Rennert Fees and Dates 2012
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8/3/2019 Rennert Fees and Dates 2012
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www.rennert.com/english
New York & Miami South Beach
2012
FEES &
DATES
2012
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RENNERT: 2012 DATES AND FEES Prices in USD.
American English ProgramIntensive communicative courses for adults 17 years and older
NYC SoBe NYC SoBe NYC SoBe NYC SoBe
Course Names Size Levels Hrs/wk 1-6 wks 7-11 wks 12-19 wks 20+ wks
Vacation N Learn Max 10 1-10 16 hrs* 340 300 319 285
Rapid Progress 20 Max 10 1-10 20 hrs* 340 300 319 285 295 275 272 255
Rapid Progress 30 Max 10 1-10 30 hrs 420 385 394 375 375 355 319 300
Business English Max 10 7+ 20 hrs* 340 300 319 285 295 275
Electives Max 10 1-10 10 hrs 135 n/a 125
*Options 4-10 wks 11-14 wksBusiness English in Action: add to any 20-hour American English Program 860 1110
4 wks 5-8 wks
Vacation and Volunteer: add to any Vacation N Learn program of 8 weeks or less 860 1110
Start Dates
All English students may start on any Monday.
Beginners should begin on the first Monday of every month.
Business English students must have an upper-intermediate level of English (Rennert level 7).
Multi-Destination Combination Pricing
New York and Miami (Minimum 2 weeks in one destination; must be booked at time of registration)
2 weeks NYC + 2 weeks SoBe: 5% discount on English tuition
4 weeks NYC + 4 weeks SoBe: 8% discount on English tuition
6 weeks NYC + 6 weeks SoBe: 10% discount on English tuition
For Combination bookings of 12+ weeks: 10% discount on English Tuition and free Registration Fee
Exam Preparation Course Preparation for internationally recognized language tests
NYC SoBe NYC SoBe NYC SoBe NYC SoBe
Course Names Size Levels Hrs/wk 4-6 wks 7-11 wks 10 wks 12 wks
TOEFL Success Max 10 5+ 20 hrs 340 300 319 285
NYC TOEFL students may start any Monday. SoBe TOEFL programs start on the first Monday of the month.
TOEFL course enrollment is a four-week minimum. Students must have an intermediate level of English.
Students may register for the TOEFL exam at www.ets.org.
TOEIC Preparation Max 10 5+ 30 hrs 420 n/a 394 n/a
NYC TOEIC students may start any Monday. TOEIC Preparation can be added to RP 20 or chosen as an afternoon elective in RP 30. TOEIC exam is held on the last
Friday of every month on-site, exam fee not included. Price includes RP 20 AM course.
Cambridge CAE Max 12 8+ 28 hrs 3550 4500 4200
NYC: CAE 12 week course: March 19 and September 10. CAE test dates are June 13 & December 5.
SOBE: CAE 10 week course: January 2. CAE test is March 16 & 17.
SOBE: CAE 12 week course: March 19, September 10. CAE test is June 13 & 15 and December 5 & 7.
Cambridge FCE Max 12 7+ 28 hrs 3940 3550 4500 4200
NYC: FCE 10 week course: January 2. FCE test date is March 9 & 10.
NYC: FCE 12 week course: March 19 & September 10. FCE test dates are June 12 & December 4.
SOBE: FCE 10 week course: January 2. FCE test is March 9 & 10.
SOBE: FCE 12 week course: March 19, September 10. FCE test is June 16 & 17 and December 4 & 6.
Cambridge BEC Vantage* Max 12 7+ 28 hrs 4500
BEC 12 week course: March 12 & September 10. BEC test dates are June 7 & December 1.
*Business English Program AM + BEC Preparation in PM, Monday-Thursday
CAE/FCE/BEC students should arrange accommodations for post-course exam period.
Academic Year Program Discounted pricing for long-term students
NYC SoBe NYC SoBe NYC SoBe NYC SoBe
Course Size Levels Hrs/wk 24 wks 36 wks 48 wks
Academic Year Max 10 1-10 30 hrs 309 290 299 280 289 270
Max 10 1-10 20 hrs 265 250 255 240 245 230
12 wks
University Access Max 12 7+ 30 hrs 395
Start Dates
Academic Year start dates: Any Monday.
University Access Start dates: May 14 and September 17.
