Agape English Language Institute
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Application for Admission

1. Personal Information
Given (First) Name*
Other Name
Family (Last) Name*
Street Address*
City*
State/Province
Zip/Postal Code
Country*
Phone*
Fax Number
Email*
Gender*


Date of Birth* (MM/DD/YYYY)
Country of Birth*
Country of Citizenship*
Please indicate any special needs

2. Registration
I would like to begin my studies on*

I would like to attend the program at*

Read more about locations.


Please complete the following information if you have a spouse and/or children who will accompany you

Please indicate name, date of birth (MM/DD/YYYY), country of birth/citizenship and relationship to you

Type of session preferred

*Standard session is 9 weeks.
Number of sessions you intend to study
What type of housing do you prefer?

Do you need an I-20 form to receive a student visa in order to attend Agape?*

If YES, you must submit proof of financial support (3,377 USD per 9-week session) before our school can issue the I-20 form you will need to obtain a student visa from the US Embassy/Consulate in your country.

Person to Notify in Case of an Emergency
Name
Street Address
City and State
Zip/Postal Code
Country
Business Phone
Home or Mobile Number
Relationship to You

How did you learn about Agape English Language Institute?*
Which one?
Which link?
 
Who?
Who?
Please specify

3. Fees

Please review our Tuition and Fees.

To complete your application, please pay the 75 USD Application Fee (non-refundable) via bank check, Western Union; or Wire Transfer (the wire transfer fee is 25 USD; at your request, we can provide you with bank routing information). You may mail your fee to

Agape English Language Institute
3-D Cleveland Court
Greenville, SC 29607
USA

For further information, please contact the Admissions Office.

4. Submit Application!

I certify that the information given above is complete and correct. I understand that the application fee and any mailing fees are non-refundable.

Please press only once and be patient! Thanks!