Student Application 2016-2017 - Boston International Academybia.edu/files/StudentApplication.pdf ·...
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Student Application Requirements & Deposits Please complete the attached application form and include the following: (a) A non-refundable application fee of US $150. (b) A non-refundable enrollment deposit of US $250. This will be credited towards your first tuition payment. (c) A non-refundable fee of US $65 for Express Mail option (If applicable). (d) A copy of your passport. (e) A copy of your current U.S. visa (If applicable – students currently in the U.S. only). (f) If you are applying from outside the United States, submit a completed Web Entrance Test. F-1 students/applicants should also submit the following: (g) A bank statement, less than 6 months old, with a total balance that covers the minimum living expenses of $1200/month plus tuition. For example, if a student wants to register for 4 months, use this formula: $1200*4 + 4 months of tuition (For F-1 students/applicants only). (h) A guarantee letter of financial support from the person, business, or organization providing you with financial support while studying in the United States (If applicable). (i) Proof of health insurance (Not required). Transfer F-1 students should also include: (j) A copy of the I-20 form from your previous school and a completed transfer release form signed by your previous school's international advisor. Submitting Application Please send the completed application and required documents by mail, fax, or email to: Mailing Address: Admissions Boston International Academy 1642 Commonwealth Ave. Brighton, MA 02135 USA Fax: 617-731-6391 E-mail: [email protected] Acceptance After receiving all of the required documents and payments, BIA will review your application. Upon acceptance, BIA will send you an acceptance packet which includes: - An acceptance letter - Housing Information - A signed I-20 Form (if applicable) - Health Insurance Information - Instructions on how to apply for an F-1 visa in your country (if applicable) - Instructions on what to do upon arrival in Boston Please note: Full-time students who are enrolled in intensive English language study (minimum 18 hours per week) are required to be issued an I-20 form and apply for an F-1 visa, unless they hold a valid visa that permits full-time study. 1
Transcript of Student Application 2016-2017 - Boston International Academybia.edu/files/StudentApplication.pdf ·...
StudentApplicationRequirements&DepositsPleasecompletetheattachedapplicationformandincludethefollowing:
(a)Anon-refundableapplicationfeeofUS$150.(b)Anon-refundableenrollmentdepositofUS$250.Thiswillbecreditedtowardsyourfirsttuitionpayment.(c)Anon-refundablefeeofUS$65forExpressMailoption(Ifapplicable).(d)Acopyofyourpassport.(e)AcopyofyourcurrentU.S.visa(Ifapplicable–studentscurrentlyintheU.S.only).(f)IfyouareapplyingfromoutsidetheUnitedStates,submitacompletedWebEntranceTest.F-1students/applicantsshouldalsosubmitthefollowing:(g)Abankstatement,lessthan6monthsold,withatotalbalancethatcoverstheminimumlivingexpensesof
$1200/monthplustuition.Forexample,ifastudentwantstoregisterfor4months,usethisformula:$1200*4+4monthsoftuition(ForF-1students/applicantsonly).
(h)Aguaranteeletteroffinancialsupportfromtheperson,business,ororganizationprovidingyouwithfinancialsupportwhilestudyingintheUnitedStates(Ifapplicable).(i)Proofofhealthinsurance(Notrequired).TransferF-1studentsshouldalsoinclude:(j)AcopyoftheI-20formfromyourpreviousschoolandacompletedtransferreleaseformsignedbyyourpreviousschool'sinternationaladvisor.