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Professional English Program Intensive programs for the experienced professional
NYC SoBe NYC SoBe
Course Size Hours 1 - 5 wks 6+ wks
Part-Time Professional Group Max 5 15 hrs/wk 635 555 565 520
Full-Time Professional Group Max 5 30 hrs/wk 1005 870 880 805
Professional Combination (group+private) Max 5 (1-on-1) 30 hrs/wk (15/15) 1978 1725 1730 1590
Part-Time Professional Private 1-on-1 15 hrs/wk 1368 1195 1245 1150
Full-Time Professional Private 1-on-1 30 hrs/wk 2705 2360 2450 2255
Full-Time Professional Private w/Excursions 1-on-1 30 hrs/wk 2895 2525 n/a n/a
Advanced Conversation and Writing Elective Max 5 8 hrs/wk 430 n/a 390 n/aProfessional English for Specific Purposes
Finance Max 5 15 hrs/wk 810 n/a n/a n/a
Sales/Marketing Max 5 15 hrs/wk 810 n/a n/a n/a
Law Max 5 15 hrs/wk 810 n/a n/a n/a
Accent Reduction 1-on-1 10 hrs min 160/hr 125/hr 160/hr 125/hr
Private Lessons 1-on-1 5 hrs min 100/hr 88/hr 95/hr 78/hr
International Networking Meetings 1-on-1 4-6 hrs/wk 580 n/a 580 n/a
E-mail Follow-up Course (3 months) 1-on-1 18 emails 405 380 405 380
Skype or Phone Follow-up Course (3 months) 1-on-1 12 30-minute lessons 405 380 405 380
Start Dates: Professional students must have an intermediate level to join this program.
NYC Professional students may start any Monday.
SoBe start dates are the first Monday of the month, except in summer with start dates every Monday from July 2 to August 27.
English for Specific Purposes courses require an upper-intermediate to advanced level of English and are offered on the dates below:Finance (1 week) April 16 May 7 July 16 Aug 6 Sept 17
Sales and Marketing (1 week) April 23 May 14 July 23 Aug 13 Sept 24
Law (1 week) April 30 May 21 July 30 Aug 20 Oct 1
Arts plus English Programs
Course Term Cost Start Dates
BodiBalance Dance 4 weeks 860 June 11, July 9
Steps On Broadway 2 week minimum 112/wk Any Monday
Fashion Intensive 4 weeks 1350 March 19, July 9, August 6
Fashion Saturdays 7 weeks 300 January 30; Inquire about other dates
Music: Private Lessons 2 week minimum 165/wk Any Monday
Music: Intro to Jazz 14 weeks 255 February 20; Inquire about other datesMusic: Jazz Piano Workshop 14 weeks 400 February 20; Inquire about other dates
Make-Up Artistry 9 weeks 885/50 hrs January 9, March 19, June 4, September 10
Photography 1 Digital (includes a free class in Mac Basics) 7 weeks 845 July 2; Inquire about other dates
Photography: B & W Camera and Darkroom 4 weeks 795 July 9; Inquire about other dates
Photography: Travelling in New York
(intermediate level photography)4 weeks 495 July 9; Inquire about other dates
Photographing Musicians (intermediate level photography;
must submit jpgs of your work)5 weeks 545 July 2; Inquire about other dates
Culinary: Essentials of Fine Cooking 4 weeks/40 hrs 2650 August 6, September 10, November 26
Culinary: Chocolate Desserts 2 weeks/15 hours 785 July 9, September 17, November 12
Culinary: Parisian Breads 1 week/12 hours 675 February 20, April 23, July 16
Super-Intensive Film or Digital Filmmaking
4 weeks of English; 4 weeks Filmmaking
English course fees not included.
8 weeks total 3310
January 9, February 6, March 5, April 9,
May 7, June 11, July 9, August 13, Tuesday,
September 4, October 8
Filmmaking Materials Fee 500
Super-Intensive Acting 4 weeks of English, 4 weeks Acting. English
course fees not included. Acting students must have an advanced level
of English.
8 weeks total 3650
January 9, February 6, March 5, April 9,
May 7, June 11 July 9, August 13, Tuesday,
September 4, October 8
SoBe Jewelry Making*
Additional Materials Fee of $25 + tax applies6 weeks 220
January 9, March 5, April 30, June 25,
Tuesday, September 4, October 29
SoBe Photography Black and White Course*
Additional $40 + tax/lab fee or $25 + tax/materials fee may apply.6 weeks 220
January 9, March 5, April 30, June 25,
Tuesday, September 4, October 29
SoBe Salsa/Latin Dance 30/wk Any Monday
* Minimum enrollment required for some SoBe Art plus programs
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TESOL Teacher TrainingInternationally recognized teacher training certificate programsNew York City only. Students must have an upper-intermediate level of English and successfully complete the application process.
