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PERICLES-ABLE PROJECT
APPLICATION FOR
ADMISSION
Checked:
Leads DB:
Alumni DB:
Last printed 07/03/2016 22:13:00
ALL STUDENTS MUST COMPLETE THE WHITE SECTIONS TO
Today=s Date:
ENROLL Other sections are color coded and should be completed if
Day:
applicable. Please click on the blanks to type or select your answers.
Month: Click for list
For Help on completing any blank, check the status bar or press <F1>.
Year: Click for list
Last Name (in English):
Course(s) Applied For: Click for drop down list
Second Course: Click for 2nd course
Third Course: Click for 3rd course
First Name (in English):
Desired Start Date: Click here for a list of dates
Start Date for 2nd Course: Click here for a list of dates
Start Date for 3rd Course: Click here for a list of dates
Фамилия:
имя:
отчество:
(по-русски) (do not complete this information if you are not a Russian native speaker)
Main Field of Activity (check the ONE that is closest to your work or educational activities. Please only check ONE.)
accounting/auditing
computers/IT
econ/finance
general management
HR management
journalism/writing
law
linguistics/translation
logistics
marketing/sales
math/engineering
medicine
pedagogics
political/gov’t
telecommunications
other
Date of Birth:
Male
Citizenship:
Адрес (по-русски):
City:
Female
Work Telephone:
Company:
Home Telephone:
Position:
Mobile Telephone:
Alma Mater (college you attended or graduated from)
E-mail (please print carefully):
Grad year:
Where Did you hear about us? Please
check all that apply.
Newspaper:
Major field of study (or faculty):
Friend? Please name:
Moscow Times
Corporate Lawyer
Career Forum
Коллегия
The Graduate Advisor
Other (Please name)
Begin.ru
E-graduate.ru
Lawfirm.ru
Topmba.com
Yandex.ru
Mail.ru
MBAConsult.ru
Internet:
Fairs:
World MBA Tour
Posters/Fliers:
Library of Foreign Lit.
Begin Ru Fair
America Center Fair
Other Fair
Testing Center
Other
College/Institute
Have you seen Pericles’ website? If so, how was it?
Other website
(please name)
Didn’t see it
Very good
Good
Average
Poor
Are you paying for this course or is your employer?
Me
Employer
Do you want to be on our mailing list for info about club night speakers, free
Yes
No
events & new courses? (This list is never sold or distributed.):
Which Pericles employee was most informative about courses and most helped you decide to enrol:
Click here for drop-down list
Which Pericles employee assessed your English language ability:
Click here for drop-down list
Have you ever taken one of our courses before: Yes
No
If yes, please list date & course:
Applicants for GMAT Preparation, GRE Preparation, SAT Preparation, MBA-Advising or
Assistance with College/Graduate School Applications should also complete the blue headed
section.
Applicants for TOEFL Preparation and Legal English should also complete the green headed
section.
Applicants for Legal English or Law Courses should also complete the yellow headed section.
GMAT/GRE/LSAT/SAT & MBA ADVISING APPLICANTS PLEASE COMPLETE THIS PART
To which Western Colleges or Graduate Programs are you hoping to apply?
Program: Click here for drop-down list
Schools:
When do you plan to enter college/graduate/business/law school: Please click here for drop down list
If you have already registered to take the applicable exam(s), please state the date(s):
Have you been working at least three years full time after college graduation? Yes
Are your skills stronger in English or Mathematics:
English
No
Math
If you took the applicable exam(s) previously, which exam, when did you take it and what was your
score: exam: Click here for drop-down list date:Click for Month Click for Year score:
TOEFL PREP & LEGAL ENGLISH APPLICANTS PLEASE COMPLETE THIS PART
If you have already registered to take TOEFL, please state the date(s):
If you took the TOEFL previously, when did you take it, what version, and what was your score:
Date: :Click for Month Click for Year Test Version: Click for Choices Score:
Please evaluate your skills below. If you took the Pericles Legal English Self Assessment, please also
list your percentage scores. (Find the form at http://www.pericles.ru/able/downloads/LE-Assess.xls)
Reading Comprehension:
Click here for drop down list
Legal English %:
Writing Skills:
Click here for drop down list
Legal English %:
Listening Comprehension:
Click here for drop down list
Legal English %:
Speaking Skills:
Click here for drop down list
Legal English %:
If you are taking Legal English also complete the yellow section.
LEGAL ENGLISH AND LAW COURSE APPLICANTS PLEASE COMPETE THIS PART
What are your goals in taking this course/courses/program?
