1. Personal Information
(個人資料) |
| Family Name
(姓氏): |
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| Given Name
(名字): |
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| Other Name: |
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| Address
(住址)(Line
1): |
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| Address (Line
2): |
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| City
(城市): |
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| State/Province
(州/省份): |
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| Country
(國家): |
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| Zip/Postal Code
(郵遞區號): |
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| Phone
(電話): |
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| Fax Number
(傳真號碼): |
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| E-mail (Required):
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| Date of Birth
(生日): |
mm/dd/yy |
| Country of Birth(出生國家) : |
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| Country of
Citizenship (國籍): |
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| I
would like to attend the program at: |
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| I am: |
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Please complete the
following information if you have a spouse and/or children who will accompany you:(如果你的配偶或小孩想要一起伴隨你來,請在此寫她們的名字,年齡及關係)
(Please indicate Name, Age, date of birth (mm/dd/yy), country
of birth / citizenship and Relationship to You)
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| Type of
session preferred (你希望多久為一期): |
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| Number of
sessions you intend to study(你想參加幾期): |
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| What
type of housing do you prefer? (你喜換住哪裡) |
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| Do
you need an I-20 form to receive a student visa in order to attend one of the
Agape
English Language Institute locations?(你希望獲得I-20
Form來申請學生簽證嗎?) |
If YES, you must submit proof of financial support (U.S. $3,327.50 per
9-week session, plus additional money for personal expenses) before
our school can
issue the I-20 form you will need to obtain a student visa from the U.S.Embassy/Consulate
in your country.(假如是,你必須要先提出財力證明 (每九星期課程需要至少美金$3,327.50,再加上個人額外的花費)在我們學校發出I-20 form後,你需要拿它到美國在台協會申請學生簽證.) |
| Person
to Notify in case of an emergency (緊急通知人): |
| Name: |
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| Address
(Line 1): |
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| Address
(Line 2): |
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| City: |
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| State/Province: |
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| Zip/Postal
Code: |
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| Business
Phone: |
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| Home
Number: |
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| Relationship
to You: |
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I certify that the
information given above is complete and correct. I understand that the
application fee and any mailing fees are non-refundable.
(我在此聲明以上我所提供的訊息都是完全且確實的,我了解假如我進入Limestone
College,我必須要在AGAPE語言學校先就讀,我了解註冊費及學費都是不能退還的)
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| 3.
Fees |
Please
review our Tuition and Fees. Payment by check accepted.(若你想更進一步了解費用的問題,請到我們的網站-Tuition and Fees.我們可接受支票付費)
To apply you can either: (你可以用以下方法註冊)
- fill this form and submit it
online, or (完成此表並在線上寄出)
- print and mail this form with a
application fee of U.S. $75 (non-refundable) to:
(印出此表格並附上75元註冊費郵寄至以下住址)
Agape English Language Institute
610 Pickens Street
P.O. Box 12504
Columbia, SC 29211-2504, USA
For further information, please contact info@aeliusa.com |
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Please press only once and be patient! Thanks!
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