SCHILLER INTERNATIONAL UNIVERSITY APPLICATION FOR ENROLLMENT ‘wish to apply ontine, Please place an X in the box forthe campus you wish to attend GERI ; ; Z] ioruaeee | [B]srats- apni] Oo] eravce—raris] ] osu 008. Tings St. [> paanagean | CeleSemme steel — 9 maser Tampa, FL 20602, | 65115 Hcdeterg, Germany | BRERA AER. Tasos paris France | pn 1 55-787 ‘Madrid 28002, Spain 62 Ph =-49 6221 4381-0 Phi eM 91-488-2488 | phe 433 1-45 38-56-01 paw 0-059 ~ 130039 aise Are you working with an ageney? Yes__No_ SOE All items Agency Name: __ listed below are required, and must be submitted with a signed copy of this Application for evaluation purposes. S.and International Students J Non-refundable application fee of (see last page for payment details): 4+ $50 for students applying o the Flrida/Online eampus + €50 for students applying 1o any European campus J Official centied transcripts (certified English translation, ifnot issued in English by specific agencies). All students must submit one of the following prior to their start date # High School transcript * GED or other High School equivalency test (must be successfully completed prior to enrollment). Official certified transcripts ((certified English translation, if not issued in English by specific agencies), # Post-Secondary Institution transcripts validating transfer of credits, if applicable. Insernatonal Stents Only J Proof of assets sufficient to fund your tules (for students seeking admission into the Florida campus only) 1 Proof of English Language proficiency level (ests must have been taken within the pat 2 years) ‘+ TOEFL (Tost of English as a Foreign Language) 80 (IT ~ Internet version) for Bachelor and 89 for Masters, Shiller, TOEFL number is 0835. + TOEIC (Test of English for Intemational Communic Masters. ‘+ IELTS (Intemational English Language Testing System) score ofa least 6.0 for Bacher and 65 for Masters, + CAMBRIDGE FCE (First Certificate in English grade of “B” (B2 level) Orhigher ~ Cambridge ‘Advanced (CAE) or Proficiency (CPE) preferred ¢ — Duolingo English Exam -score of at least 95 for Bachelor and 105 for Masters. J. Photocopy of valid passport (valid student visa may apply depending on campus selected) 1 Submit an advance deposit forthe first semester of tution and fees prior io enrollment J Two (2) passport size photos (European Campuses) we of at Ieast 650 for Bachelor and 700 for Rev. 22001 sso Schild PageS@H EEEER INTERNATIONAL UNIVERSITY RSONALINFORMATION, ‘the following, print clearly in CAPITAL. Legal Name of Student Applicant (as stated on Passport, Driver's License, Soc. Security Card, ete) ALAM. MAZIO aay Name Fist Narne Middle Name Expected Sian Dae_G __)_ OL 2022. Month ~ Day Year DesieeDesied: EDAssociote Bachelor te Waster Degree ProgramName: MBA in TNTERNATIONAL BUSINESS 8a \99F elds must be completed, Fimiyat USA Only) Date of Birhs_G Social Secutity# — Permanent Mailing Address Current Mailing Adres: Kus PT. FAHAHEEL St-37 K-83 BLG-I2 _ ae Phone (ineludecountry code)_-f$ IGS _CFE31FSE cel mal Adresse leary): _mazidalomi33 @gmail com aug Citizenship: = US. Citizen US. Permanent Resident w= CHAS. Citizen or Resident If Non-US. Citizen or Resident, please list Country of Citizenship: __P) ANGLADESH Primary Language: BR ANGLA. Are you fluent in English (if not primacy language) Ps uNo Gender: eMac Female Ethnicity (Optional; 3 African American Alaska Native cAmericentndin Asian Hispanic or Latino Native Hawaiian atic Islander a White Two or More Races AreyouaveteranorcorentyactiveintheUS.mitesy? wy Yes tyes, please detail itary Branch Coverite Separation DasNIDD VY) Areyoustigile for Vetean'sbnefis? Koc Yes Do youve nie tarcrps doting you anng (suchas ARTS, SMARTS,CCAR. Fie)? NoYes I yes, please detail Mow iyo ear abou chile International Unites? Tatton o company pee ame; Miliary on pote ne person Ra © Advisement ps pe where B let plec sey which web © Current Stadnt or Am plese pci na 1 plop Fi pleas ety me & our ofiend— cOner Page?SCHILLER TERNATIONAL UNIVERSITY DANES Ae Full Nameof 3 Father Mother u Legal Guardian: Address Home Phone:___ Mobile: Work Phone: Email Address (writee STUDENT ACADEMICINEORMATION [MPORTANT NOTE: Applicants must submit full documentation for ALL education, past and present, Only what is mentioned, and submitted slong with his agreement will be evaluated by SIU, High Schoo vlidasion must be obtained prior othe start dae, Documents not mentioned here that are submitted after admission to Schiller will not be acvepted or considered For aulmissions purposes, ‘What is your highest level of education? 