Online application form for universities in the USA and Canada

Application form for a university in the United States or Canada

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Section 1 - Your Academic Preferrences

Programme type

First preferred university

First preferred program

Preferred Start Date

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Second preferred university

Second preferred program

Preferred Start Date

Add more preferences

Third preferred university

Third preferred program

Preferred Start Date

Do you require English language instruction before your program?

Yes No Don't know

- Student Details

Family name

Given name

Date of birth

Gender

Nationality

Passport number

Passport expiry date

Yes No

Home address

City

Postal code

Country

Primary Telephone Type

Data consent

I acknowledge that Study Group will collect and process information relating to me in accordance with the Student Privacy Notice. Study Group includes Study Group UK Limited and its subsidiaries.

I agree

Marketing consent

From time to time, Study Group and its affiliates wish to communicate useful features, products and promotional offers to you via digital and offline marketing channels. For further information about how your data is used and stored please visit our Privacy Policy.

Do you wish to be informed about these?

Yes No

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Section 3 - Parent/Guardian Details

Family name

Given name

Relation to student

Home address

City

Postal code

Country

Home phone number

Mobile/cell phone

Fax

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Section 4 - Emergency Contact

Same as parent/guardian details.

Family name

Given name

Relation to student

Home address

City

Postal code

Country

Home phone number

Mobile/cell phone

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Section 5 - Criminal and Disciplinary Record

Other than traffic violations, have you ever been convicted of a misdemeanor, felony or other crime? Yes No

Have you ever been charged, suspended, removed, dismissed or expelled from any educational institution for academic or disciplinary reasons? Yes No

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Section 6 - Financial Information and Agreement

Funds in US dollars available per year to study at university

Person or organization responsible for your financial support

Address of sponsor or fee payer

Please note: You will be required to present financial documentation to the US Consular Office in your country in order to obtain your student visa. We advise you to have a letter from your parents or other source of financial support stating their responsibility for your expenses throughout. A bank statement or letter verifying their financial ability to cover your expenses should also be provided.

Declaration by the student, parent/guardian, and fee payer

We agree to pay all fees incurred by the student as they become due, and either give the required notice of cancellation or to pay the required fees in lieu of notice. We agree to accept full responsibility for personal expenses, books, any required additional language training and round trip air fare. In the event that Study Group USA Higher Education LLC or its agents advances or loans any funds to the applicant or incurs special expenses on his/her behalf, we agree to make immediate repayment to Study Group USA Higher Education LLC. We, as parents/guardians of the undersigned student, give permission for the administration of first aid and appropriate non-prescription medication to the student, and give permission to Study Group USA Higher Education LLC and designated college representatives to seek medical, dental or optical treatment when required. We do hereby authorize Study Group USA Higher Education LLC and its assigned agents, and any designated program representative, as agents of the undersigned parents, to consent to any x-ray examinations, anesthetic, medical or surgical diagnosis or treatment, or hospital care which is deemed advisable by, and is rendered under, the general supervision of any licensed physician or surgeon, whether such treatment or diagnosis is rendered at the office of said physician or surgeon or at a hospital. It is understood that this authorization is not given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of aforesaid agents to give specific consent to any and all such diagnoses, treatments, or hospital care which the aforementioned physician or surgeon, in the exercise of her/his best judgement, may deem advisable. We, the undersigned, agree that the student's images and sound, details and achievements may be used in any media for promotional purposes without written consent or notification. This includes permission to pass them on to third parties (recruitment partners, publications, etc) at our discretion as long as the images are used to publicize study group programs. We, the undersigned, waive and release all claims against Study Group USA Higher Education LLC and its agents for any injury, loss, damage, accident, delay or expense resulting from the applicant's participation in the program. We also release Study Group USA Higher Education LLC and its agents and agree to indemnify them with regard to any financial obligations or liabilities that the applicant may personally incur or any damage or injury to the person or property of others that the applicant may cause while participating in this program. We understand that the program begins with the outbound flight to the United States and terminates when the return flights lands. We realize that any airline's liability for loss or damage to baggage or property, or for death or injury, is limited by the terms outlined by the airlines. We also understand that it is our responsibility to obtain a passport and any required visa. We understand that Study Group USA Higher Education LLC is not responsible for any loss or injury suffered by the applicant at any time while participating in the program, including but not limited to losses or injury suffered during periods of independent travel or absence from the program. If the applicant becomes ill or incapacitated, Study Group USA Higher Education LLC or its agents may take such action as it considers necessary, including securing medical treatment and transporting the applicant home at his/her own expense. We release Study Group USA Higher Education LLC from all liability related to such actions. We understand that the applicant's participation in the program may be terminated at the discretion of Study Group USA Higher Education LLC without any refund of fees and that the applicant may be sent home at his/her own expense if he/she does not adhere to the US, state, and local laws and college/university rules. We understand that this agreement cannot be modified except in a writing signed by Study Group USA Higher Education LLC.

Agreement - by the student

By checking this box, I apply to enroll as a student of Study Group USA Higher Education LLC. I agree to abide by the Terms & Conditions of Study Group USA Higher Education LLC.

Agreement - by the parent or guardian (for applicants aged under 18 years)

By checking this box, I agree to abide by the Terms & Conditions of Study Group USA Higher Education LLC. I am the parent or legal guardian named.

Agreement - by the financial sponsor or fee payer

By checking this box, I agree to abide by the Terms & Conditions of Study Group USA Higher Education LLC. I am the financial sponsor or fee payer named.

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Section 7 - Educational History

Tell us about your previous education. You will also need to submit copies of official academic transcripts (translated into English if necessary) before we can process your application. Certified original copies of all transcripts are required upon registration.

High School (final 4 years of secondary education: ages 14/15 to 17/18)

Date from	Date to	Name of institution	Location

Name of High School graduation certificate

Graduation date

Current or most recent Grade Point Average

Education after High School (e.g. at University: age 18+)

Date from	Date to	Name of institution	Location

Name of degree studied

Graduation date

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Section 8 - Standardized Testing (Optional)

Test Name	Date taken	Score
TOEFL (Test of English as a Foreign Language)
IELTS (International English Language Testing System)
GMAT (Graduate Management Admission Test)
GRE (Graduate Record Examination)