STANTON UNIVERSITY Mansour usa emery APPLICATION FOR ADMISSION FORM 3)=-'y PERSONAL INFORMATION 711 (esse TYPE or WRITE NEATL 1 ( your HD ox passpon) russ Taladeen See gah, ——-Aagola,,- ee n 1 (Otter ame on Previous Recon) —_ ae $e $a Bamber wwPuace 2/15) 1T4¢ 1 wisecig Gorn Mae Remo US. Maling Adraes == 7 perign Addons (ont and Chane ot Sta ty Atte Country & Postal Code Phone oobi Phone -£23¢70272F 1205 Adepa, usig keels. a% GG 7. Racertiieley Mapask orate? Over 00 {Gamecan inno Asia Nahe C sia Bk or Aas Ames athe Hawa oe PAC Boter Pease sect. “US. citsane donot need to anawor 8 9,10, 11. iH) UIAPAEK G19 THERE Ms BONEN, 1. Ave you a Pemanent Resident Green Cand holder? 2% Yes) Nol 4. yes, plate provi your Penanent Resient Number, ‘9, Wilyou be appling forthe 12010 recelve an Ft Vis? havi-iez-eHi 1206 law? Yes COND 10, yes do ou have dependents who willed an 2 Visat Yes No is Legal Nes &Relanshp to Applicant 1 Ho, what Kind of visa do you haver <1981 4° ©/-FAP1AM GAS 4,2, HRB 12, 16d any current SU student refer you to apply to Stanton University? ies tthe cet fl nme and 008: ENROLLMENT INFORMATION 3s. Intended Program and Major 05 1D Assovste of Apped Science i Professional Go¥ Management (AASPGM) 1D. Assovate of Applied Science in Korean Culinary As (AASKCA) Bachelor Business Admistaton (BBA) CP Masterin Business Adminstration (MBA) ded Batry Term S843 87] _wnter_spring Summer __Fa_ Year, 2.020 Intended Campus of Study: Garden Grove __tov Arges 28 vaste‘stabLishing the Link in world education RETURN COMPLETED APPLICATION TO INTERNATIONAL EVALUATION SERVICES S waRLB0RO, ‘07746-0505 ‘Tete (72) 462-8502 Rens (72) 462-6664 APPLICATION FOR EVALUATION PLEASE SEB INSTRUCTIONS ON REVERSE SIDE BEFORE PILLING OUT THIS FOR |. PURPOSE OF EVALUATION: Cnmigrion OEnploymen OF urbe Edson 0 Prfesion 0 Cnifeton/Licesing 2, BASIC APPLICATION FEES (cose oe) (0 General Docume Review ($30) 0 Couse by Couse Repo ($100) © Prfesonal Wak Expres (5290) 4. RUSH SERVICE FEES (coos one) ‘Same Day (6125) One (1) Day $100) OFeur) Dy 575) fash Fes ri alkane Bvation Fes) 4 EXTRACOPIES Copies Reuesal_(r S10 exc) Nowiza Paucons__ (x S10 ach) 5. INCLUDE PAYMENT WITH EVALUATION REQUEST: Amount Faso § 6. APPLICATION pease prior ype) name A de Poe us. Adeols, [adtdeen Maing Adds 4/5 plweet ¢deeet Absstatgaf}etoels os } 7. Dy Phone ( )pIO3PSTCS Fax( > Eat Adeparuri cdsola-na Og mai) lo SSAD No (options) ete 0 Female 8 Dawor Bink (5 12l 99 Comay ofBina A dO— Chit cCounry ot Cusensup_(U i geri. 9 Have you ever shied an pplication TES? 0 Yes ON Ifyes, se__ TES Refer. rm whom did you earn about TS? 10, Pes isl educational insieuons ended, being wh econ schoo and ining one you a curely edn Yar cf meinen gm / gm ane ofan, Dow o Hearts Peed ” of. —$§ elo as gee herby oty a all ha fein evi th hye Se cana, he se orbs the ‘emma od cians vide Cre placer a ape 2 Ch tenes een, Tati tat tia mer i ary elect Binoy (gen ay oper © inst te on ly, Tew Seti Beatin Sv (ee clo om my Laity fe rg en iy fon im ich ay a er etn BES Adeficusi fidscla Tejuden a a Tae Bt ‘Has STATEMENT MUST BE GIGIED IN ORDER 7O WAVE AN EVALUATION PREPAREDIN CASE OF EmeRGENCY, NOTIFY Rens, Phone (hy Ste, aan EDUCATIONAL BACKGROUNDS) Lischigh schools, coleges or universes you have attended (Most recent fit) (ete sas se wens maven enna) Please se the back se ofthe application to add additonal schools 1, Name of school #2918 Community Jevoior figh School Lacnion (Cy Sawicounner AGEGE LAGos Vi GERiA eS ae 2. Name of school #30018 Ss BNP Uist Location (City’StateCountyyaey AGEGE bAGos _ pelo a os rs i TT ro 3.Name of schoo! 218 Location (CityiSiateCounty)-4% COVER LETTER (1-2 PAGES) Please atach TYPED Cover Letter thats lnsoduces and deserbes yours (education &employment history), desemhes your ‘ture goals, and describes how a degre fom Stamon Universi) wil help you achive your ture goals, {eenty tar he infomation Thave provided sue and compete to he best of my owledge.Lagree w be respect of Stanton ‘niversty’ mission and wal aie byte ues and reputons comained the curen caso. Tunderand taal equted submissions to Sanion University become te propery of Santon Unk) sod wil rate forvanted tome. Upon soa this applaton wih payment of fees, acknowledge tat he applcaton fe is nonretundable. 