5 High Schoo! = Undergraduate ‘eGfiduate 9 Oth 1 attest that I have received @ HS diploma, or its equivalent, prior to enrolling in with Schiller International University esc No sly) : seams: High Sch ui q School Nae (STAN SClHooL. & counry KUWAIT dines BSCR Ma T eee Dates Auended;_20\4 - 2o1S Qualifications Farned: HIGHER SECONDARY SCHOOL CEBTIFIU EIR TE, COVID.19 Temporary Policy — Undergraduate However, in view of the COVID-19 Pandemic we realize that you may not be able to obtain Validated Proof of your High Schoo/GED transcripts. ‘Therefore, if you cannot obiain Official proof of your high schoo/GED we will allow ‘you t0 start school and provide the proof when high schools or GED agencies re-open. In addition to above a eopy of one of these must be obtained: Copy of the High School Diploma © Yes a No Copy of High School Transcript @fes = No Copy of the GED. a Yes 3 No IMPORTANT NOTE: Applicants must submit full documentation for ALL education, past and present. Only what i mentioned and submitted along with this agreement will be evaluated by SIU. Bachelor Degree validaon mst be obtained prior tthe start date, Documents not ‘mentioned here that are submitted after admission to Sehiller will ot be accepted or copsidered for admissions purposes. Applicants wishing to enroll at one ofthe European campuses should direct their inquircs to the admissions department atthe ‘campus of interest. This information may be found on our main website at www. schiller.edu. Due to currency exchange rates, foes and tuition may vary from the U.S. amounts at the main Schiller campus in Florida. Applicants should review this information with the campus admissions representative, COVID-19 Temporary Policy ~ Graduate However, in view of the COVID-19 Pandemic we realize that you may not be able to obtain Validated Proof of your Bachelor transcripts. Therefore, if you cannot obtain Official proof of your Bachelor Degree we will allow you to start school and provide the proof when your College or University re-open {ats tat have recived Bachelor Degree prior to starting my clases with eile Internationa Unversty.. Wes No Post-Secondary i! School Name: me TNORIRA AND UNIVERSITY Country: KUMWALT,SCHILLER NTERNATIONAL UNIVERSITY Address _KUUEALT | SAUMIM A aera Dates Attended:_201@ - 2014 Degree Famed: BACHELOR OF COMMERCE C6-com) _ School Name: eee Coun hy i a ony. Miter Applicant Signature Date Parent/Guardian Signature Date som Stile PageSCHILLER INTERNATIONAL UNIVERSITY Schiller International University Disclosures Emergency Contact: Emergency Contact Phone: ALCOHOL & TOBACCO POLICY Schiller Intemational University is primarily concerned with the health, safety. and wellbeing ofall students with respect to the intelligent use andl normuse of alcohol. Schiller Intemational University expects those who use alcohol wo do se responsibly and within the bounds of the laws of the State of Florida and the City of Largo, The use of alcohol is strictly prohibited on campus premises and on SIU activities, and the use of tobacco products is only allowed on designated areas General State Laws Possession or consumption of alcoholic beverages, including beer, by anyone under the age of 21 isa violation of the Florida Alcohol Beverage Control Commission. Ii aso & violation ofthis same statue for anyone to buy for or give to, anyone under the age af 21 to Imistepresent his oF her age, or who for such purpose presents or offers any written evidence of age which is false, fraudulent oF not actually his or her own, General Local Laws With the City of Largo, itis « violation to be in possession of an open container of alechol or to be in a state of intoxication on any publi property or in any publie plac. I fs aso unlawful to drink any alcoholic liquor or beet in any motor vehicle oF possess aleoholic liquor in an amount in excess of one gallon, in containers not bearing the stamps or seas of the Florida Liquor Control Commission. University Tobaceo Free Pol ‘The use of any type of tobacco products (cigarettes, cigars, snuff, chewing