Course Size Hours of Course Term Price
SIT Best Practices in TESOL Certificate Max 10 210 6 wks 3350
Start Dates: January 30, March 19, May 7, July 2, September 10, October 29
Rennert TESOL Certificate Max 12 120 4 wks 2430
Start Dates: January 2, August 6, November 26
Teaching English to Young Learners Certificate (TEYL) Max 10 30 1 wk 495
Begins after the SIT Best Practices in TESOL course
Start Dates: March 12, April 30, June 18, August 13, October 22, December 10
plus 2-week Practicum Intensive
plus 1-week Practicum Intensive (Dec only)
Max 10
Max 10
60
30
2 wks
1 wk
1000
500
Begins after Teaching Young Learners course (TEYL).
Start Dates: March 19, May 7, June 25, August 20, October 29, December 17 (one-week course)
Total TESOL Package Max 10 420 13 wks 6190
4 weeks of English, followed by SIT Best Practices in TESOL program, Practicum Intensive and TEYL Certificate.
Start Dates: January 2, Tuesday, February 21, April 9, June 4, August 13, October 1
English Improvement RP30 Max 10 120 4 wks 1680
Course begins 4 weeks prior to SIT Best Practices in TESOL or Rennert TESOL course.
Start Dates: SIT Course: January 2, Tuesday, February 21, April 9, June 4, August 13, October 1
Start Dates: Rennert Course: November 28, 2011, July 9, October 29
Teaching Business English Certificate (TBE) Max 10 30 1 wk 495
Begins after the Rennert TESOL course in January and September and after the SIT Best Practices in TESOL course in April.
Start Dates: January 30, April 30, Tuesday, September 4
plus TKT Preparation and Test Max 10 30 1 wk 495
Begins after the Rennert TESOL course. Test takes place after Preparation course ends.
Start Dates: Inquire for dates
2012 NEW YORK CITY ACCOMMODATIONS
MEAL PLANS Breakfast Lunch
Meals are NOT included in Rennert accommodations, however meal plans may be purchased in the form of meal tickets.
Meal tickets may be redeemed for food Monday to Friday at local eateries close to all Rennert locations.
Tickets are non-refundable
20/wk 40/wk
HOMESTAY PROGRAM Single Double
Manhattan - Minimum stay is 2 weeks
Single with Breakfast 7 days (provided Monday to Sunday)
+ Dinner 5 days
490/wk
+85/wk
n/a
n/a
Queens/Brooklyn - Minimum stay is 2 weeks
with Breakfast 7 days (provided Monday to Sunday)
+ Dinner 5 days
+ Dinner 7 days
340/wk
+58/wk
+85/wk
225/wk per person
+58/wk per person
+85/wk per person
RESIDENCE HALLS Single Double
Economy Residence: Vanderbilt YMCA/West Side Y
Maximum stay is 90 days.
Doubles are for two students arriving together.
450/wk 350/wk per person
Standard Residence: De Hirsch Residence 92nd Street Y - Minimum stay is 28 days
Rates include use of the library, gym, and internet access where available.
469/wk 395/wk per person
Brandon Residence for Women
Rates include breakfast and dinner at a dining facility in the building.
395/wk n/a
1760 Residence
Double rooms with private bathrooms in modern, newly-renovated residence.
Located on Upper East Side of Manhattan, short distance from school by public transportation.
n/a 395/wk
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2012 SoBe ACCOMMODATIONSS
MEAL PLANS Breakfast Lunch
Meals are NOT included in Rennert accommodations n/a n/a
HOMESTAY PROGRAM Single Double
Single with Breakfast 7 days (provided Monday through Sunday)
+ Dinner 7 days
Minimum stay is 2 weeks
325/wk
+75/wk
n/a
n/a
Hotels Single Double
Clay Hotel Single and Double rooms, private bathrooms and kitchenette for light cooking.
465/wk 265/wk per person
Apartments
South Beach Studios
Private bathrooms and kitchen facilities in private studio apartment.
435/wk n/a
South Beach Executive ApartHotel
Single and double rooms in fully-furnished and equipped apartments.
525/wk 375/wk per person
Rates include 13% hotel tax.
Students must be at least 18 years old to stay in apartments.
Apartments require a refundable $300 security deposit.
Students arrive on a Sunday and depart on a Saturday.
Weekly rate surcharge may apply during holiday periods.