SubmittingApplicationPleasesendthecompletedapplicationandrequireddocumentsbymail,fax,oremailto:
MailingAddress:AdmissionsBostonInternationalAcademy1642CommonwealthAve.Brighton,MA02135USA
Fax:617-731-6391
E-mail:[email protected]
AcceptanceAfterreceivingalloftherequireddocumentsandpayments,BIAwillreviewyourapplication.Uponacceptance,BIAwillsendyouanacceptancepacketwhichincludes:
- Anacceptanceletter - HousingInformation- AsignedI-20Form(ifapplicable) - HealthInsuranceInformation- InstructionsonhowtoapplyforanF-1visa
inyourcountry(ifapplicable)- Instructionsonwhattodouponarrivalin
Boston
Pleasenote:Full-timestudentswhoareenrolledinintensiveEnglishlanguagestudy(minimum18hoursperweek)arerequiredtobeissuedanI-20formandapplyforanF-1visa,unlesstheyholdavalidvisathatpermitsfull-timestudy.
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RegistrationYoumustreporttoBIAandregisterbeforeyoursessionstartdate;wewillcontactyoutoscheduleanappointment.Pleasebepreparedtotaketheplacementtest(approximately1hour).Youmustbringthefollowingwithyou:
- PassportandVisa- SignedI-20Form- TuitionPayment
HealthInsurance
StudentsareNOTrequiredtohavehealthinsurance.However,westronglyencourageallstudentstopurchaseaninsuranceplanasmostinsuranceplanspurchasedoverseasarenotvalidintheUnitedStates.Refertocompaniessuchaswww.psiservice.comwhichspecializeininternationalstudentinsurance.
TuitionPaymentWeaccept:cash,personalUSchecks,traveler’schecks,bankdrafts,creditcards(Visa,MasterCard)orwiretransfers.TuitionpaymentsreceivedafterFridayofthefirstweekofthesessionwillbeassesseda$50latefee.Pleasenotethatallwiretransferpaymentswillbechargedanadditional$20servicefee.
RefundsFordetailedinformationonrefundsandcancellations,pleaseconsultPage10forourcompletepolicy.
HousingAlthoughBIAdoesnotofferhousing,wedoofferaHomestayprogramandapartmentoptions(courtesyofESLTownhouse).PleaseletusknowifyouareinterestedinreceivingmoreinformationaboutHomestaysorapartments.Pleasenotethataseparatehousingagreementmustbesignedbeforeenrolling.
F-1StudentResponsibilitiesInordertolawfullymaintainF-1visastatus,allstudentsarerequiredtomaintainfull-timecoursestatus,keepaminimumattendancerateof80%,andholdavalidpassportandI-20atalltimes.Studentsmustnotexceptemploymentwithoutvalidauthorizationandarerequiredtoabidebytheschool’stransferprocedure.Studentsmustmeettheminimumrequirementsofsatisfactorystudentprogressorriskexpulsionfromtheprogram.
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BIAProgramsandCoursesBIAPrograms:Full-Time
BIAProgram&Courses:Part-Time
Part
-Tim
e
ESL Intensive ESL 20
Morning 9:00 am – 12:00 pm
Afternoon 1:10 – 4:10 pm
Monday to Friday 15 hours per week
Tourists and visa holders not
eligible for full-time study (such as B1,
B2, F2) may choose Intensive ESL 20 OR Afternoon Electives; these
students may not attend more than
15 hours per week of class at BIA.
Night 6:00 pm – 9:00 pm
Weekend (Sat/Sun) 9:00 am – 4:30 pm
Afternoon Electives
Courses
Students select from the following
courses:
3. Academic Writing & Note-Taking 4. Business English 5. Oral Communication
1. Academic Writing & Note-Taking Monday + Wednesday, 1:10 – 2:40 pm
2. Business English Friday, 1:10 – 4:10 pm 3. Oral Communication
Tuesday + Thursday, 1:10 – 2:40 pm
Afternoon Electives courses are also part of the full-time Premium ESL 28 & 32 programs.
4 days per week: 6 hours per week
(pick two Electives)
2 days per week: 3 hours per week
(pick one Elective)
PleaseNote:StudentswhoareNOTeligibleforfull-timestudy(basedonvisastatus)maychoosepart-timeIntensiveESL20orAfternoonElectives(andmaynotattendmorethan15hoursperweek).