20) Det ee hao BHel GMS ERE SURGES 04 de FES RAE EONS BEDE, edo] AUER NEE SE ARES He Aon wT WEE ES LONG ol Ga HEM AME Hd MY Line CRMROR UV EN HS, Sin matare we Please submit to “il : Stanton University Office of Admissions and Records ‘9618 Garden Grove Blvd.,Suite 201, Garden Grove, CA 92844 (Or Email a Neatly Scanned Copy to: admissions@stantonuniveristy.com 08 sae22FFIDAVIT OF FINANCIAL SUPPORT FORM ‘rotons who agar an tafe ta mat stn At fan apt toms gr othe ppeaton pee {Saran Use. Salon Ur eu domenaencrshiog tel of be Mant feooee ke he a ‘suena rpms Thi edece appr hl const 1) dnoficlbekstatment or gale steered dtd winches nom 2 Asner of po tom pom song with endec ef he toms’ ed teh ot ‘an fal ert sear rom our overeren athe sposrng aan insing he torr he ge. ‘TOBE COMPLETED BY STUDENT. smmrnine Adetacan Adc Tajuln west a rect oado Alejuale bage Name of porto: a elinsip te Sponsor: Pose et you wl have any dependents hing wth ou while attending StrtonUnivesy, Seouse Ves _Wo_ Name. PR (haven Yes__No_ ow Many_ names, aa 1's uoport ms be valent amounts of US $600 fr spouse and ech cd ever 6 month Sons Name Felasonhipto Susan dees: ee Phone fer County ecient Inerebyaarnte to provide 5.8 Ber year tothe above named student. am wing and abe {osspor re edcatona epenses of hi tude am eady a depos nd to uaantesta tsstode aan ‘ecome publ chaae rng hie stay inthe Und Sate. understand that are to ary outs elton cers Solas ome de, urs ene prone forthe Rodents expenses lam ermiofsan erongeedi ne busines of * (tof busines name of basins a ard receives vet srualncane TUS $__ cation of busnen) Ihave US 5 on deposit inthe anki — unt nave ether pesos property te resonable vale ot whch nus | swear (affirm) that | know the contents ofthis affidavit signed by me and thatthe statements are correct. (Signature) (ate)ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM THEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ‘ASSOCIATED WITH THIS EVENT, incluting by way of example and not limitation, ny risks that may rise rom nepligence or carelessness on the puro the persoas or eaies beng relented, fom dangerous ‘or defective equipment or property owned, muintined contol ty them, or because of their possible ‘ibility withour fal. "ceri that | am physically it, have sufcienly prepared or tained fo pariciption inthis activity, and have not been advised to ot participate by a qualified medical professional. Tcerfy tat hee are 20 health-related reasons or problems which prelude my paripation in this activity. Taeknowledge Dat tis Acident Waiver and Release of Liability Form willbe used bythe event holders, Sponsors, and organizers ofthe activi ia which I may patcipate and hat twill govern my actions and responsbiiis ati activity In consideration of my apliaton and pemiting mew participate in his activity hereby ake action for myself; my executors administraors eis, nex of kia, sucesso, and assigns a follows (A) WAIVE, RELEASE, AND DISCHARGE from any and all isbilty, including but not ited wo, lab arising from te negligence or fault of te ents or persons released for my death, dsabili, ‘personal injury, property damage, propery thf or actions of aay Kind which may hereafer occur fo ine including my ravelng to and from his activity, THE FOLLOWING ENTITIES OR PERSONS: Sanon Universi (SU) andlor her drectrs, offices, employees, volunteers, preserves, and ‘gens, and te activity older, sponsors, and volunteer, (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the ents operons ‘mentioned inthis paragraph from any apd al lables o claims made asa result ofparcpation in this activ. whether caused bythe negligence of release or otherwise, "acknowledge hat SU and thelr directors, ofies, volunteer, representatives, and agen ae NOT responsible forthe rors emissions acts, ofilures to at ofan party oF ea conducting specific aetviy on their tebal. acknowledge tat this activity may involve a west ofa person’ physical and mental Kimits and caries with it the pote for deat, serious injury and property loss. The risks include, but are not limited to, dose caused ty terrain, facies, emperure, wether, condition ofpareipuns, equipment, vehicular wale, Jack of hydration, and ations of eter people including, but mot nite 0, partipants, volunteers, ‘monitors, and/or producers ofthe activity. These sks are not oly inherent parisipants, but ae aso present for volutes. ‘Thereby consent o receive medica weatment which may te deemod advisable in the event of injury, cident, andor less during ths activi, ‘understand while pricipating in this activity, Tmay be photographed. agree allow my photo, vdeo, or fim ikeness to be used fr any legitimate purpose by the activity hors, produces, sponsor, ongaizers, and asgns The Accident Waiver and Release of