tobacco. and so forth) is prohibited in any building on earypus. including residence halls. This includes ollices, lounges, eafeteria, gymnasium. elevators, stairs, classrooms, bathrooms, hallways, and all other interior spaces. Also, the use of any type of tobacco producti prohibited within the University’s feet of vehicles. Smoking of tobacco products is only allowed in the assigned exterior designated area, I have read and understand Schiller International University’s policy on alcohol and tobaceo TITLE IX Disclosure on Harassment and Sexual Harassment (updated 8/2020) Schiller International University will investigate and adjudicate formal complaints of tarasmnent and sexual harassment using a grievance process that incorporates due process principles, tats all parties fairly, and reaches reliable responsibilty determinations. Sexuatharassinentmeansconductonthe bassofsex that satisfies one or more of the following I. A school employee conditioning education beneis on pariipation in unwelcome sewual conduct (i. quid pro quo); or 2. Unvveleomie conduct that a reasonable person would dktsmine is sosevere, pervasive, and ofjectively offensivethat it effectively daniesa person equal access 10 the school’s education program or activity: or 5. Sexualassault(asdefinedintheClel yAct)ape dating violence, domestic violence, or stalking. I have read and understand the Schiller International University Poliey on Harassment, AUTHORIZATION TO RELEASE INFORMATION SCHILLER INTERNATIONAL UNIVERSITY | authorize my employer (current or future) to release the below information regarding my employment to Schiller International University. understand that my individual student information will not be published extemal. but that it may be used for intemal data analysis. [further understand that consolidated information willbe utilized forthe purposes of fulfilling regulatory graduate employment reporting requirements Rev. 22001 om Sil fiSCHILLER NTERNATIONAL UNIVERSITY program, This information will be utilized forthe purposes of fulfilling regulatory graduate employment reporting requirements, + Enroliment/Attendance Date + Degree Program 1 understand that Schiller Interustional University does not guarantee employ career planning and placement assistance to students and graduates nas _[evet CATALOG ACKNOWLEDGMENT {have reviewed the eatalog during the imerview and have been given the opportunity to familiarize myself with the information in the Schiller Intemational University eatalog. 1 understand that the Schiller Intemational University catalog is available 1o me online at www.schilleredu downlogd-center/. tna, TENE EMAIL & COMPUTER USE POLICY To maximize the benefits ofits computer resources and minimize potential liability, Schiller International University has created a policy with regard to computer use and electronic messages. It applies to all University personnel and students. The University reserves the right fo change this policy ai any time as may be required under the circumstances, All computer users are obligated to use these resources responsibly, professionally, ethically, and lawfully st or salary following graduation but does offer You are given access to our computer network to assist you in performing your job or completing your academic tasks. You should not have an expectation of privacy in anything you create, store, send, oF receive on the computer system, The computer system belongs to Schiller International University and may only be used for official University business or academic purposes. Without prior notice, the luniversity may review any material ereated, stored, sent, or received on its network or through the Internet or any other computer network, The university ean restriet access to any services andor material that travels across its network at any’ time without prior notification, Use of computer resoutees for any of the following activities i strietly prohibited ‘+ Allowing any other person ot persons to use your account, ‘+ Attempting to circumvent or alter any access control or security measure on local or remote systems or to etete an exploitable ‘entry point for unauthorized persons with or without intent. Sending. receiving. creating, storing, or otherwise disseminating ‘material thats offensive or disruptive. Among