in Asian & Latin American Countries: Principles and Approaches FILL IN THIS FORM IN CLEAR HANDWRITING, IN CAPITAL LETTERS 1. Identity Mr. / Mrs.*:

More information

Meeting these requirements does not guarantee admission to the program.

Meeting these requirements does not guarantee admission to the program. .Eastern Connecticut State University, School of Education & Professional Studies Committee on Admission and Retention in Education (CARE) UNDERGRADUATE ELEMENTARY Teacher Certification Application Application

More information

Southeast Arkansas College 1900 Hazel Street Pine Bluff, Arkansas (870) Version 1.3.0, 28 July 2015

Southeast Arkansas College 1900 Hazel Street Pine Bluff, Arkansas (870) Version 1.3.0, 28 July 2015 Southeast Arkansas College 1900 Hazel Street Pine Bluff, Arkansas 71603 www.seark.edu (870) 543-5900 Version 1.3.0, 28 July 2015 Concurrent Credit Student Handbook 2015/16 Table of Contents What is Concurrent

More information

Address. Zip Code City State Country

Address. Zip Code City State Country Application Form for a Scholarship awarded by the University of Fribourg Academic Year 2012-2013 Reseach Stay at PhD LEVEL / Application Deadline February, 28th 2012 for a stay during Autumn Semester (Term)

More information

West Hall Security Desk Attendant Application

West Hall Security Desk Attendant Application West Hall Security Desk Attendant Application Mail Completed Application To: Office of Residence Life Attn: SDA Application 100 State Street, PO Box 9101 Framingham, MA 01701-9101 OR Drop Off Completed

More information

Spring North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges

Spring North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Spring 2017 North Carolina Community Colleges Instructions: Complete the following application and return to the college s Financial Aid Office. Application Deadline: March 1, 2017 March 7, 2017 Contact:

More information

Tamwood Language Centre Policies Revision 12 November 2015

Tamwood Language Centre Policies Revision 12 November 2015 Do More, Learn More, BE MORE! By teaching, coaching and encouraging our students, Tamwood Language Centres helps students to develop their talents, achieve their educational goals and realize their potential.

More information

22264VIC Graduate Certificate in Bereavement Counselling and Intervention. Student Application & Agreement Form

22264VIC Graduate Certificate in Bereavement Counselling and Intervention. Student Application & Agreement Form Graduate Certificate in Bereavement Counselling and Intervention Student Application & Agreement Form Graduate Certificate In Bereavement Student Application & Agreement Form PLEASE PRINT CLEARLY OR TYPE

More information

White Mountains. Regional High School Athlete and Parent Handbook. Home of the Spartans. WMRHS Dispositions

White Mountains. Regional High School Athlete and Parent Handbook. Home of the Spartans. WMRHS Dispositions White Mountains WMRHS Dispositions Grit Self Regulation Zest Social Intelligence Gratitude Optimism Curiosity Regional High School Athlete and Parent Handbook "Don't measure yourself by what you have accomplished,

More information

2017 Youth Energy Conference and Awards Staff Application

2017 Youth Energy Conference and Awards Staff Application 2017 Youth Energy Conference and Awards Staff Application Program Dates: June 23-26, 2017 (Pre-Conference Dates: June 22-23, 2017) Program Staff Dates: June 22-27, 2017 (Pre-conference Dates June 21-27,

More information

. Town of birth. Nationality. address)

. Town of birth. Nationality. address) ACTING BA (HONS) IN ACTING / FOUNDATION COURSE IN ACTING APPLICATION FOR ENTRY IN SEPTEMBER 2018 PLEASE COMPLETE ALL SECTIONS OF THIS APPLICATION FORM AND RETURN IT WITH THE REGISTRATION FEE Please tick

More information

Application for Postgraduate Studies (Research)

Application for Postgraduate Studies (Research) Application for Postgraduate Studies (Research) Please complete clearly. This form will be photocopied. Applicant Number (for office use only). For office use only: Admissions Office Admissions Tutor Interview

More information

KAZMA FAMILY FOUNDATION SCHOLARSHIP WHO CAN APPLY

KAZMA FAMILY FOUNDATION SCHOLARSHIP WHO CAN APPLY KAZMA FAMILY FOUNDATION SCHOLARSHIP Administered by the Catholic Education Foundation of the Diocese of Joliet WHO CAN APPLY Only the students in the Class of 2019 who plan to attend one of the following