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Full-
Tim
e
ESL
Premium ESL 24 Morning or Afternoon 9:00 am – 12:36 pm 1:10 – 4:46 pm
Monday to Friday 18 hours per week
Offered to F-1 students, Green Card holders, or
non-F1 visa holders eligible for
full-time study.
Note: F1 students MUST
select and attend a full-time program.
Premium ESL 28
Premium ESL 24: 9:00 am – 12:36 pm (5 days) Afternoon Elective: 1:10 – 2:40 pm (2 days)
Students attend Premium ESL 24 and select one Afternoon Elective course to attend two days per week.
Monday to Friday 21 hours per week
2 days of Afternoon Electives
Premium ESL 32
Premium ESL 24: 9:00 am – 12:36 pm (5 days) Afternoon Electives: 1:10 – 2:40 pm (4 days)
Students attend Premium ESL 24 and select two Afternoon Elective courses to attend four days per week.
Monday to Friday 24 hours per week
4 days of Afternoon Electives
TOEFL Premium TOEFL 32 Morning or Afternoon 9:00 am – 12:36 pm 1:10 – 4:46 pm
Monday to Friday 18 hours per week
TEFL/TESOL (Teaching English as a Foreign Language, Teachers of English
to Speakers of Other Languages)
Morning or Afternoon 9:00 am – 12:36 pm 1:10 – 4:46 pm
Monday to Friday 18 hours per week
(216 hours total for 12 week program)
2-Week Courses
Students select from the following courses:
1. Speaking & Pronunciation
2. Business English 3. Writing & Composition
Morning 9:00 am – 12:36 pm
*Offered seasonally only in December during the
Fall IV session.
Monday to Friday 18 hours per week
2 weeks total
BIATuitionBIATuitionFull-Time:
Full-Time Programs Monthly Rates Hours per week
Premium ESL 32 $1200 24 hours per week
Premium ESL 28 $1050 21 hours per week
Premium ESL 24 $850 18 hours per week
Premium TOEFL 32 $850 18 hours per week
TEFL/TESOL $975 18 hours per week
2-Week Courses (per course)
$425 18 hours per week
F1visaholders,GreenCardcitizens,andnon-F1visaholderseligibleforfull-timestudyintheU.S.mayenrollinfull-timeprogramsatBIA.F-1studentsarenoteligibletoattendpart-timeprograms/courses.
BIATuitionPart-Time:
Part-Time Program & Courses Monthly Rates Hours per week
Intensive ESL 20 $800 15 hours per week
Afternoon Electives 2 Elective Courses: 4 days per week $480 6 hours per week
Afternoon Electives 1 Elective Course: 2 days per week $240 3 hours per week
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BostonInternationalAcademyApplication
PERSONALINFORMATIONLEGALNAMEINFULL
LASTNAMEFIRSTNAMEMIDDLE
HOMECOUNTRYADDRESSSTREETNUMBER,STREETNAME
CITY/TOWN STATE/PROVINCE ZIPCODE COUNTRY
MAILINGADDRESSINUSASTREETNUMBER,STREETNAME
__________________________________________________________________________________________
CITY/TOWN STATE ZIPCODE
PHONE()CELLPHONE()(AREACODE)PHONENO.(AREACODE)PHONENO.
EMAILADDRESSEDUCATIONLEVEL
GENDER□MALE□FEMALE
DATEOFBIRTH MM/DD/YYYY
BIRTHPLACE COUNTRYOFBIRTH NATIONALITY
EMERGENCYCONTACTNAMEOFPERSONRELATIONTOPERSONPHONENO.