those which are considered offensive are any messages that are sexually explicit, profane, obscene, harassing, fraudulent, racially offensive, defamatory, or otherwise offensively address someone's age, sexual ‘orientation, religious or political beliefs national origin. or disability ‘+ Sending, receiving. creating, storing or otherwise disseminating commercial or personal advertisements, solicitations, promotions, destructive programs (that is viruses or selfreplicating code), political information, or any other non job/education-related solicitations or unauthorized material, Wasting computer resources by, aong other things, sending mass mailings or chain letters, spending excessive amounts of time on the Internet, playing games. engaging in on-line chat groups, printing multiple copies of documents, printing excessively long Internet documents or otherwise ereating unnevessary network trafic. + Using oreo ation ofa Hee + Violating any state, federal. or international law FILE SHARING UTILITIES ON THE UNIVERSITY NETWORK WILL BE NOT BE TOLERATED, software/resourees inv agreement or copyright. [you become aware of someone using computer resources for any ofthese activities you obligated to report the incident immediately to the Academic Dean or Campus Dirsctor. Violations of this policy will be taken seriously and may result in disciplinary action, including possible employment/educational termination or university expulsion, and eivil and eriminal lability, ‘The confidentiality of any message should not be assumed. Fven when a message is erase, itis sill possible to retrieve and read the message [have read and agree 10 comply with the terns of this policy. Initia; Mase ev. 22001 wm PassSCH EETER INTERNATIONAL UNIVERSITY DISCLOSURE OF EDUCATIONAL RECORDS Schiller International University generally will not permit disclosure of personally: identiiable information from the records of a student ‘without prior writen prior writen consent of the student, Personally identifiable information is disclosed (some items are mandatory. some diseretionary) form the records ofa stuxlent without that student's prior written consent t the following individuals or institutions or in the following circumstances: ‘A, To Schiller International University officials who have been determined by the schoo! to have legitimate educational interests inthe recons, A Schoo! offical is fe cebied ease aciaere mse eee icles ca coelcoa ees eal eos ba of Tmees ot rasa sring anti ecm rena sealer sca Se poe macerensereceetar sn eeeeenomat oe Sli aaain die eausim amen aioe aa i iaeaee weethsaeihse saa uaeeetn ate ceremtomseem nite ts (need ete thiol one eee oad coc eae ee ee eee oe Toopaioa pacity coamniceee tanec Te beat vine tennis ef seta mato poceclug decals pegs entsba ey as eunite someiealn tees uhareaurstemed ‘ot the name of any other student, including a victim or witness - without the priot written consent of the other student(s) reitates OSA ADDENDUM TO ENROLLMENT AGREEMENT FOR INTERNATIONALSTUDENTS {common baton pracls fo shon seule lomnatos Us ithe seer an eran ime) eer eae ont sbepamaisteale tataea ice oe a eee tees is carga ollie clamor at sean Untomyeied ley snl ias Meier na ae eae oe Initials: _Nedy 4 4 Rev, 22001 son Shills Pose?SCHILLER INTERNATIONAL UNIVERSITY FERPA WAIVER ‘The Family Fducutional Rights and Privacy Act known as FERPA (20 U.S.C. § 1232p: 34 CFR Part 99) is a United States Fedora law that protects the privacy of student educational revords, The law applics to all sehools that receive funds under an applicable program of the U.S. Department of Education, 1, , authorize the following individuals to have access to my education records, included but not limited to, academic, financial and judicial records. ‘TALENT WAIVER {hereby authorize Schiller International University to publish and exhibit photographs or images of me in any format or medium and understand that it may be used in advertising and promotional material forthe University. Furthermore, I authorize the University to use ‘my comments snd or testimonials in advertising and promotional material fr the Univers ‘understand that I shall receive no compensation for my appearance or participation in any form of dis promotional materials, [represent that ! am at least 18 years of aye and have the right to enter into this agreement. Lam under 18 years of age, my parent oF guardian has consent to my execution of this consent Ay, presentation, advertising or Initials: ‘TRANSCRIPT RELEASE FORM 1_MA2IO_ALAM 7 Schiller International University. 