IPSA - International Partners for Study Abroad
Application
Business Administration Programs in Switzerland
Please print out this form from your browser,
complete (print or type) and sign the Apllication
and send it by mail to:
IPSA Enrollment Center
40240 N. 69th Place
Cave Creek, AZ 85331, USA
or by Fax to: +1 (602) 942-6734
Part A. Personal data:
First Name: ___________________ Last Name: ______________________________
Home Address: _____________________________________________________________
___________________________________________________________________________
Telephone: (____)________________ Fax: [optional] (____)__________________
E-mail: [optional] __________________________________ __Married __Single
Date of Birth: (month/day/year) _____/____/______ __ Male __Female
Place of Birth (country, city): __________________________________________
Nationality: _________________ Citizenship (country): ___________________
Native language: __________________
Other languages, if any: __________________________________________________
Do you have special medical requirements or physical disability?
If so, please specify: ___________________________________________________
__________________________________________________________________________
Insurance:
The Swiss law (1st January 1996) concerning sickness and accident insurance
demands that all students, residing in Switzerland, be insured against
sickness and accidents by a recognized Insurance Company.
We would therefore be grateful if, upon your arrival at the School, you
could provide us with a statement from your Insurance Company, certifying
that you are also covered in Switzerland. (Hospital - Doctor - Pharmacy)
If this is not the case, we have to insure you at the School for the period
of your stay.
Please check on of the following:
__My insurance against illness is valid in Switzerland
__I would like to be insured by the The School
Parents/guardian:
(if applicant is under 18 years old)
Father:
Name: __________________________________________________________________
Profession: _______________________________ Tel. (work)_________________
Fax: _________________________________ Tel. (home) _____________________
Address: _______________________________________________________________
________________________________________________________________________
Mother:
Name: __________________________________________________________________
Profession: _______________________________ Tel. (work)_________________
Fax: _________________________________ Tel. (home) _____________________
Address: _______________________________________________________________
________________________________________________________________________
If the parent or legal guardian are not the sponsor please provide the name
of the official sponsor:
Name: __________________________________________________________________
Profession: _______________________________ Tel. (work)_________________
Fax: _________________________________ Tel. (home) _____________________
Address: _______________________________________________________________
________________________________________________________________________
Reports to be sent to: __parents __student __gardian
Bills to be sent to: __parents __student __gardian
Emergency Contact:
Name: ________________________________________________________________
Relationship:______________________ Telephone: ________________________
Address: _____________________________________________________________
Part B. Educational Background:
Please list in chronological order the names of the academic institutions
College, University you have attended or currently attending.
School - College - University | Cerificate/Diploma/Degree | Date
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Part C. Professional Experience:
Please list in chronological order the names of the companies you have
worked for or are currently working.
Company Position Date
__________________________ _____________________________ ___________
__________________________ _____________________________ ___________
__________________________ _____________________________ ___________
Part D. Program data:Please check in which term you would like to start your program:
__Spring Term/Year _________
__Autumn Term/Year _________
Please check in which program you would like to enroll:
__One Year Certificate Business Administration Program
__Two Year Certificate Business Administration Diploma
__BBA Business
__BBA Tourism
__MBA Business
__MBA Banking
__MBA Tourism
__Intensive English Courses
__Intensive French Courses
Comments:
___________________________________________________________________________
___________________________________________________________________________
If you are not a native English speaker, please answer the following questions.
I have studied English for __Years at a ______________________________
(type of school e.g. high school, university, private language school)
If you do not have any English language cerificate, please state the level of
your knowledge of the English language:
__Elementary __Intermediate __Advanced
Please indicate in the below board:
French:
Compehention
__None __Basic __Fair __Good __Excellent
Spoken
__None __Basic __Fair __Good __Excellent
Written
__None __Basic __Fair __Good __Excellent
German:
Compehention
__None __Basic __Fair __Good __Excellent
Spoken
__None __Basic __Fair __Good __Excellent
Written
__None __Basic __Fair __Good __Excellent
Other:
Compehention
__None __Basic __Fair __Good __Excellent
Spoken
__None __Basic __Fair __Good __Excellent
Written
__None __Basic __Fair __Good __Excellent
Accomodations:
Do you need accommodation? __ Yes __No
If yes, what type of accomodation would you prefer?
__Urban Campus: Double room shared by two students.
University Campus:
__Double room shared by two students
__Double rooom for one student
__Single room shared by two students
__Single room for one student
Comments:
___________________________________________________________________________
___________________________________________________________________________
Accommodation will be arranged subject to availability.
Part E. Payment of Fees:
Please note that your application will be considered only when your payment
of the non-refundable Application Fee of $150, Registration Fee of $300 and
the tuition deposit of $250 has been received. The Tuition Deposit is part
of the cost of your program and is deducted from the total program fees.
All payments must be made in U.S. dollars and payable through U.S. banks.
Any collection charges will be the applicant's responsibility. Checks or
international money orders drawn on foreign banks will not be accepted.
Please select one of the following payment options:
1. __Please find enclosed a certified check/money order for the application
and course registration fee and the tuition deposit.
Cashiers Checks or international money orders must be made payable to IPSA.
Please send a check or international money order with your application to:
IPSA
40240 N. 69th Place
Cave Creek, AZ 85331, USA
2. International Wire Transfers
You can make your payment by wire transfer. Just fax us your application
and request our account and bank information:
___I want to pay the application fee and the tuition deposit by wire transfer.
Please send me instructions on how to send the wire transfer to your
bank account.
3. Payment by Credit Card:
Please select credit card: ___VISA ___MasterCard
Credit Card No: _____________________ Expiration Date: Month ____ Year_____
Card Verification Value: ___________ (The last three digits on the back of
your credit card after the credit card number.)
Cardholder Name: __________________________________________________________
Street Address: __________________________________________________________
City:______________________ State:___________________ Zip Code:__________
I authorize to charge the enrollment fees and the tuition deposit in the
total amount of US $700 to the above credit card account.
Comments: _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Part F. Application / Very Important.
The executive committee of the school reserves the right to expulse the
student in case of serious misdeed. The expulsion or the departure of the
student does not cancel the University fees payment. No refund is available
in this case.
Please return this form fully completed and make sure the following are
enclosed:
- Motivation letter.
- Notarised copy of your degrees with their translation or transcription
in English.
- Copy of your work certificate (if applicable).
- Copy of your English language Certificate.
- Your curriculum vitae or resume.
- 4 ID Pictures.
- 2 color copies of your passport or ID card.
- School information with grading system, transcript.
- Copy of the students insurance (if required).
This application will become apart of your pernament record at our school.
Part G. Agreement and release.
By signing this Application, I certify the above information is complete
and correct. I understand that my misrepresentation may result in my
expulsion from the program. I acknowledge that the terms and conditions
appearing on this web site constitute part of my agreement with IPSA and
study abroad program host (university, college, language school, or other
institution or organization), including sections concerning responsibility,
health, refunds, changes in dates, accommodations, courses and billing of
the selected options. I have read this Agreement and agree to follow all
IPSA and study abroad host procedures. This Agreement will be effective
when my application i s accepted by IPSA and shall be governed by the laws
of the State of Arizona, USA.
Applicant's Signature ______________________ Date: __________________
Parent's/Legal Gardian's
Signature if applicant
is under 18 years _______________________ Date: _________________
Please do not forget to make a copy of this completed and signed application
for your records and enclose your payment of the application fee and deposits.
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