International Undergraduate Application for Admission

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4-Gender


7-YOUR ADDRESS
enter the number first and the street number. (example) 41 Rue Principale
enter, second street if applicable, or if reside in sub-division or sub street (example) Delmas # or Lamentin# or cote plage #
enter code postal/or enter(HT)
( )011509
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Cellular Phone
( )011509
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9-Email
you must enter your email address here. name@host.com
Please confirm your email address here. Must have same caracters.
Enter here the name of the person who's going to provide financial support. Applicants are strongly encouraged to seek approval from the sponsor.
11-Relationship

12-Sponsor's Address


( )
-
( )
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Cellular Phone
( )
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14-Highest Education
* Choose one of the followings [Documents required:Diploma I & II-Transcript I & II] must be legalized by the Education System. fraudulent documents are not accepted.
Please provide name address of the school including country.
15-Completion Date:

enter the day

16-Other Educational Institutions Attended
* Documents require with this application. [choose one of the followings]




Write your interest here , if you don’t know, choose one of the followings: College, Law, Business, Graduate, Medical, Dental, Nursing, Pharmacy, Education, English, Optometry, High School or more…
[choose one apply to you]
19-Do you want to study online?
* If your answer is [YES] you must answer question 1 & 2 below. If your answer is[NO] go to question #20


20-Sponsor Financial Paper Required
Affidavit of Support must be notarized. Original IRS Tax required for this application. [if sponsor is in Haiti, provide Copy of DGI & Business Patent & Financial paper required]
If you are over 21 of age, do you have a:

21-How Do You Hear About us?

Were you denied or refused a US visa under section 214(b),
* If yes, Please provide the date, month and year?

22-[Referred by]
Here, provide your reference's name

NOTES: Prompt receipt of tanscripts from EACH institution previously attended will expedite the enrollement process. For comments about this form, write to:info@fondeschaiti.com

Please take a moment to carefully review and read the statement about this application you are about to submit. This form allows you to save and review your response before final submit. I hereby certify that to the best of my knowledge the preceeding information is true. I understand that deliberate falsification and omission of information pertaining my result dismissal and full lost of credits. Remember that FONDESCH, Inc. is a non-profit organization, recruiting International students from all over the world for IAA's/Accredited Language Centers in the United States & other schools/universities. As a routine use, this information may be disclosed to an appropriate government agency, domestic or foreign for processing purposes. However if your answers are not accurate, the application will not be considered. No fee for processing this application. If you accept the terms and conditions.....Click submit to send your application.

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