Scholarship or Payment Plan
Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

I understand that my deposit is non-refundable. *

Yes

I understand that if I withdraw from the course after June 1st there is no refund to my tuition as I paid for a space in the course. If I withdraw after the course has begun and before June 1st, I understand that half of the tuition will be due. If I have already paid in full I will be refunded half of my tuition if I withdraw before June 1st. *

Yes