AMERICAN LANGUAGE ACADEMY
STUDENT ENROLLMENT AGREEMENT
Instructional Location & Mailing Address:
American Language Academy
2 Centerview Drive, Suite 300
Greensboro NC, 27407
Main Office: 1-336-285-7318
Website: www.ala.edu
Student: __________________________________________________________________________
First Name
Middle Name
Last Name
Guardian (if student under 18) __________________________________________________________
First Name
Last Name
SEVIS number: _________________________ ALA Student ID Number:_______________________
Telephone Number: ______________________ Email:______________________________________
Prior to signing this enrollment agreement, you must be given a handbook/catalog or brochure which you
are encouraged to review prior to signing this agreement. These documents contain important policies for
this institution.
I certify that I have received the handbook/catalog with information regarding the American Language
Academy’s school policies, procedures, and information regarding academic, student services, and
___________________________
Student initial/date
___________________________
Guardian initial/date if student
is under 18 years of age
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 1 of 9
Student Enrollment Agreement
Programs Offered at American Language Academy:
Intensive English Program (IEP)
American Language Academy- offers an Intensive English Program (IEP); and conducts five class sessions
per year. Students in levels Introduction to English through Level 5 take 9-week course sessions consisting
of 22 hours per week of intensive classroom instruction. However, students enrolled in level 6 are only
required to attend 18 hours per week since they are not required to attend Grammar in Communication.
Students normally complete the program within 12-16 months.
I agree to enroll in the IEP Program at ALA-Greensboro:
No
A Yes
m
Graduate Record Examinations (GRE) Prep Course
e
American Language Academy offers a Graduate Record Examinationsr (GRE) Prep Course for students
planning to take the GRE test to enroll in a graduate program at a university.
Students in the GRE Prep
i
Course receive hands on practice with experienced instructors, practice
c exams, and individualized score
reports. The GRE Prep Course consists of 9 weeks and students are required
to attend for four hours per
a
week.
n
L
Note: ALA Students within Level Six of the Intensive English Program
a can take the GRE Prep Course
track as an elective, which includes 36 hours of instruction, sample tests,
n and support.
g
I agree to enroll in the GRE Prep Course as an ALA Level 6 Student:u
Yes
No
a
I agree to enroll in the GRE Prep Course as a non-ALA Student:
Yes
No
g
e
The student is expected to report to the school no later than _____________,
and complete the entire
A
GRE Prep Course no later than _____________. The normal length cof study is 9 weeks.
a
Test of English as a Foreign Language (TOEFL) Prep Course d
American Language Academy offers a Test of English as a Foreign Language
(TOEFL) Prep Course for
e
students planning to take the TOEFL test to enroll into a university. Students
in the TOEFL Prep Course
m
receive hands on practice with experienced instructors, practice exams,y and individualized score reports. The
TOEFL Prep Course consists of 9 weeks and students are required tooattend for four hours per week.
f
I agree to enroll in the TOEFL Prep Course:
Yes
No f
e
The student is expected to report to the school no later than _____________,
and complete the entire
r
TOEFL Prep Course no later than _____________. The normal length
of
study
is 9 weeks.
s
a
Business English Instruction
G
American Language Academy offers Business English instruction to individuals
and groups upon request.
r
The level of instruction, weeks, and hours of instruction may vary. Cost
a may vary.
d
u
a
t
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All eRights Reserved. | Page 2 of 9
R
e
Tutoring Services
American Language Academy offers one-on-one tutoring for adults as requested. Tutoring is available by
appointment through the session with an experience instructor. Tutoring fee is $30-$35 per hour.
Program Enrollment
I have enrolled in the:
Intensive English Program- Main Campus
Graduate Record Examinations (GRE) Prep Course
Test of English as a Foreign Language (TOEFL) Prep Course
Business English
Tutoring
*Other: _________________________
*For the full list of programs offered per location, please check ALA’s website at www.ala.edu.
Session: ___________
Session Start Date: ____________
Session Completion Date: __________
Deadline to cancel or withdraw is __________________.
(dd/mm/yyyy)
Note: Cancelation is prior to the first day of session. See cancelation and tuition refund policy within this
document for more details.
Disclaimer: The Student Enrollment Agreement period is 9 weeks or for the duration of one session. The
Student Enrollment Agreement must be renewed every session. A student shall enroll solely by means of
executing an enrollment agreement. In order to maintain enrollment, the enrollment agreement shall be
signed by the student and by an authorized employee of the American Language Academy. The enrollment
agreement is legally binding when signed by the student and accepted by the institution
I certify that I have agreed to attend the session listed above and commit to attending from the
designated start date through to the completion date. I understand that I must complete a Student
Enrollment Agreement for each session I attend, and that both my signature and an authorized
employee of American Language Academy in order to make my enrollment each session official.
