PLEASE READ THE FOLLOWING INFORMATION CAREFULLY AND FOLLOW INSTRUCTIONS:

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1 page 1 of 8 PLEASE READ THE FOLLOWING INFORMATION CAREFULLY AND FOLLOW INSTRUCTIONS: No. STEP ONE 1. Submit a complete Application and Enrollment Agreement for International Students 2. Letter of Intent 3. International Registration Request Form 4. Accompany the application with application fee. This can be paid by credit card or Western Union. To make a payment through Western Union please send your payment to: Name: Andy Palacios School Address: Atlantis University 1442 Biscayne Boulevard Miami, FL Phone: After doing so please call your advisor for confirmation number. 5. Submit proof of High School graduation, translated into English if applicable. 6. Non-native speakers of English are required to provide proof of English proficiency 7. Participate in a qualitative admissions interview arranged by a University admissions advisor. 8. Upon acceptance, Atlantis University will send you an acceptance letter. 9. Atlantis University will send you the payment plan. STEP TWO 10. Sign and send payment plan. First term tuition is due on the first day of school NO EXEPTIONS 11. Submit the Affidavit of Support and Bank References. The total funds available for the first academic year must equal the total tuition, books, fees, and living expenses. INTERNATIONAL STUDENTS DO NOT QUALIFY FOR FINANCIAL AID. SPONSOR LISTED ON THE AFFIDAVIT OF SUPPORT IS RESPONSIBLE FOR THE STUDENT S TUITION, FEES, AND LIVING EXPENSES. 12. Students applying for International Scholarship must submit the application by the deadline. Interested candidates should contact the Director of Admissions for information on this scholarship. 13. Request for International Student Visa (I-20) 14. Mail required documents and forms to : Atlantis University 1442 Biscayne Boulevard Miami FL 33132

2 page 2 of 8 INTERNATIONAL STUDENT ADMISSIONS PROCESS INSTRUCTIONS STEP THREE Admissions File Processing. Once we have received all your necessary documents, you will be informed o of your admissions status. If you are admissible we will send you an acceptance letter will all the necessary information for you to study at Atlantis University. 15. Atlantis University will mail you the I-20 Form (certificate of eligibility for a student visa), along with information on how to apply for a student visa. This has to be presented for evidence at the American Embassy demonstrating your acceptance as a student at Atlantis University. 16. Atlantis University will you pre-arrival and Orientation information. I HAVE READ AND UNDERSTOOD THE ADMISSIONS PROCESS FOR INTERNATIONAL STUDENTS Student s Name Signature Date PLEASE OR FAX THIS PAGE TO THE DIRECTOR OF ADMISSIONS LISTED ABOVE Atlantis University 1442 Biscayne Boulevard Miami, FL USA

3 page 3 of 8 APPLICATION AND ENROLLMENT AGREEMENT STEP 1: COMPLETE PERSONAL INFORMATION I hereby apply for enrollment at ATLANTIS UNIVERSITY. A representative has provided me with a university catalog and explained the programs and terms of the Enrollment Agreement. I am 18 years or older or have permission from my parent or guardian. Name: Date: Address: City: State/Country: Zip: Home phone [ ] Work phone [ ] Cell phone [ ] Date of birth: / / Social Security # _ / / Address: Occupation: Employer: Name and relationship of closest relative: Address: Home Phone[ ] STEP 2: CHOOSE YOUR PROGRAM AND PROGRAM DELIVERY I hereby apply for admission to the Program indicated below. I agree to follow the requirements and upon the successful completion of all courses and the payment of all required tuition and fees, I will receive a: Doctorate Masters Bachelor of Science Associate of Science Diploma Program Delivery In Campus Online An Application fee for each program is $50 and does not apply to the tuition. Text book costs (approximately $100 per course) are additional and are paid for by the students. Books are not included in the total cost of tuition. Registration begins 6 weeks prior to the first day of class and ends one and one half weeks after the first day of class. Tuition is charged by semester depending on the number of credits the student is enrolled in. Program Level Check one from list below Program Credit DEGREE Doctorate Degree Program Doctor of Business Administration 60 Credit Master Degree Program Master of Business Administration (MBA) 24 Credit Master of Information Technology Bachelor of Science Degree Associate of Science Degree Business Administration Management Information Systems Graphic Design Business Administration International Business Business Marketing Computer Information Technology 123 Credit 60 Credit Fee per Credit $897 Per credit hour $897 Per credit hour $299 Per credit hour $299 Per credit hour Total Program Tuition Due $53, Plus books and $21, Plus books and $36, Plus books and $17, Plus books and DIPLOMA Business Diploma Program Administrative Assistant 310 Clock N/A $6, Plus books and Bookkeeping 220 Clock N/A $4, Plus books and IT Diploma Program Computer Network Technician (CNT) 192 Clock N/A $3, Plus books and Microsoft Certified IT Professional (MCITP) 288 Clock N/A $5, Plus books and Cisco Certified Network Associate (CCNA) 192 Clock N/A $3, Plus books and Computer Network Professional (CNP) 672 Clock N/A $12, Plus books and Tuition Tuition is $ per credit hour for undergraduate level programs, and $897 per credit hour for graduate level programs. Tuition is charged by semester depending on the number of credits the student is enrolled in. The total amounts for tuition listed above are the cost per credit hour and/or program multiplied by the number of credit hrs. Application Fee There is a one-time application fee of $50.00 for undergraduate programs, and $100 for graduate programs. Books and Learning Materials Approximate costs are $100 per course. PROGRAM START DATE: ANTICIPATED DATE OF GRADUATION: CREDENTIAL TO BE AWARDED UPON COMPLETION OF THE PROGRAM SELECTED: Tuition for the program is shown. There is no carrying, interest, or service charges connected to any of these programs. Contracts are not sold to a third party at any time. Cost of credit is included in the cost for the goods and services. A one-time Application Fee must be paid at the time the Enrollment Agreement is completed. For degree programs the amount due is for each credit hour in which the student is enrolled. Students may pay in full or on payment plans.