FEES, POLICIES AND HOLIDAYSRegistration and Program Fees
Registration 155 Non-refundable and due when registration is sent.
Study Materials 69 Includes first set of books, unlimited broadband access, WIFI, and student identification card.
The Arts plus Registration 110 Additional non-refundable registration fee for all Arts plus English courses.
Express Delivery 80 Optional rush mail fee for I-20s and other forms.
NYC Cambridge Exam 405 FCE, CAE and BEC V exam fee. Exam takes place after course completion.
SoBe Cambridge Exam 265 FCE and CAE Exam Fee. Exam takes place after course completion.
TOEIC Exam (NYC only) 85 TOEIC exam fee. Offered the last Friday of every month.
Program Change 60 Administrative fee for program changes requested after course begins.
Airport Transfer Manhattan 159 Optional one-way transfer to or from Manhattan to Newark, LaGuardia, JFK airports.
Airport Transfer Brooklyn/Queens 195 Optional one-way transfer to or from Brooklyn/Queens to Newark, LaGuardia, JFK airports.
Airport Transfer Miami 125 Optional one-way transfer to or from MIA Airport to or from Miami area.
Airport Transfer Ft Lauderdale 160 Optional one-way transfer to or from Ft. Lauderdale Airport to or from Miami area.
Health & Travel Insurance 60 Non-refundable Guard.me health and travel insurance.
Price includes coverage for 30 days. For + 30 days, additional $2 per day.
Accommodation Fees
Accommodations 85 Non-refundable placement fee for all accommodation bookings
Room Change 85 Applies to residence halls and apartments
Additional night (Single) 90 Applies to all accommodations
Additional night (Double) 80 Applies to all accommodations
Maximum of 1 additional night in apartments. Students may be charged additional cleaning fees. Three additional nights or more will be billed as one full week.
MANHATTAN APARTMENTS Single Double
Upper Manhattan East Apartments - Minimum stay is 14 days
Single and Double rooms in two-bedroom, fully-equipped and funshished
apartments. Apartments shared with other Rennert students of mixed gender.
480/wk 385/wk per person
Midtown East Apartments - Minimum stay is 14 days
Single rooms only.
Apartments shared with other Rennert students of mixed gender.
Jan 1-May 28 May 29-Nov 26 Nov 27-Dec 31
575/wk 600/wk 575/wk
Midtown Studios - Minimum stay is one month 3600/month 3900/month 3700/month
All apartments require a refundable $300 security deposit, paid at school upon arrival. Students must be at least 18 years old to stay in apartments.
Students must arrive on a Sunday and depart on a Saturday.
Students staying additional nights in apartments may be charged additional cleaning fees.
New York City Accommodations Continued....
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Program Terms and Conditions
Students participating in English programs at Rennert must be at least 17 years of age and non-native speakers of English.
Students will be assigned to afternoon or morning schedules based on level and availability.
There are no guaranteed morning classes.
Prices and policies are subject to change with approval of the New York State Education Department.
The binding version of the registration package can be found at www.rennert.com.
This school is authorized under federal law to enroll non-immigrant alien students. Csar Rennert is a certified sales agent for Rennert. He is registered
with the New York State Education Department, Bureau of Proprietary Supervision and his sales license number is #11552508.
Cancellation PoliciesPrior to Start Date
All registrations must be paid in full at least 10 business days prior to arrival or the registration will be cancelled.
All program cancellations received in writing at least 10 business days prior to program start date are eligible for a full monetary refund.
The Registration Fee is non-refundable if courses are cancelled at any time, but may be applied to future registrations in the same calendar year.
Rennert will make refunds only to the person or agency that paid the school.
If cancellation is received fewer than 10 business days prior to start date, or if the student fails to arrive on the start date, tuition is not monetarily
refundable but tuition credit may be applied.
Tuition credit is valid for one calendar year.
After Classes Begin
No monetary refunds will be made for program cancellations, but tuition credit may be applied.
Program cancellations must be given 4 weeks prior to departure date.
Once 4 weeks notice is given, tuition credit will be issued to the person or agency that paid the school.
Tuition credit is valid for one year from the date of cancellation and cannot be transferred to another student.
Tuition credit is for classes only and cannot be applied towards books or fees nor can group class credit be applied towards private class credit.
Program changes require 4 weeks notice and are subject to a $60 program change fee.
There are no program changes or program credits given on registrations of 4 weeks or less.
Accommodations Terms and Conditions
Rennert is not responsible for personal belongings or student legal guardianship.