HOWDIDYOUHEARABOUTBIA?______________________________________________________________
IFYOUHEARDABOUTBIAFROMAFRIEND,WHATISTHEIRNAME?__________________________________
IFONLINE,WHATWEBSITE?__________________________________________________________________
WHATDIDYOUSEARCH(ex.“EnglishSchoolinBoston”):__________________________________________5
PASSPORTANDVISAINFORMATION
PASSPORTNUMBER: EXPIRATIONDATE:
CURRENTVISASTATUS(IFAPPLICABLE)□F-1□J-1□H-1B□B1□B2□OTHER
EXPIRATIONDATEOFCURRENTSTATUS: D/S:DURATIONOFSTAY
PLEASESTATEANYDEPENDENTS–YOURWIFE/HUSBANDAND/ORCHILD/CHILDREN
NAME:DOB: CountryofBirth: RELATIONSHIP:
NAME:DOB: CountryofBirth: RELATIONSHIP:
NAME:DOB: CountryofBirth: RELATIONSHIP:
AGENTINFORMATION
ICERTIFYTHATIWASRECRUITEDTOBIABY_____________________________________________________AGENTCOMPANYNAME
________________________________________________________________________________________WEBSITECONTACTNAME CONTACTNUMBER
INITIALSTUDENTS(NEWI-20FORM,FIRSTTIMEF-1VISAAPPLICANTS)
MAILORDERREQUEST
□IwouldlikemydocumentsandI-20formsentviaexpressmail.IunderstandIwillneedtoinclude$65inmyapplicationforthisoption.
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PROGRAM/COURSEANDSESSIONINFORMATION
PLEASECHECKTHEPROGRAMorCOURSEYOUWANT:
Full-Time:□ PremiumTOEFL □PremiumESL □TEFL/TESOL □2-WeekCourses*:
*OfferedinDecemberduringFallIVsessiononly.____Speaking&Pronunciation ____Writing&Composition ____BusinessEnglish
ESL:PremiumESL24□ PremiumESL28□(pickoneElectivescourse)PremiumESL32 □(picktwoElectivescourses)TOEFL:PremiumTOEFL32□AfternoonElectives:OralCommunication□ AcademicWriting&Note-Taking□BusinessEnglish □Part-Time:□ AfternoonElectivesOR □IntensiveESL AfternoonElectives:OralCommunication□ AcademicWriting&Note-Taking□BusinessEnglish □ESL:IntensiveESL20 □HOWMANYSESSIONSWILLYOUATTEND?_________________________________________
v Itmaytake1monthto3monthstoreceiveyourvisa.Pleaseputthatintoconsiderationwhenchoosingthesessionyouwouldliketobegin.
PLEASECHECKTHESESSIONSYOUWOULDLIKETOATTEND:
2016 2017
□Jan4-Jan29 □June20-July15 □Jan3-Jan27 □June19-July14□Feb1-Feb26 □July18-Aug12 □Jan30-Feb24 □July17-Aug11□Feb29–Mar25 □Aug15-Sep9 □Feb27–Mar24 □Aug14-Sep8□Mar28-Apr22 □Sep12-Oct7 □Mar27-Apr21 □Sep11-Oct6□Apr25-May20 □Oct11-Nov4 □Apr24-May19 □Oct10-Nov3□May23-June17 □Nov7-Dec2
□Dec5-Dec16□May22-June16 □Nov6-Dec1
□Dec4-Dec15
TuitionAgreement
Iherebyagreetopaythetuitionamountof_______________fortheprogramthatIamenrollingin.IacknowledgethattuitionpaymentssubmittedafterFridayofthefirstweekofthesessionwillbeassesseda$50latefee.
Student’sSignature:______________________________
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DEPOSIT&FEESPAYMENTMETHOD
Iwouldliketomakepaymentby:
1) □ CHECK □MONEYORDER
Note:AllchecksmustbedrawnfromaUnitedStatesbankandmusthavethebanknameimprintedonthe
check.