7 Nee Date_22\2\202% _ Printed Name, Please forward a copy of my official High School tanserips to: test that | have received a HS diploma or its equivalency prior to enralling in Ofmice of the Registrar INTERNATIONAL STUDENT USF ONLY Applicants whose degree was taken in a language other than English must submit a cc translation and a certified true copy of the transcript inthe original language. led true copy of the transcript in English Al Intemational HS Diplomas and or College Degrees are to be evaluated by’ the service that Schiller University utilizes for such credentials, to ensure that it is the equivalent of a US HS diploma Please rum this form, oF a copy of it, with my transcript or GED. Scored fo assist in identification of my’ file. Rev. 22001 mm Sil PageSCHILLER INTERNATIONAL UNIVERSITY STUDENT CONSENT TO DISCLOSURE OF EDUCATION RECORDS TO THE UNIVERSITY OF ROEHAMPTON |. hereby consent io the diselosure of my education records o the University of Rochampton, understand and consent that the purpose of ths disclosure isto falitate education programs that are delivered by Schiller Intemational University and which lead io separate awards ftom the University of Rochampion, I understand and consent that Schiller Intemational University may disclose any of my education records to the University of Roehampton (including, but not limited to, my eourse schedules, my coursework, and my grades), | understand and consent that information from education records may be released to the University of Roehampton in any format (ncluding. but not limited to, written, electron, and oral formats). "Schiller Intemational Un above named student DISCLOSURE ACKNOWLEGMENT ersity will maintain this original signed and dated Student Consent form with the education record of the 1 have read and understand all disclosures herein and acknowledge acceptance of the same. T acknowledge that no verbal statements hhave been made contrary to what is contained in these disclosures, Furthermore, | aecept communication from the University in the {orm of email, phone calls and texts for oficial Uni ersity purposes only “4 Initials DWE ate 2\\242_ printed Name Rev. 22028 ev Siler PagesSCHILLER NTERNATIONAL UNIVERSITY PAYMENT FORM Please complete the Student detail section of this form and submit with your payment for credit card or check payments Please email or fax a copy of this form for wire bank transfers along with a copy of ‘mation as provided by your bank. Student Family (ras) Name Taddent FIRST Name ‘Seadeat NATE Name SCAU Thereby authorize a charge to be made to my credit card as detailed below for the reasons indicated (PRINT): © Application Fee Deposit, Tuition and Fees = Other: Visa 1 American Express Address of Card Holder: Card Number: [Authorization Code: Date ata Signature of Card Holder Nionth Day CRON Please inal checks fo the below adress in U.S, Dollars and make payoble to Sehiller International University. Please include a copy of this form with the completed student section with the check, Yar Bursar's Office, Shiller Intemational University Any bank charges must be paid by the student or sponsor at source. Please email or fax a copy of this form with the completed student section for wire bank transfers along with a copy of the wire confirmation as provided by your bank. Please make payment fo FLORIDA/ONLINE, USA Bank Name: SQUARE 1 BANK. Bank Address: 406 Blackwell treet, Suite 240 Durham, NC27701 ‘Account Name: IP SIU LLC WireaBA: 053112615, SWIFTCODE: — SQARUS33, ACCOUNT: 2182073, PARIS, EUROPE Bank name: Cic PARIS CONVENTION Bank address: 280 RUE DE VAUGIRARO, 75015 PARIS ‘Swift/BIC Code: CMICIFRPP BAN: FR76 3006 6106 6100 0202 S800 102 ev. HEIDELBERG, EUROPE ‘Bank Name: Volksbank Kurpfalz eG Bank Address: Hauptstrasse 46, 69117, Heidelberg Bank Code (B12): 67092300 SWIFT/BIC: GENODEG1WNM Account Nr: 33173865 IBAN: E78 6709 2300 0033 1738.65, MADRID. fuROPE Bank name: La Caixa Bank address: Glorieta Ruiz Gimenez, 3 28015 Madrid ‘wift/BIC Code: CAIKESBBXXX IBAN; £515 2100 4380 2102 0006 5490 ovo Page?