There is no smoking or alcohol usage permitted in Rennert housing facilities.
Students who violate this code will be ejected immediately without refund. Rennert students are expected to conduct themselves as responsible adults.
Students arrive the Sunday before classes begin and depart the Saturday after classes finish.
Accommodations are only available to Rennert students during their period of study.
Overnight guests are not permitted.
Rennert cannot guarantee availability in first choice of accommodations.
Prices are subject to change due to availability.
Reservations cannot be confirmed until a Rules Acknowledgment Form is signed and returned.
Accommodations Cancellation Policy
Prior to Arrival
All reservations must be paid in full at least 10 business days prior to arrival or reservations will be released.
Accommodations cancellations must be received in writing 10 business days prior to arrival.
If cancellation is received with 10 business days notice, the accommodations fee will be fully refunded with the exception of the non-refundable
accommodations placement fee.
If proper notice is not received or the student does not arrive on the reserved date, the first 2 weeks of the accommodations fee in addition to the
accommodations placement fee is non-refundable.
After Arrival
Accommodations cancellations must be given 4 weeks prior to departure date.
Once 4 weeks notice is given, a monetary refund will be provided to the person or agency that paid the school.
Accommodations changes require 4 weeks notice and are subject to an $85 room change fee.
There are no refunds, cancellations or changes for reservations of 4 weeks or less.
Holidays
All locations will be closed from Monday, December 24, 2012 to Friday, December 28, 2012.
All locations will reopen on Monday, December 31, 2012 and will be closed Tuesday, January 1, 2013.
All locations will be closed on the following holidays, for which there is no compensation for group instruction hours lost:
Monday, February 20 Presidents Day Monday, May 28 Memorial Day Wednesday, July 4 Independence Day
Monday, September 3 Labor Day Thursday and Friday, November 22 & 23 Thanksgiving
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Registration Form 2012Psal Ifmai
FAMILYNAME GIVENNAME
CuNtrYFBIrth CItIzENshIp DAtEFBIrth:DAY/MNth/YEAr NAtIVELANGuAGE
EMErGENCYCNtACtNAME CuNtrYCDE/tELEphNE EMAIL
Addss: Hm Cuy
strEEtADDrEss CItY pstALCDE CuNtrY
tELEphNE FAx EMAIL
Addss: US
strEEtADDrEss CItY pstALCDE CuNtrY
tELEphNE FAx EMAIL
Cus Ifmai
DeStInAtIon: NYC sBE CombinaionNY/soBepogam
StArt DAte:Day:________Mon:________Yea:________toalnmbeofweek ________ For Combination Programs:Nmbeofweek:NYC______+soBe_____
LeveL o engLISH: Beginne Inemediae Advanced
Ha yu sudid a r bf? No Ye Wen?Day:_______Mon:_______Yea:_______Wiclocaion? NewYok Miami
Hw I had abu r: Agency Webie Fiend Magaine e________________________________________
Pam Slci
American English Program WeeksVacaionNLean ________
raidpoge20 ________
raidpoge30 ________
BineEngli ________
Elecive ________
BineEngliinAcion ________
VacaionandVolnee ________
Exam Preparation Courses Weeks
tEFLscce ________
tEICpeaaion ________
CambidgeCAE ________CambidgeFCE ________
CambidgeBECVanage ________
Academic Year Program Weeks
AcademicYea ________
univeiyAcce ________
TESOL Teacher Training WeekssItBepaciceintEsLCeificae ________
rennetEsLCeificae ________
teacingEnglioYongLeane ________
+pacicmInenive ________
toaltEsLackage ________
EngliImovemenrp30 ________
+tEYLCeificae ________
+teacingBineEngliCeificae ________
+tKtpeaaionandte ________
Professional English Program Weeks
pa-timepofeionalGo ________Fll-timepofeionalGo ________
pofeionalCombinaion ________
pa-timepofeionalpivae ________
Fll-timepofeionalpivae ________
FtpofpivaewiEcion ________
EnglifoLaw,sale, Finance* ________
AdvancedConveaionElecive ________
Accenredcion ________
pivaeolyleon ________
InenaionalNewoking ________
E-mailFollow-Coe ________
skyeoponeFollow-Coe ________
The Arts plus English WeeksBodiBalancetMDance ________
seonBoadwayDance ________
FaionInenive ________
Faionsaday ________
Mic:pivae ________
Mic:InooJa ________
Mic:Japiano ________
Make-Aiy ________
poogay1Digial ________
poogay:B&W ________
poogay:tavellinginNewYok ________
poogaingMician ________Clinay:EenialofFineCooking ________
Clinay:CocolaeDee ________
Clinay:paiianBead ________
FilmmakingoAcingInenive* ________
soBeJewelyMaking ________
soBepoogay:Black&Wie ________
soBesalaLainDance ________
Alcoefeeaeinaddiion
oEnglicoefee
*Please circle one choice
MALE FEMALE
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Accmmdais
Ye No(Anon-efndableAccommodaionFeeof$85alieandmbeincldedwiyoegiaion.)