2)Credit/Debitcard(Selectone)□VISA□MASTERCARD
CARDHOLDERNAME(PLEASEPRINT):_______________________________
SIGNATURE:______________________________________
CARDNUMBER:___________________________________
EXPIRATIONDATE:_________________________________
3)Wiretransfer(BIAbankaccountinformationisasfollows):
ACCOUNTNAME:BostonInternationalAcademy(BIA)
ACCOUNT#:004601370203
BANKNAMEANDADDRESS:BankofAmerica,100FederalStreet,Boston,MA02110
BANKOFAMERICASwiftCode:BOFAUS3N,CHIP#:0959
*Pleasenotethatyoumustpayanadditional$20servicefeeifyouuseawiretransfer.
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LetterofFinancialSupport
I,________________________willbeproviding_______________________withfinancialNameofsponsor Nameofstudent
supportduringhis/herstudyatBostonInternationalAcademy.IunderstandthecostofattendingBostonInternationalAcademyisapproximately$2200permonthforfulltuitionandhousing.Ihaveadequatefundstosupporthis/heracademicendeavors.Abankstatementisbeingprovidedforyourreview.
Signature:__________________________________
Relationtostudent:_______________________________
Date:___________________
PleaseattachabankstatementinEnglish,lessthan6monthsold,thatshowstotalUSDamountinavailablefunds.
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RefundPolicy
RefundRequestAllrefundandwithdrawalrequestsmaybesubmittedverballyorinwritingbymail,inperson(usingawithdrawalrequestform),orbyelectronicmailatinfo@bia.edu.Writtenorverbalnoticeofwithdrawalorcancellationisrequested,thoughnotrequired,inordertoreceivearefund.Thestudentmaypickupthecheckinpersonorrequestdeliverybymail,inwhichcasetheapplicablemailingfeewouldapply.BasisforRefundTuitionrefundsarebasedonallmoneyreceivedbytheschoolfromthestudentandtheperiodoffinancialobligation,meaningtheperiodforwhichthestudentislegallyobligatedtopay(cappedatamaximum12-monthperiod).Theschool’srefundpolicywillbeappliedequallyandfairlytoallstudents.Forallrefunds,arefundcalculationformwillbeusedtodetermine(inaccordancewiththispolicy)therefundamountowedtoanystudentwhocancels,withdraws,oristerminatedfromtheschool.CancellationsandNo-ShowAcancellationisdefinedasastudentwhoneverattendsclassesattheschoolafterenrollingandinformstheschoolinadvance.Ano-showisastudentwhoneverattendsclassattheschoolafterenrollinganddoesnotinformtheschool.ProgramCancellationbytheSchool:If theschool cancels a class prior to thestudent’senrollment,theschoolwillrefundallmoneypaidbythestudentincludingallnon-refundablecharges;thistypeofrefundwillbeissuedwithin30calendardaysofthecancellationdate.CancellationbytheStudentPriortoClassStart-Date,orNo-Show:Exceptundertheexceptionnotedbelow,studentsacceptedbytheschoolwhocanceltheirenrollmentbeforethefirstdayofclass(orfailtoattendanyclasses,i.e.no-show)willbeissuedafullrefundofalltuitionprepaid,minusanyactualhousingcostsincurredbytheschoolandminusthenon-refundablechargesstipulatedintheenrollmentagreement(cappedatamaximumtotalof$500).Exception:However,ifanapplicantacceptedbytheschoolenterstheUnitedStatesonanI-20formobtainedthroughtheschoolandcancelstheirenrollmentpriortothescheduledstartdateofclasses(orneverattendsclass,i.e.noshow),portionsofanyprepaidtuition/feeswillberetainedbytheschoolinthefollowingways:-Studentswithanenrollmentperiodoflessthan12weekswillbechargedfourweeksoftuition,anyactualhousingcostsincurredbytheschool,andallnon-refundablechargesstipulatedintheenrollmentagreement(cappedatamaximumtotalof$500).