International Academy of English. Xxxxxx Technologies to make withdrawals from this account in the event that a credit entry is made in error. Further, I agree not to hold International Academy of English/Xxxxxx Technologies responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. This agreement will remain in effect until International Academy of English/Xxxxxx Technologies receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Payroll Department.
International Academy of English. In the event of illness and/or injury, I authorize the International Academy of English to take appropriate action for my care. I further understand that I am recommended to have accident and health insurance. I am responsible for any medical bills incurred. I am aware that the IAE Catalog, Student’s handbook, IAE brochure and the School Performance Fact Sheet are also available on IAE’s website, xxx.xxxxx.xxx and it is accessible to all students and the general public. "I authorize International Academy of English to access and print my I-94 form and Travel History for legitimate business purposes." "I understand that this is a legally binding contract. My signature below certifies that I have read, understood, and agreed to my rights and responsibilities, and that the institution's cancellation and refund policies have been clearly explained to me.” Signature of the Applicant Date IAE administration - Name Signature Date Name of Parent/Guardian (under 18 years old) Signature Emergency contact number
International Academy of English. In the event of illness and/or injury, I authorize the International Academy of English to take appropriate action for my care. I further understand that I am recommended to have accident and health insurance. I am responsible for any medical bills incurred. I am aware that the IAE Catalog, Student’s handbook, IAE brochure and the School Performance Fact Sheet are available on IAE’s website, xxx.xxxxx.xxx and it is accessible to all students and the general public. "I authorize International Academy of English to access and print my I-94 form and Travel History for legitimate business purposes." I understand that this is a legally binding contract. Signature of the Applicant Date Name of Parent/Guardian (under 18 years old) Signature Emergency contact number IAE administration - Name Signature Date First Name Country of Citizenship City/Country of Birth Date of Birth Email Phone Number Relationship with Student Address I (name of sponsor) guarantee financial support for (Name of applicant) for the entire tenure of his/her studies at the International Academy of English. I also guarantee that all attached documentation is complete and accurate. Student’s sponsor will be contacted in case of tuition payment is past due. Signature Date: Family Name: First Name: Date of Birth: / / Gender: □ Male □ Female Country of Citizenship: Do you smoke? □ Yes □ No Passport Number: VISA Type: Arrival Date and Time: Flight Number: How long will you stay? Address in your home country: Phone: Email: Are there any types of animals that you do not want in your home? □ Yes □ No If yes, which type(s) do you not want? What are your hobbies? Do you dislike any foods? (If yes please describe foods which you do not like) Do you have any allergies? (If yes please describe them) Will you drive a car? □ Yes □ No Do you have any special requests for the family? Choose your Homestay option: Individual Room: $750/month Individual Room: $875/month Shared Room: $650/month Shared Room: $775/month
International Academy of English. In the event of illness and/or injury, I authorize the International Academy of English to take appropriate action for my care. I further understand that I am recommended to have accident and health insurance. I am responsible for any medical bills incurred. I am aware that the IAE Catalog, Student’s handbook, IAE brochure and the School Performance Fact Sheet are available on IAE’s website, xxx.xxxxx.xxx and it is accessible to all students and the general public. "I authorize International Academy of English to access and print my I-94 form and Travel History for legitimate business purposes." Signature of the Applicant Date Name of Parent/Guardian (under 18 years old) Signature Emergency contact number IAE administration - Name Signature Date First Name Country of Citizenship City/Country of Birth Date of Birth Email Phone Number Relationship with Student Address I (name of sponsor) guarantee financial support for Student’s sponsor will be contacted in case of tuition payment is past due. Signature Date:
