2022-2023 International Student Registration

2022-2023 International Student Registration

Student Information
Gender

Female Male
Name

First Name Last Name
Date of Birth

Month Day Year
Instant Messenger Username (WhatsApp, WeChat)
Email
example@example.com
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Students' Place of Birth
Include city and country
Parents' Information
Fathers' Name

First Name Last Name
Fathers' Instant Messenger Username (WhatsApp, WeChat)
Fathers' Email
example@example.com
Fathers' Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Fathers' Phone Number

Area Code Phone Number
Mothers' Name

First Name Last Name
Mothers' Instant Messenger Username (WhatsApp, WeChat)
Mothers' Email
example@example.com
Mothers' Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mothers' Phone Number

Area Code Phone Number

2021-2022 Tuition Agreement

Once classes resume in person, we will be accepting Personal Checks, Cash and Credit Card.
Tuition Fee $16,000.00

Boarding Fee $13,000.00

Health Insurance * Must be purchased

TOTAL: $29,000.00
STATEMENT OF FINANCIAL OBLIGATION

Students requiring an I-20 must complete this Statement of Financial Obligation and provide all appropriate documentation of financial support.

If the student will be supported by funds other than his/her personal funds, the sponsor must sign below. If more than one sponsor will provide financial support, each sponsor must provide a separate letter declaring intent to sponsor. In addition, each sponsor must provide an official bank statement showing the availability of the necessary funds.
Student's Name:

First Name Last Name
Signature

Clear
Date

Month Day Year
Date
Sponsor's Name:

First Name Last Name
Relationship to Student:
Signature

Clear
Date

Month Day Year
Date
Credit Card Authorization Form

If tuition is not received by the 5th of each month, we will be processing your credit card on file for payment.
Name *

First Name Last Name
Credit Card Number: *
Expiration Date: *

Month Day Year
Date
Security Code: *
Wire Transfer Information

If you do process a wire transfer, please email the receipt to admin@thewhitestoneacademy.com .
Bank Information:

Bank name: Chase Bank

Bank Address: 153-15 Cross Island Pkwy, Whitestone, NY 11357

Account Name: Whitestone Academy

School address: 150-34 12th Avenue, Whitestone, NY 11357

Account #: 772460689

Routing #: 021000021

Swift Code: CHASUS33
Should be Empty:

2022-2023 International Student Registration

2021-2022 Tuition Agreement

Credit Card Authorization Form

Wire Transfer Information