A+ Education Center

No. 1 Personal Information Name * Email * Phone Number * Address * Postal Code * Gender * Race / Ethnic Group * Marital Status * Place of Birth * Birth Date * Religion * Blood Type * Nationality *

Applicant Photo * Please upload a clear passport-size (2 inches x 2 inches )photo with white background

Sample: Passport-size (2 inches x 2 inches ) photo with white background

No. 2 Passport Information Passport Number * Issue Date * Expiry Date *

Passport Photo Attach * Please upload a clear scanned photo of your passport (photo page)

Sample: Scanned Passport photo page with clear details

No. 3 Parent Information Father's Name * Father's Phone Number * Father's Gmail * Mother's Name * Mother's Phone Number * Mother's Gmail * Occupation of Father * Occupation of Mother * Emergency Contact Name Sponsor Payment Name

No. 4 Education Information High School Name * Please provide the full name of your high school as it appears on your certificates. High School Address * Postal Code * Overall GPA * You can calculate your GPA using our GPA Calculator.

Year Attended From *

Year Attended To *

English Proficiency Test Name * Score *

Test Date From *

Test Date To *

G10 / G12 / GED Certificate and Transcript * Please upload clear copies of your high school full original certificates and transcripts. You can select multiple files (PDF, JPG, or PNG). English Test Transcript & Certificate Upload your IELTS, TOEFL, or other English proficiency test certificates (if applicable). You can select multiple files.

No. 5 Applying For Major Name * University Name * Intake * Do you apply for a Scholarship?

No. 6 General Information Are you currently studying in another institution? * Name of Institution (if Yes) Program * Are you the first in your family to attend university? * Have you studied secondary level in English? * Do you wish to apply for an English language course? * Portfolio (Documents, Projects, etc.) Statement of Purpose Please upload a document do not exceed 4 MB in size. Personal Statement Essay

No. 7 Disability Information Do you have a disability or long-term medical condition? * If yes, type of disability Do you require support services?

Application Form