4 page 4 of 8 APPLICATION AND ENROLLMENT AGREEMENT STEP 3: Program Information, Tuition, Payment Plans SELECT ONE I am paying for the Application Fee of $ I am paying for the Application Fee of $ (For undergraduate/diploma programs) (For graduate degree programs) TUITION AND PAYMENT PLANS (Select one). Plan One: Full payment at time of signing enrollment agreement. Total: $ Plan Two: Payment Schedule as follows: Initial Down Payment of $ and installments of $ each. TOTAL TUITION Total cost of your Academic Program including your down payment NUMBER OF PAYMENTS AMOUNT OF EACH PAYMENT WHEN PAYMENTS ARE DUE $ $ Beginning On / / and on the same day each: Week By-weekly Month Other REFUND POLICY Should a student be terminated or canceled for any reason, all refunds will be made according to the following refund schedule: 1. Cancellation must be made in writing. 2. All tuition fees will be refunded (except the $ application fee) if, prior to the beginning of the program, the applicant is not accepted by the University or if the student cancels within three (3) business days after signing the Enrollment Agreement and making an initial deposit. 3. Cancellation after the third (3rd) business day, but before the first class, will result in a refund of all monies paid, with the exception of the application fee. Courses can be added or dropped from the student s schedule during the first week of the course without penalties. Withdrawal or termination from the program after completion of the second full week of classes will result in no refund. 4. Books and materials for degree programs are not included in the cost of tuition and are charged separately from the tuition. Cost of books and materials is not refundable. 5. The termination date for refund computation purposes is the last date of actual attendance by the student. Other Terms and Conditions. A student may be terminated for creating a safety hazard to other students, disobedient or disrespectful behavior to faculty or other students, unsatisfactory academic progress, poor attendance, unprofessional conduct, excessive absence or lateness, failure to pay fees when due, cheating, falsifying records, breach of enrollment agreement, entering the University site while under the influence or effects of alcohol, drugs, or narcotics, of any kind, carrying a concealed or potentially dangerous weapon or sexual harassment or harassment of any kind. Terms of the refund policy will apply. The University will provide its graduates with assistance and job leads upon graduation, but cannot guarantee job placement or employment. STEP4. READ, SIGN YOUR NAME, ADD TODAY S DATE Notice to student: Do not sign this Application/Enrollment Agreement before you read it or if it contains any blank spaces. You are entitled to an exact copy of this signed document. Keep it to protect your legal rights. I have read the terms and conditions contained in this Application/Enrollment Agreement and understand that This agreement constitutes a binding contract upon written acceptance by the School. I have received a copy of the current catalog and have read it. I have received a copy of this Application/Enrollment Agreement, which has been signed by both the school and me as student or my parent or guardian if I am less than 18 years old. Student signature Date Parent/guardian signature if student is less than 18 Date FOR SCHOOL USE ONLY Payment has been received in the amount of $ Date Signature of Authorized School Representative: Title

5 page 5 of 8 ADMISSIONS APPLICATION FOR INTERNATIONAL STUDENTS STEP 1: Complete Personal Information Sex: Male Female Will there be any people accompanying you? Yes No Will you need a dependent I-20? Yes No Marital Status Single Married If you are presently in the United States, do you have F1 Status? Yes No If not, what kind of visa do you hold? Will you require an I-20 for a Change of Status? Travel/F1 visa? If currently in the U.S: Type of Visa: Expiration Date / / Number on I-94 (entry document) Expiration Date / / Tests: TOEFL Test Date / / TOEFL Score (if taken) How did you find out about Atlantis University? I certify that I have read the international student brochure and I understand the admission requirements for Atlantis University. I certify that the information listed in this application is true and complete, and I understand that any misrepresentation or omission of facts will be cause for refusal of admission or dismissal from Atlantis University. I also understand I must fulfill any specific visa requirements and that all full-time students must purchase the mandatory health insurance. Student signature Date STEP 2: Educational Information SCHOOLS (SECONDARY/PREPARATORY, COLLEGES, UNIVERSITIES, OR INSTITUTES) FULL ADDRESS List all secondary schools, colleges, or other institutions you have attended. DATES ATTENDED DATE OF GRADUATION & DEGREE EARNED