-Foranenrollmentperiodof12weeksormore,theschoolwillretainsixweeksoftuition,anyactualhousingcostsincurredbytheschool,andallnon-refundablechargesstipulatedintheenrollmentagreement(cappedatamaximumtotalof$500).DeterminingNo-ShowStatus:Intheeventthatnonoticeofcancellation(writtenorverbal)isprovided,theschoolwillconsiderthestudentano-showafterbeingabsentfor7consecutiveschooldays(excludinganyscheduledschoolbreaks).DueDateofRefund:Intheeventthatastudentfailstoattendclass(no-show)orcancelstheirenrollmentpriortotheclassstartdate,arefundwillbeissuedwithin30daysofthefirstscheduledclassdateorthecancellationdate(whicheverisearlier)minusanyapplicablenon-refundablefeesstatedintheenrollmentagreement(cappedat$500).Ifaclassiscancelledbytheschoolpriortoenrollment,afullrefundofalltuitionandnon-refundablefeeswillbemadewithin30calendardaysofthecancellationdate.RejectionsIfyouareastudentapplyingforanF-1visaoutsidetheU.S.andyourvisaisdenied,youmay,within30daysofthescheduledstartdate,deferyourstartdate.Studentswhosevisasarerejectedareentitledtoreceiveafullrefundforanytuitionprepaid,notincludinganynon-refundablecharges(cappedat$500)stipulatedintheenrollmentagreement.Studentswhoarerejectedforenrollmentbytheschoolwillberefundedanytuitionpaid,notincludingnon-refundablecharges(cappedat$500)stipulatedintheenrollmentagreement.WithdrawalsandDiscountsAwithdrawalisdefinedasastudentwhohasattendedatleastoneclass,butdoesnotcompletetheprogramthey’veregisteredtotake.Anenrollmentperiodistheperiodforwhichastudenthasregisteredforclasses.Intheeventofawithdrawal,refundsarebasedonthestudent’slastdateofattendanceattheschool,meaningthelastdatethestudentattendedclasses.Whendeterminingthenumberofweekscompletedbythestudent,partialweeksareconsideredthesameasifawholeweekwerecompleted,providedthestudentwaspresentatleastonedayduringthescheduledweek.DuringFirstPeriodofFinancialObligation WithinFirst4Weeks:For studentswhoselastdayofattendanceoccursduringanypointwithin thefirstfourweeksoftheinitialperiodoffinancialobligation,theschoolwillretainalltuitionchargesapplicabletothefirstfourweeks. BeforeoratMidpoint:Ifthelastdateofattendanceoccurs after the first fourweeks but before or at themid-point oftheperiodoffinancialobligation, the school will retain a prorated amount of tuition. AftertheMidpoint:Ifthelastdateofattendanceoccursafterthemidpoint,theschoolwillretainallofthechargesforthatperiod.Anytuitionpaidforthebalanceoftheprogramwillberefundedinfull.
SubsequentPeriodsofFinancialObligationorEnrollmentPeriodsBeforeoratMidpoint:Forstudentswhohavecompletedthefirstperiodoffinancialobligation(orextendedtheirenrollment)butwhoselastdateofattendanceoccursbeforeoratthemidpointofanysubsequentperiodoffinancialobligation,theschoolwillretainaproratedamountoftuitionforthatperiod. AfterMidpoint:Forstudentswhoselastdateofattendanceoccursafterthe midpoint of any subsequentperiodoffinancialobligation, the school will retain all of the tuition for