Have you applied to or taken any Pericles ABLE Project LAW courses previously. If so please give
course applied for, date and results of any entrance exam or your final grade, if any.
Course:
Date: :Click for Month Click for Year Entrance exam score/course grade:
ALL STUDENTS SHOULD READ THE WHITE SECTION ON THE NEXT PAGE.
Do you have any additional information or concerns that you would like the Pericles
administration or your teachers to know (please write as much as you want):
COMPLETING ENROLMENT
(All students please read)
I understand that by emailing or delivering this application form to Pericles I am applying for the
course(s) listed in this application and certifying that all the information above is correct to the
best of my knowledge, and that I have read and agree to Pericles’ Financial and Refund Policies
and Academic Policies (copied on the next two pages). I further understand that by emailing or
delivering this application to Pericles I am committing to pay for the courses and that the first
5000 roubles of my payment for each class is a non-refundable deposit that must be paid
before my space will be confirmed in the class.
APPLY BY EMAIL:
Email this application form back to Pericles American Business & Legal Education Project
at info@pericles.ru. You can either email it as a message or a file attachment. A Pericles
ABLE Project staff member will confirm receipt of your email, clarify any questions
regarding your application, and tell you the date by which you must come to the Pericles
office to confirm your enrolment by paying your deposit and having your English checked.
APPLY IN PERSON:
To absolutely assure your place in the class it is best to apply in person. Bring this
application, signed, to Pericles ABLE Project, 1st Miusskaya St., 22-3, Room 310 (3rd floor),
Moscow. There you must pay your deposit and someone will speak with you briefly to
check the information on your application and assure that your English ability is sufficient
to complete the course.
YOU MUST APPLY IN PERSON IF THE START DATE OF THE CLASS IS LESS THAN
ONE WEEK FROM TODAY.
SIGNED:
__________________________________________________________________________
(If you are emailing this application you need not sign this form, instead just check this box to
indicate that you agree with the above and wish to apply for the indicated courses .)
PERICLES, NGO /AHO  ABLE PROJECT
American Business and Legal Education Project
Financial and Refund Policy
(PLEASE KEEP THIS SHEET FOR YOUR RECORDS)
1.
Upon application the student must pay a 5000 rouble Deposit, which will be credited toward the student’s course cost.
This Deposit is NOT REFUNDABLE unless a student is denied a place in the course. No place will be reserved in a
course until the Deposit is paid. (Some courses may require testing fees. Testing fees may or may not be refundable,
depending on the policy for the particular test. No testing fees are charged for Test Preparation or English courses.)
2.
All remaining tuition payments must be made in cash roubles or via bank transfer prior to the first day of the course unless
Financial Aid has been awarded or unless otherwise agreed upon by ABLE management. Tuition left unpaid by the
beginning of a course may result in your losing your place in the group.
3.
All listed prices are exclusive of VAT (NDS) unless otherwise indicated.
4.
No books and materials will be given out until tuition for a course is fully paid.
5.
Course materials are included in the cost of the courses for Test Preparation Courses and non-LL.M. courses. Test
preparation courses use optional materials for which a $50 or 1500 rouble security deposit is required. This security
deposit is separate from any other library security deposits and tuition payments and is refundable when materials are
returned on time and in good condition.
6.
Students withdrawing from a course by notifying the Registrar in writing and returning all books and materials on or
before the end of the first class session may receive a full refund of their fees, excluding the non-refundable Deposit.
7.
For courses meeting 20 hours or more, students withdrawing by notifying the Registrar in writing at or before the end of
the first six hours of class, and returning all books and materials, may receive a refund of 50% of their fees. For courses
shorter than 20 hours, no refund will be made after the end of the first class session.
8.
Notwithstanding the above, if a student who has paid a deposit notifies the Registrar of potential problems attending a
course prior to the beginning of the course, Pericles management will make best efforts to fill the student’s space so that
the student can transfer to a course with another start date or meeting night without losing his/her deposit.
9.
Students withdrawing later than the times specified in paragraphs 6 and 7 will not receive a refund. Students failing to
attend classes without formally withdrawing will not receive a refund. Students failing to attend classes without formally
notifying the Registrar of a wish to transfer to another course will not be able to preserve their deposit.
10.
If Pericles is paid directly by someone other than the student or has reason to believe that someone other than the student
has paid for the student’s tuition, Pericles reserves the right to make refunds directly to the paying person or company, or,
alternatively, to contact the person or company and inform them that the course has been dropped and a refund made.
11.
Students in Good Standing are allowed free use of the Pericles library upon payment of a refundable book/video security
deposit. The book/video security deposits will be forfeited for overdue or damaged books or materials, in accordance
with the library policy posted near the reception desk.