___________________________
Student initial/date
___________________________
Guardian initial/date if student
is under 18 years of age
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 3 of 9
Registration for Classes
Student Services will coordinate the student’s registration for each session of study and maintain status
information in the SEVIS system. It is very important that students let ALA know of ALL changes to
personal status, so we can update to this information to SEVIS. ALA does not provide VISA services.
Tuition & Fees
After a student registers for classes, a Student Account Invoice will be generated and given to the student
for payment. Fees and tuition can be paid in cash, by money order, personal check, or credit card. All tuition
and fees should be paid one week prior to starting classes.
Description
Admissions
Application
SEVIS
Cost
$200
Mailing/handling
$100 $150
$3,100
Note
Per application (initial enrollment)
One time charge
For an initial I-20 (optional)
One time charge
Depend on country
One time charge
Per 9-weeks session
$750
9-weeks session
$1200
9-weeks session
$30-$35
Varies
$150 $250
$250
Per hour
Times, hours of instruction may vary
Cost varies, see attached book cost list.
Per 9-weeks session
Required if you are non-immigrant and
do not have your own insurance. Per 9weeks session
Deduct from total charges for current
period of attendance. As applicable
$200
Tuition for Intensive
English Program
Tuition for GRE Prep
Course
Tuition for TOEFL
Prep Course
Tutoring
Business English
Books
Medical Insurance
Scholarship Awarded
(if applicable)
$
Quantity
Total
$
Total Cost
All fees are non-refundable except for the tuition fee of $3,100. See refund and cancelation policy on next
page. The total charges for the current period is the cost per session. The estimated total charges is the cost
per session times the total number of sessions the student plans to attend. The total charges the student is
obligated to pay upon enrollment is the same as the total charges for the current period of attendance.
Please fill out the charges below. See book costs attached with this Student Enrollment Agreement.
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 4 of 9
TOTAL CHARGES FOR THE
CURRENT PERIOD OF ATTENDANCE: $__________________
ESTIMATED TOTAL CHARGES FOR THE
ENTIRE EDUCATIONAL PROGRAM:___$__________________
THE TOTAL CHARGES THE STUDENT IS
OBLIGATED TO PAY UPON ENROLLMENT: $______________
I certify that I understand and agree to the charges listed above.
____________________________________________________________________
Student sign/date
____________________________________________________________________
Guardian sign/date if student is under 18 years of age
Housing Information
ALA can assist with finding the right housing option for your studies. We offer assistance with American
family home stays and share information about potential apartment housing. American Language Academy
will provide the information and about apartments in the local area, refer student to attorney office with
translator to understand the contract, and help students with any issue. The estimate cost for room and food
is $1,200 per month, prices vary depending on the location. American Language Academy does not endorse
or recommend specific apartment complexes. However, students may want to use links such as
www.apartmentfinder.com to search for apartments and independent housing.
Registration and Financial Payment
All students need to pay tuition and fees before 2:00 PM on the Friday before the first day of classes. This
applies to both new and returning students. Students who pay after that time will not be guaranteed to be
registered and listed on the class roster on the first day of class. All students must obtain a "Class Permit"
from ALA’s Main Campus to get into classrooms.
Note: Returning students are required to sign the enrollment agreement before the end of the current
session. Any returning student who does not sign the enrollment agreement before the end of the current
session will not be guaranteed a seat in the next session.
Note: F-1 visa students
It is your responsibility to maintain active status. F-1 student visa are responsible for payment IN-FULL
before the first day of class, otherwise classes will be deleted. Failure to be registered as a full-time student
is a violation of Federal Regulations pertaining to your F-1 visa status and will result in the termination of
your I-20
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 5 of 9
Students who have not paid their tuition and fees in full will not be permitted to attend class. Please
refer to the webpage at http://www.ala.edu/home/index.php/admission-1/cost-of-programs for more
information on tuition, payment, and the cancellation/refund policy.
Scholarships
Scholarships/Discounts are available for qualified candidates. Students will have to schedule a meeting with
the owners of ALA. For more details email cmendonca@ala.edu or you can contact the Admissions Office
at admissions@ala.edu or inquiry@ala.edu
If a sponsor is paying on a student’s behalf, that student must present information from your sponsor in the
form of a Financial Letter of Guarantee. If a student is on a financial scholarship from your government,
you should make sure the expiration date is valid to the end of the program date.
Students who are on a scholarship and decide to withdraw during the session will be responsible to satisfy
any balance that is remaining. Also, if students miss class for travel during a session they will have to pay
ALA in advance for the days that will be missed.
For those students who are on a scholarship their progress will be closely monitored and reported to their
sponsor during their entire length of study at ALA.
Scholarship students are responsible for knowing and following any additional requirements imposed by
their sponsors.
Loans
If you, as a student at ALA, obtain a loan to pay for our program, you will have to repay the full amount of
the loan plus interest, less the amount of any refund. If you receive federal student financial aid funds, you
are entitled to a refund of the money not paid from federal financial aid funds.
If the student defaults on a federal or state loan, both the following may occur:
1. The federal or state government or a loan guarantee agency may take action against the student,
including applying any income tax refund to which the person is entitled to reduce the balance owed on
the loan.