6 page 6 of 8 STEP 3: Student Source of Funds This form is not an application for financial assistance. This form is REQUIRED for admission to Atlantis University. The Bureau of Citizenship and Immigration Service requires an international student to show evidence of adequate financial support for one academic year (9 months) and a plan for continued funding for subsequent years. The original letter from a banking institution listing the amount of funds available to the student must accompany this form. PLEASE INCLUDE A PHOTOCOPY OF YOUR CURRENT PASSPORT! **List your name as it appears on your passport.** Family/Last Name: Given/First Name: Middle Name: City and Country of Birth: Country of Citizenship: Date of Birth Month Day Year Student ID number: Student Source of Funds 1. Personal Savings Name of Bank The original letter from a banking institution dated within six months and listing the amount of available funds must accompany this form 2. Parent, Relative, Friend as Sponsor Name of Sponsor The original letter from a banking institution dated within six months and listing the amount of available funds must accompany this form 3. Your Government or Other Sponsoring Agency Name of Agency The original signed award letter is required with this form 4. Other (Describe) Type of Funding Source of Funding The original signed award letter is required with this form Amount of Support First Academic Year Amount of Support Subsequent Years Total: $ USD $ USD Family/Sponsor Certification This is to certify that I have agreed to provide the amount of funds stated above to the student for the purpose of fulltime study at Atlantis University. This commitment will continue for the duration of the student s course of study. The evidence of my resources in the form of an official bank letter accompanies this statement. I also understand that it is not the responsibility of Atlantis University to provide financial assistance to the student. Name of Sponsor Relationship to Student Address of Sponsor Signature of Sponsor Date / /

7 page 7 of 8 DEPENDENTS Full Name Date of Birth Country of Citizenship Relationsh ip to Student The student is required to show additional funds of $3000 USD and complete the following information for the dependents that will accompany them to the United States for study. I certify that the above information provided is a correct statement of my arrangements for financing my studies, and I understand that I am responsible for any debts incurred while attending Atlantis University. Student s Printed Name Date Student s Signature STEP 4: Program Information, Tuition, Payment Plans PAYMENT PLANS Please select one payment installment plan. Plan One I am paying the amount of $ for each semester. Plan Two I am paying the amount of $ for every year enrolled in the program. Credit Card Authorization For your convenience, you may pay with your credit card. The USD application fee and USD tuition deposit will be billed to your credit card account upon receipt of this completed form. I, give Atlantis University permission to (please print name) charge $ against my MasterCard Visa American Express Card* to pay for tuition or fees on / / *A photocopy of the front and back of credit card is needed for verification. Credit Card Number: (today s date) Expiration date: / (Month/Year) Security Code Signature of Credit Card Holder: Print name as it appears on card: Address of Credit Card Holder: Phone number of Credit card Holder: [ ] - A yellow copy of the credit card transaction will be mailed to you. Note: We will only accept US bank checks, credit cards, cash, or wire transfers.

8 page 8 of 8 AFFIDAVIT OF FINANCIAL SUPPORT Atlantis University Student Name (Printed) Student SSN Letter of Intent As part of your acceptance process, the Letter of Intent will be reviewed along with your completed application in the Acceptance Meeting. Please focus and put all of your thoughts into answering the following question: All Atlantis University students have to be very committed to attending class, doing their best, and graduating. Why are you committed to earning your degree at Atlantis University and why should you be accepted? To be drafted by the applicant: For Official Use Only Admissions Advisor s Interview Recommendation Based on the interview with the above named applicant: ( ) This student is recommended for acceptance into Atlantis University ( ) This student is not recommended for acceptance into Atlantis University

9 page 9 of 8 Date Family Name: First Name: Middle Initial: Maiden Name: Date of Birth: Country of birth: Citizen of: ISSUED FOR: Initial Attendance: Continued Attendance: School Transfer: Name of School (if transferring within the US): Number of Dependents (if traveling with you): Full name of Dependents: Date of Birth: Country of Citizenship: Degree of Education you will take here at Atlantis University: Associates: Bachelors: Diploma or Certificate Program Expected start date: Completion date: (we complete this) English Proficiency: (yes) (no) Tuition: Name of Sponsor: Annual Living Expenses: Books: REQUEST FOR 1-20 PLEASE RETURN THIS DOCUMENT SO THAT WE CAN ISSUE A SEVIS I-20 CORRECTLY Students support Total 12 months: Amount of sponsorship in U.S Dollars If you are a transfer student with an existing I-20, please attach a copy of the I-20 and the I-94 card/passport Current Address: Address in the USA:

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