~Application For WorkUSA Program ~

Important! To apply, please send us the items below:

1. A Completed Application Form. It can be submitted by mail or on-line.

2. A Financial Certification in English showing that sufficient funds will be available to meet both your living expenses and tuition.

3. $200 non-refundable application fee, $250 reservation fee, and $65 International Express Delivery Fee (if applicable)
   
   Payment must be made by wire transfer (please e-mail us for account information).
   
   As soon as we receive items 1-7, we will send you a confirmation. We will then find a workplace for you (this can take 4-6 weeks). When your workplace has been secured, you will receive information regarding the specific company / organization you are going to work at. We will also send you an IAP-66 form for your J-1 visa application.

PROGRAM INFORMATION
    1. Requested Program:      Summer Job        Internship
    2. Requested Length of Program:   4 weeks    8 weeks    12 weeks     16 weeks
    3. Earliest Date Available:
    4. Latest Date Available: 
    5. School Name:
    6. Field of Study:

PERSONAL
    1. Last Name (Family):     First Name:
    2. Date of Birth:        3.  Gender:  Male. Female.
    3. City and Country of Birth: 
    4. Country of Citizenship:
 

CONTACT INFORMATION
    5. Address: 
              City:            Country: 
    6. Telephone:         7.  Fax:  
    8. E-mail:      

SUMMER JOB INFORMATION
    Your three job choices:
    First Choice:      
    Second Choice: 
    Third Choice:     

INTERNSHIP INFORMATION
    Describe your desired internship:
   

    Are you willing to accept an unpaid internship if offered?   yes    no
 
EXPRESS MAIL (check one)
     11.      Yes, I would like APEX to send my acceptance material by express mail service.
                      (I have included $65.00 express mail charges.)
                No, please send my acceptance material by airmail.

EDUCATION
     12.  How long have you studied English?
            What is your English ability? Advanced High Intermediate

  EMERGENCY CONTACT

   14. Name:        Relationship:
         Address: 
         Phone:           Fax:    
         E-mail:   

I understand that my application will not be processed until APEX receives application fee and deposit.

Please check this box to indicate signed approval: Date:

Your signature is required: "I have read and understood the conditions of this application. All of the information which I have given is true, to the best of my knowledge." signature of applicant

For more details please contact:

APEX School Search USA
Education Consultants
E-Mail: info
USA Fax: (240) 214-5648




    About APEX     School Locations      Super Value Program
English+Internship     WorkUSA     USA High School    Placement Service
1-Year MBA    English Editing    Homestay S.F     How to Apply

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All rights reserved ®  Apex Education Consultants
January 2000