Lablity Form shall be construed broadly o prove release and waiver w fe maximum exten permisble under apliable aw. I CERTIFY THAT IHAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND ISIGN IT OF MY OWN FREE WILL. ee Panieipan’s Sigamure Dats (Pease pin legibly ) Pareaithardian Sipnarare Date (if under 18 years ol, Parent or Guardian must also sign.)STANTON UNIVERSITY Se18 Gate Grove Bi, Se 21, Gann Gre, CA 4 ‘THITL4SH 5S Fox 714394802 a noreniveiycom, ACKNOWLEDGEMENT OF DISTRIBUTION ‘This is to acknowledge that | have received the falling: (Please chack all that app) 12. Stanton Unversity Catalog (accessible at Stanton University's webste) 1D. Enrotiment Agreement 1D Insurance Potey 1D Declaration 1D Acknowiegsement of Distribution 1 agree to red information carefuly and io comply withthe policies and procedures as stated therein, modified rom time ote, and given to me in wetng. 1 | wa respect the statement of ath standard of conduct an wscplin, drug work place, non-isrminato, sexual harassment policy, academic freedom poly, and gavance poles Student 1B We.i Gan Gove oS 201. Garden Grove, CA 04 a.ni 509696) Fa 714389567 shatonnvenhy sm Owes UNIVERSITY ENROLLMENT AGREEMENT SUMMARY PLEASE READ EACH BOX CAREFULLY AND ACKNOWLEDGE WITH A CHECK. 1 agree to register for the minimum number of courses each term (2 for MBA students & 3 for BBA/PGM students) by the Registration Deadline, LU. 1agree to pay my tuition of $1460 before Registration — either in full or according to the Deferred Payment Plan. | agree to pay the additional tuition for each additional class above the minimum ($720 for each MBA class & $480 for each BBA/PGM class) Li Lagree to pay @ $50 late fee for EACH missed tuition payment. Ly Lageee to have my credit/debit card charged for any unpaid tuition and fees upon withdrawal or termination from Stanton University. 11 Lagree that my ability to register for Courses & POPUL! account will be locked if Ihave an outstanding unpaid balance froma previous quarter, Ly agree that | will be dropped from any courses if | do not attend on the 1" day of class, and | will need to re-register using the Late Registration Form LL tagree that if| am dropped for any course because | failed to attend the 1" day of class, | might not get to re-register for that particular class because of other students on the waiting lst. Li Lagree that if | fall to register for the minimum number of courses required, | will be out of status and my I-20 could be terminated from Stanton University for a “Failure to Enroll‘ATIGSI9 686 Hx 7145306502 sn eminnonneciycon O senor yyeRstny L_ laeree that if engage in any employment or internship without USCIS authorization, | wil be violating my F1 status and could be terminated for “Unauthorized Employment.” | agree that if | violate Stanton University’s academic standards or code of conduct regulations, my 1-20 could be terminated for academic or code of conduct “Expulsion, | agree to regularly check and carefully read my emails in order to receive important communication from the SU staff and faculty. | agree to update SU staff within 10 days of any changes to my address, phone umber, employment information, or changes of status | understand that SU keeps all official transcripts for a minimum of 5 years, seidentenome Adelierué, Ade ols “Taf udeen ow: 151121 444 suentsSipatue:__ ef plies puteSTANTON UNIVERSITY Sst8 Garden Gove Bie, ue 20, Garden Grove, A934 TeLT14S96861 Fa 7145396802 s@stnsonnveniy com INSURANCE Pouicy 3% 28 RARE Please check which of he folowings applies to you, i # Hl Asli 7 ss RAAHYAe. 12. All Stanton University students should cary ther own health insurance. I you donot have heath insurance, hone lever, and_ want o obtain insurance, the university may beable to help you. Otherwise, any sickness or accident or injury occurs, Stanton University wil be helé harmless, wil ot be responsible for any costs you incur Au Aas) USE OUNNS AA1Molo BH SMe 27180 MANE, O18 eA, IIS FE RE, REE oMO 18% 0 a. HOS EWE UE aN Al WE AAS Wn Sane Users ME UKAN A H ACARRA—NAng FOTUNDPL.RAEMRAMKG, ASKER, FRAIARE, | cary my own insurance, 222 28 2-83 sO RERMRIE 12 Ido not camy my own insurance, however, | uly understand that any sickness or accident or injury happens to ‘me inside or outside of the university's campus, the university wil not be held responsible, ee Saatchi AO Sts ee AM ee A ALA ECE Ae BS EE, KASAM PRRRRCRAAY Rae, weet PlcParusi Adoola Tahudeen ‘Sueents Name ‘Student 1 Wo. Ap ‘Stodents Signature Bate eviget/003