thatperiod.Anytuitionpaidforthebalanceoftheprogramwillberefundedinfull.Anytuitionpaidforthebalanceoftheprogramwillberefundedinfull.DeterminingAdministrativeWithdrawals:Intheeventthatnonoticeofwithdrawal(writtenorverbal)isprovided,theschoolwillautomaticallyadministrativelywithdrawastudentaftertheyhavebeenabsentfor7consecutiveschooldays(excludinganyscheduledschoolbreaks),andtheschoolwillcompletearefundcalculationonbehalfofthestudent.DueDateofRefund:Forenrolledstudentswhowithdrawfromclasses,refundswillbecalculatedusingthelastdateofattendanceandwillbepaidwithin30calendardaysfromthedocumenteddateofdetermination–meaning,thedatethestudentgivesnoticeoftheirwithdrawalORthedatethestudentisadministrativelywithdrawnbytheschool.Studentswhoprovideadvancenoticeofwithdrawalsuchthatthe30-daywindowendsbeforethelastdateofattendance,therefundwillbepaidwithin30calendardaysfromthelastdateofattendance.Proratedrefundswillbecalculatedonaweeklybasis;partialweeksarethesameasifawholeweekwerecompleted,providedthestudentwaspresentatleastonedayduringthescheduledweek.DiscountsForstudentsreceivingaseasonalpromotionorbulkdiscountrefundswillbesubjecttothenon-discountedpricingstructureintheeventthatthetermsofthediscountwerenotmet.TerminationsForstudentswhoareterminatedduetoviolation(s)ofschoolpolicy,refundswillbeissuedtostudentsinaccordancewiththewithdrawalpolicystatedabove.Refundswillbecalculatedusingthelastdateofattendanceandwillbepaidwithin30calendardaysofthedocumenteddateofdetermination–meaning,thedatethestudentwasterminatedduetoviolationoftheschool’spolicies.UnclaimedBalanceTheschooldoesnotkeepunclaimedbalances;itmakeseveryattempttolocatethestudentandmakerefund,ormaketherefundtothestudent’sagentifapplicable(intheeventthatpaymentswereinitiallyissuedtotheagentdirectly).AgentsStudentswhoworkwitharecruitingagentwillbesubjecttotherulesoutlinedinthisrefundpolicy.Ifastudentinitiallypaidtheirtuitionandenrollmentfeesdirectlytotheiragent,theirrefundwillbemadedirectlytotheagentonbehalfofthestudent;documentationofthistypeofrefundwillbesenttothestudent.IfastudentworkingwithanagentoriginallysubmittedtheirtuitionpaymentdirectlytoBIA,therefundwillbeissueddirectlytothestudent.Non-RefundableChargesNon-refundablechargesincludethe$150applicationfee,$250deposit,andanyotheroptionalenrollmentfeepaid;theseareexplicitlystatedasnon-refundableintheenrollmentagreementandarecappedatamaximumof$500.Forhousingfeerefunddetails,pleaseseetheHousingAgreement.
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AcknowledgementofTermsEnrollmentAgreement
I,___________________,havereadandunderstoodthepoliciesandproceduresoutlinedinthisapplication.
BysubmittingthisformforenrollmentatBostonInternationalAcademy,Iagreetocomplywiththe
registration,payment,andrefundtermsoutlinedthroughoutthisapplication.
Yoursignatureonthisagreementacknowledgesthatyouhavebeengivenreasonabletimetoreadand
understanditscontentsandthatyouhavereceivedinformationexplainingthecourses,policies,and
proceduresoftheschool.Immediatelyuponsigningthisagreement,youwillbegivenacopyofittokeep.
Nopaymentsfromthestudentwillbeacceptedbytheschooluntilthisagreementhasbeensigned,dated,
andsubmittedbythestudent.
MEDICALEMERGENCYSTATEMENTIntheeventofillnessorinjury,Iauthorizemedicaltreatmentandreleaseofmedicalinformationformedicaltreatmentandinsurancepurposes.Iacceptresponsibilityformedicalexpensesoutsidethelimitsofmyhealthinsurance.IdeclarethisstatementtobetrueandunderstandImaybeexpelledifthisstatementisfalse.FINANCIALSTATEMENTIunderstandthatIwillneedatleastUS$1,200forlivingexpenseseachmonthinadditiontothetuitioncostatBIA.Iagreetoberesponsiblefortheseexpenses.IdeclarethisstatementtobetrueandunderstandImaybeexpelledifthisstatementisfalse.
Date:_________________Signature:_________________________________
PleaseNote:Ifyouneedthisapplicationtobetranslatedorclarified,wewillprovideyouwithatranslatorortranslatedcopy.
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