12.
Test Preparation courses may be repeated by Students in Good Standing, once, free of charge, for up to one year from the
date of the course in which the student originally enrolled. Repeating students should enroll in advance to reserve a seat.
Test Preparation students may also drop in to repeat classes unofficially, if space is available, without reserving a seat and
without using up their one free repeat. (Unofficial repeaters will not have their essays reviewed by the course
professors.) Repeat classes will be denied, however, to students with overdue library books or videos, who have violated
Pericles’ Academic Policies, or who are otherwise not in Good Standing.
13.
Students in Good Standing who wish to repeat a test preparation course in a group that begins after one year from the start
date of their original enrolment may do so upon payment of a new 5000 rouble deposit. No other course charges will be
made.
14.
A student in “Good Standing” is defined as a student who is up to date on any fees or tuition payments due to Pericles,
who is not in violation of Pericles’ Academic Policies, and who is not overdue on returning library books or videos.
Last printed 07/03/2016 22:13:00
125047 Москва 1-я, Миусская ул., 22-3
тел: (7-495) 649-2273
E-mail:
info@pericles.ru
www.pericles.ru
 m 067725
PERICLES, NGO /AHO  ABLE PROJECT
American Business and Legal Education Project
(PLEASE KEEP THIS SHEET FOR YOUR RECORDS)
Academic Policies
1.
Students who are in violation of Pericles’ Academic Policies listed herein will lose their status as Students in Good
Standing until the violation is corrected to the satisfaction of the Dean. Serious violations may result in removal from a
class, prevention from completing a course or taking other courses with no refund given.
2.
Students are expected to comply with the Honor Code when taking any course that leads to a grade or degree. The Honor
Code means that all students are expected to complete their course work independently of each other and without
unauthorized help; to confess to their own violations of the Honor Code; and to report conduct of any other student that
appears to be in violation of the Honor Code. Violations of the Honor Code are more specifically set forth in the Code
itself.
3.
Students should respect the rights of other students, of the faculty and staff, and of the school. Students must not take or
intentionally damage property of other students, the faculty, staff or school; must not be physically or verbally abusive to
other students, faculty or staff; must not disrupt classes; and must not be adversely under the influence of drugs or
alcohol while on school property.
4.
Students who damage or lose, whether intentionally or accidentally, the property of other students, faculty, staff or the
school, or who injure other students, faculty or staff, are expected to promptly and adequately compensate the harmed
party.
5.
Professors are prohibited from dating or entering into intimate personal relationships with students whom they are
instructing or supervising, or with whom there is a possibility of their instructing or supervising in the future. Students
likewise must not date or enter into intimate personal relationships with their professors.
6.
Students must provide accurate information on applications for admission and financial aid.
7.
Repeated violation of other school policies, as they may be announced from time to time, or repeated refusal to comply
with requests of Pericles’ faculty or staff, is also considered an Academic Policy violation.
Other Policies
1.
PRIVACY Grades, papers and test results of students will not be released without a student’s permission, with the
exception that this information will be released to employers if such employer is paying for the student to attend the
course about which the information is requested. Student names, telephone numbers and other contact information also
will not be released without permission to anyone other than Pericles staff and faculty for school purposes. Pericles
maintains an email mailing list for informing students of upcoming events. The addresses on this mailing list are kept
private. Pericles does not sell nor otherwise release any information from this mailing list.
2.
SAFETY Students should understand that the Mirbis Building is a private facility not owned by Pericles and there may
have been instances of theft from guests and visitors to the building. ANO Pericles and Pericles ABLE Project take
no responsibility for personal items left unattended. If you are the first one in a classroom that is opened for you
before a class, please do not leave the classroom until someone else arrives to wait there. Please do not to leave
classrooms unattended during breaks. Please inform the receptionist if you are the last one to leave a classroom. Please
also inform the receptionist if you see any suspicious characters in the hallways or classrooms.
3.
MISCELLANEOUS Smoking We are a non-smoking facility. Please take your cigarette breaks down the hallway in
the designated smoking areas of the hotel. Cell Phones Please keep all cellular phones turned off, or turned to silent
mode during classes. Trash Please pick up your trash and deposit it in the trash cans when you leave class.
Chewing Gum Please do not chew gum in class and do not leave used gum attached to the furniture.
THANK YOU FOR YOUR ATTENTION.
PM
Last printed 3/7/2016 10:13:00
125047 Москва 1-я, Миусская ул., 22-3
тел: (7-495) 649-2273
E-mail:
info@pericles.ru
www.pericles.ru
 m 067725