More information

HiSET TESTING ACCOMMODATIONS REQUEST FORM Part I Applicant Information

HiSET TESTING ACCOMMODATIONS REQUEST FORM Part I Applicant Information Part I Applicant Information Instructions: Complete this entire form. Be sure to sign the Applicant s Verification Statement on the next page. Applicant s Name (please print leave one blank box between

More information

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone

THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION 1. Name (Last) (First) (Middle) 2. Street City 3. County State Zip Telephone 4. Are you a permanent resident of Harrison County? 5. M F SSN

More information

New Student Application. Name High School. Date Received (official use only)

New Student Application. Name High School. Date Received (official use only) New Student Application Name High School Date Received (official use only) Thank you for your interest in Project SEARCH! By completing the attached application materials, you are taking the next step

More information

Summer in Madrid, Spain

Summer in Madrid, Spain Summer in Madrid, Spain with the Coast Community College District Program dates: July 2 - July 31, 2007 ACCENT International Consortium for Academic Programs Abroad Immerse yourself in experiential learning

More information

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone: MARQUETTE UNIVERSITY HEALTH CAREERS OPPORTUNITY PROGRAM College Science Enrichment Program (CSEP) & Pre-Enrollment Support Program (PESP) Website: http://www.mu.edu/hcop INSTRUCTIONS: Please type or print

More information

University of Massachusetts Amherst

University of Massachusetts Amherst University of Massachusetts Amherst Graduate School PLEASE READ BEFORE FILLING OUT THE RESIDENCY RECLASSIFICATION APPEAL FORM The residency reclassification officers responsible for determining Massachusetts

More information

IUPUI Office of Student Conduct Disciplinary Procedures for Alleged Violations of Personal Misconduct

IUPUI Office of Student Conduct Disciplinary Procedures for Alleged Violations of Personal Misconduct IUPUI Office of Student Conduct Disciplinary Procedures for Alleged Violations of Personal Misconduct Preamble IUPUI disciplinary procedures determine responsibility and appropriate consequences for violations

More information

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application

New York State Association of Agricultural Fairs and New York State Showpeople s Association Scholarship Application New York State Association of Agricultural Fairs and New York State Showpeople s Association 2014 Scholarship Application The NYSAAF and NYSSA offer an annual scholarship program which is available to

More information

APPLICATION DEADLINE: 5:00 PM, December 25, 2013

APPLICATION DEADLINE: 5:00 PM, December 25, 2013 FCAST EXCHANGE APPLICATION APPLICATION INSTRUCTIONS GLOBAL UNDERGRADUATE EXCHANGE PROGRAM IN SERBIA 2014-2015 THE GLOBAL UGRAD PROGRAM IS SPONSORED BY THE U.S. DEPARTMENT OF STATE S BUREAU OF EDUCATIONAL

More information

REGISTRATION. Enrollment Requirements. Academic Advisement for Registration. Registration. Sam Houston State University 1

REGISTRATION. Enrollment Requirements. Academic Advisement for Registration. Registration. Sam Houston State University 1 Sam Houston State University 1 REGISTRATION Enrollment Requirements (p. 1) Academic Advisement for Registration (p. 1) Registration (p. 1) Change of Schedule (Adding and Dropping Courses) (p. 2) Resignations

More information

M.Ed. IN EDUCATIONAL PSYCHOLOGY PROGRAM

M.Ed. IN EDUCATIONAL PSYCHOLOGY PROGRAM Educational Psychology Program Area Division of Theoretical and Behavioral Foundations North College of Education Detroit, MI 480 Phone: (1) 577-1614 Fax: (1) 577-55 http://coe.wayne.edu/tbf/educational-psychology/medindex.php

More information

SMILE Noyce Scholars Program Application

SMILE Noyce Scholars Program Application ONLINE POST-BABACCALAUREATE TEACHER PREPARATION PROGRAM SMILE yce Scholars Program Application Introduction: Rio Salado College is soliciting applicants for the Science and Math Innovative Learning Environments

More information

Purchase College STATE UNIVERSITY OF NEW YORK

Purchase College STATE UNIVERSITY OF NEW YORK IMPORTANT: Your application was selected for review in a process called "Verification". We will be comparing information from your FAFSA with the documentation we have requested. If there are differences,

More information

Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview.

Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Cabarrus\Kannapolis Early College High School Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Student Name Student Number Middle

More information

Instructions & Application

Instructions & Application 2015-2016 St. Philip the Deacon Seminarian Scholarship Program Instructions & Application The John C. Kulis Charitable Foundation, a 501(c)(3) non-profit foundation, is commonly known as the Kulis Foundation.

More information

R. E. FRENCH FAMILY EDUCATIONAL FOUNDATION

R. E. FRENCH FAMILY EDUCATIONAL FOUNDATION R. E. FRENCH FAMILY EDUCATIONAL FOUNDATION SCHOLARSHIP APPLICATION The R. E. French Family Educational Foundation was created by the R. E. French Family to provide scholarships for high school graduates

More information

ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application

ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application The purpose of the ProMedica Defiance Regional Hospital Physicians Scholarship Fund is to improve health care

More information

STUDENT APPLICATION FORM 2016

STUDENT APPLICATION FORM 2016 Verizon Minority Male Maker Program Directed by Central State University STUDENT APPLICATION FORM 2016 Central State University, Wilberforce, OH 45384 June 19-July 1, 2016 Camp and once monthly sessions

More information

Advertisement No. 2/2013

Advertisement No. 2/2013 OFFICE OF THE REGISTRAR ASSAM AGRICULTURAL UNIVERSITY JORHAT-785013 Advertisement No. 2/2013 Applications from the Indian citizens are invited for 19 (nineteen) posts of Jr. Scientists and equivalent rank

More information

NIMS UNIVERSITY. DIRECTORATE OF DISTANCE EDUCATION (Recognized by Joint Committee of UGC-AICTE-DEC, Govt.of India) APPLICATION FORM.

NIMS UNIVERSITY. DIRECTORATE OF DISTANCE EDUCATION (Recognized by Joint Committee of UGC-AICTE-DEC, Govt.of India) APPLICATION FORM. Session: January APPLICATION FORM July Name of the Course: If Lateral Entry, Please Specify: Name and Address of the Guidance and Learning Resource Center: Photograph (do not Staple or Pin) To be filled

More information

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University

IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University IN-STATE TUITION PETITION INSTRUCTIONS AND DEADLINES Western State Colorado University Petitions will be accepted beginning 60 days before the semester starts for each academic semester. Petitions will

More information

Bellevue University Admission Application

Bellevue University Admission Application Bellevue University Admission Application Bellevue University is an open admissions university. Once you submit your application, we will begin the process of evaluating your credits and developing your

More information

Application for Admission to Postgraduate Studies

Application for Admission to Postgraduate Studies Ref A Application for Admission to Postgraduate Studies Please read the attached notes before completing the application form Section A Personal Details (Please see notes) Surname / Family name Email Mr

More information

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION The Coalition for Asian American Children and Families (CACF) is

More information

Rules of Procedure for Approval of Law Schools

Rules of Procedure for Approval of Law Schools Rules of Procedure for Approval of Law Schools Table of Contents I. Scope and Authority...49 Rule 1: Scope and Purpose... 49 Rule 2: Council Responsibility and Authority with Regard to Accreditation Status...

More information

KENT STATE UNIVERSITY

KENT STATE UNIVERSITY KENT STATE UNIVERSITY Regents STARTALK Teacher Leadership Academy: Chinese, Russian Director: Brian J. Baer / Co-director: Theresa A. Minick Program Dates: Thursday, July 7 - Saturday, July 16 Summer 2016

More information

Application Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972

Application Paralegal Training Program. Important Dates: Summer 2016 Westwood. ABA Approved. Established in 1972 Business, Management & Legal Programs Application 2016-2017 Important Dates: Summer 2016 Westwood Paralegal Training Program Monday to Friday, 9am to 12:30pm Application Deadline: May 27, 2016* Program

More information

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:

More information

Spring Semester in Florence, Rome and Paris

Spring Semester in Florence, Rome and Paris Spring Semester in Florence, Rome and Paris with January 27 - April 26, 2014 ACCENT International Consortium for Academic Programs Abroad Immerse yourself in experiential learning Spend the Spring Semester

More information