Classroom Home

* family name
* first name
country of birth
citizenship
date of birth
genderder  female dmale
e-mailde
street
city
postal code
country
phone
fax
street
city
postal code
phone
fax
Will you apply for an F-1 student visa?       yes    no
Would you like us to arrange housing for you?       yes    no
course
start date
course length d
check-in
check-out
Residence Clubs
 
Vantaggio
Cosmo
closing June 15th
shared room / private bath (lower floors) single room / private bath (lower floors)
shared room / private bath (upper floors) single room / private bath (upper floors)

Vantaggio
Garland

opening June 15th
standard shared room / pvt bath standard shared room / pvt bath [1 king bed, dbl occupancy]
deluxe shared room / pvt bath (kitchenette)

deluxe shared room / pvt bath (kitchenette) [1 king bed, dbl occupancy]
standard single room / pvt bath  
deluxe single room / pvt bath (kitchenette)  

Vantaggio
Abigail

opening June 15th
shared room / private bath shared room / private bath [1 king bed, dbl occupancy]
single room / private bath  

Vantaggio
Jefferson Square
medium shared room / private bath small single room / private bath
large shared room / private bath medium single room / private bath
large single room / private bath
medium triple room / private bath

The Ansonia
shared room / shared bath single room / shared bath
shared room / private bath single room / private bath

The Kenmore
shared room / hall bath single room / hall bath
shared room / shared bath single room / private bath
shared room / private bath  
Homestay
select type
of homestay:
Economy Full (shared room / shared bath) Economy B&B (shared room / shared bath)
Standard Full (single room / shared bath) Standard B&B (single room / shared bath)
Executive Full (sgl room / pvt bath) Executive B&B (single room / pvt bath)
Do you smoke? yes   no
Do have allergies? yes   no
Family with children ok? yes   no, I prefer a family without children
Family with pets ok? yes   no, I prefer a family without pets
List your hobbies:
Describe your expectations:
Will you like to book the aiport pick-up service?       one-way    round-trip     no pick-up service needed 
2013 ONLINE ENROLLMENT FORM
Personal Information
Course Information
Home Address
Address in U.S. (if known)
Visa Information
Housing Information
Airport Pick-up Service
   I have my own insurance coverage and will provide proof upon arrival.
  I wish to purchase travel & health insurance through Brandon College.
Health & Travel Insurance (only mandatory for all students with an F-1 visa!)
Online Special Code:
Did any of our Representatives or Agencies in your country help you?
agency name:
Comments / Questions
Enrollment Agreement
Student Signature (please type your full name):
date signed:
* as it appears in your passport!
coverage start
length weeks
This agreement is a legally binding instrument when signed by you and accepted by the school. I have read and understood, and agree to the terms and conditions, the refund and cancellation policy, course schedules, rates, and starting dates. I hereby affirm that I have sufficient funds to pay for all course costs, as well as the cost of food, accommodation and all other personal expenses during the full period of my course at Brandon College. In case of illness or injury, I grant permission to be examined or treated as necessary. Any questions concerning the school that have not been satisfactory answered or resolved by the school should be directed to the student’s consulate, the U.S. Department of Homeland Security, or the Bureau for Private Postsecondary and Vocational Education in the Department of Consumer Affairs, State of California; 400 R Street, 5th Floor, Sacramento, CA 95814, phone (916) 445-3427.
Emergency Contact (Who should we notify in case of emergency? Please list a relative, friend, husband, wife, etc.)
phone
name

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