2. The student may not be eligible for any other federal student financial aid at another institution or
other government financial assistance until the loan is repaid.
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 6 of 9
Cancellation and Tuition Refund Policy
Students have the right to cancel enrollment at any time.
Tuition will be fully refunded if the student chooses not to enroll or withdraws from enrollment before the
first day of session.
Students who withdraw after the first day of instruction will receive prorated refunds (based on weeks) only
for legitimate mitigating circumstances, which prohibit a student from attending classes. Students who
withdraw for any other reason will not receive any refunds.
For refund purposes, mitigating circumstances are defined as:
1. Serious illness of the student
2. A death in the student’s immediate family.
Important Notice:
All refunds will be paid within 30 days of the student’s last day of attendance. An administrative
charge of $500 will be deducted if the student withdraws or transfers at any time after enrollment
even with a prorated refund, regardless of the circumstances.
The student must submit a written request stating the mitigating circumstances, with certified
documentation attached.
If an applicant is accepted by ALA but is denied an F-1 (student) visa, s/he may submit written proof of
denial of his/her student visa. The written proof must be submitted along with the request for a refund.
Students who obtain an F-1 student visa but then choose not to enter the U.S. may also submit a written
request for a refund. In every case, students who have already received an I-20 Form from ALA must
return the original I-20 Form to ALA Admissions Office along with their written request in order to be
eligible for a refund. Application/mailing fees are not refundable.
The $200 application and $100-150 mailing fee (depending on country) will not be refunded under any
circumstance as stated previously.
If a student with an F-1 visa enters the U.S. but does not register for classes at ALA after paying for his/her
initial session of study, ALA will terminate that student’s record with the US DHS/SEVP and will not
refund any prepaid tuition, or other fees and charges.
Late Registration Fee
There is a $100 fee for any late registration (if student does not pay tuition before the first day of class). Any
request for late registration requires the approval of the Branch Manager. Late registrants and other students
who enroll with the intention of attending only part of a session do not receive a prorated reduction of
tuition, application, facility fees, or most other fees.
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 7 of 9
Late Enrollment Policy
ALA has an open enrollment that allows students to join class sessions in progress. However, students that
enroll late are likely to not progress at the end of the session.
If a student begins attending classes late, absences from class will begin accruing from the first day that
classes are scheduled to start. A student is considered late any day after the first day of scheduled classes.
Absences for ALA’s academic attendance policy will begin to be counted from the first day classes are held
in a session. ALA does not accept excuses for any reason for academic attendance. Students can miss a total
of 40 hours of class without jeopardizing their visa status. Late enrollment will not be counted against the
hours allowed for the student’s visa. ALA does accept valid excuses for visa purposes. Passing a level at
ALA requires a grade of 80 or higher and satisfaction of the academic attendance requirements.
Note: Students who begin a class term 3 or more days late will very likely need to repeat the class they are
currently assigned to. This is because the students have already missed a substantial amount of instruction in
class and the students are beginning the term with a high number of absences already on their record. Any
exceptions to this will be identified by the teacher, based on student grades and class performance.
Students who join ALA but do not begin classes on the first day of a term are required to go through the
standard procedures which every new student undergoes.
Notice Concerning Transferability And Credentials Earned At Our Institution:
Acceptance of the Intensive English Program Graduation Certificate you earn in the Intensive English
Program is at the complete discretion of the institution to which you may seek to transfer. If the Intensive
English Program Graduation Certificate that you earn at American Language Academy is not accepted at
the institution to which you seek to transfer, you may be required to repeat some or all of your coursework
at that institution. For this reason you should make certain that your attendance at this institution will meet
your educational goals. This may include contacting an institution to which you may seek to transfer after
attending American Language Academy to determine if your Intensive English Program Graduation
Certificate will transfer.
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 8 of 9
Confirmation of Student Enrollment Agreement
TOTAL CHARGES FOR THE
CURRENT PERIOD OF ATTENDANCE: $__________________
ESTIMATED TOTAL CHARGES FOR THE
ENTIRE EDUCATIONAL PROGRAM:___$__________________
THE TOTAL CHARGES THE STUDENT IS
OBLIGATED TO PAY UPON ENROLLMENT: $______________
I understand that this is a legally binding contract. My signature below certifies that I have read,
understood, and agreed to my rights and responsibilities, and that the American Language
Academy's cancellation and refund policies have been clearly explained to me.
____________________________________________________________________
Student sign/date
____________________________________________________________________
Guardian sign/date if student is under 18 years of age
For Administrative Use Only (For Authorized American Language Academy Staff)
Name of Authorize Staff Member: ________________________________________
Student Enrollment Agreement accepted: ___________________________________
Date/initial
___________________________________________________________________
Signature of Authorized Staff Member/Date
Document1 | Revised November 9, 2015 | © 2015 MyAsia, LLC. All Rights Reserved. | Page 9 of 9