Accommodations Start date:Day________Mon_______Yea______End Date:Day________Mon_______Yea______
*A 2-week housing deposit must be received to hold your reservation.
All accommodations begin on Sunday and end on Saturday
IsuacYe,IwillcaerenneGad.Mehealandtavelinance.
No,Iavemyownealandavelinanceandwilloviderennewioofonaival.
Aip Pickup
Aival Aival&Deae NoPlease provide us with travel information at least two weeks before arrival
Cs Wksh
regiaionFee: $155
sdyMaeialFee: $69
tiionCo _________
Altiionco _________
AlregiaionFee:$110 _________
AccommodaionCo _________Accommodaionplacemen
(non-efndable):$85 _________
tEICEamFee:$85 _________
CambidgeEamFee
(NYC:$405;soBe:$265) _________
ionalAiotanfe
Manaan(eacway):$159 _________
Booklyn/Qeen(eacway):$195 _________
Miami(eacway):$125 _________
F.Ladedale(eacway)$160
ionalEeDelivey:$80 _________
Gad.MehealandtavelInance
$60.($2/dayfo30+day) _________
totAL _________
Mhd f Paym
neW Yor
International Money Order Bank Wire Transfer to Rennert New York,Accon#752181115,
JpMoganCaeBank,1uniedNaionplaa,NY10017-0431swifCodeChAsus33roing#/ABA
SoUtH BeACH
International Money Order Bank Wire Transfer to: Rennert South Beach ,Accon#
2000059173135,WellFagoBank,N.A.,757tidAve.,NewYok,NY10017,usA;swifCodepNBpus33,
roing#/ABA026012881.Nocageobeneficiay.pleaenoifybyemailwenyoiniiaeany
wieaymen.
Cdi Cad Paym Via MaeCad AmeicanEe
CArDNuMBEr: ExpIrAtINDAtE:MNth/YEAr
Ieebyaoierenneocagemycedicadineamonofu.s.D._________________.
NAMEFCArDhLDEr
sIGNAturEFCArDhLDEr DAtE
Yu Am - Your signature is required to complete your registration
Iaveeadandndeoodeemolinedinrenneliofiionandaccommodaionae,co,condiion,cancellaionolicie,andFomI-20eqeinfoma-
ion.IavealoeadandndeooddeciionofecoefowicIamegieing,andalloedicloemaeial.IaffimaIavefficienfndoayall
iionandecooffood,accommodaionandeonaleenedingmyeiodofdyarenne.Iaoierenneoakeaoiaemedicalacionincae
ofillneoinjy,andIndeandaIameoniblefoallmedicaleene.IaffimaIknowaallF-1denmbecoveedbyvalidaveleinancefo
edaionofeiay.IceifyaeinfomaiongivenbymeiniregiaionFomiaccaeandcomlee.
sIGNAturEFstuDENt sIGNAturEFspNsr(Ifdeninde18yeaold)DAtE
Homestay* Single Double
Manaan
+dinne5day
Booklyn/Qeen
+dinne5day
+dinne7day
If requesting a double room, please
list the person you will share with:
__________________________________
Residence Single Double
Dehic92ndsY
VandebilYMCA
Bandon(foWomen)
1760reidence
Apartments
ueManaanEa
Midown
Midownsdio
Please list second choice:
__________________________________
Homestay* Single Double
homeay
+dinne7day
Residence/Hotel
Clayhoel
Apartments
soBeacsdio
soBeacAahoel
*If your choices include Homestay,
please answer the following:
Doyomoke? Ye No
Can you live in the same household
as a pet? Ye No
Do you have any allergies? If yes,
please list:________________________
___________________________________
Can you live in the same household
as young children? Ye No
Special requests____________________
___________________________________
___________________________________
Sud visa
WillyoneedafomI-20? Ye No Aeyoaanfeden? Ye No
DoyowanyoI-20iedbyeemail?($80eemailfeealie) Ye No
neW Yor SoUtH BeACHNYC Meal Tickets: Beakfa Lnc