Optional Agreements

Optional Agreements
Please read the following agreements thoroughly. You are not required to sign these agreements; however, we recommend that you consider each option carefully as it will assist ARISE in the placement process.
Student's Name: *

First (Given) Name Family Name
Gender: *
Date of Birth: *

Month Day Year
Home Country: *
What is the name of your International Representative (this is the person or company in your home country that provided you with ARISE's application)? If you do not have an International Representative, please select NONE. *

NONE
What is your International Representative's email? *
example@example.com

By signing below, we confirm that we agree to the choices we have selected in the Optional Agreements presented to us.
Student's Name: *

First Name Last Name
Please type your complete name below as an electronic signature. *
Student's Electronic Signature
Date

Month Day Year
Date
Legal Guardian #1's Name: *

First Name Last Name
Please type your complete name below as an electronic signature. *
Legal Guardian #1's Signature
Date

Month Day Year
Date
Legal Guardian #2's Name (if applicable):

First Name Last Name
Please type your complete name below as an electronic signature.
Legal Guardian #2's Signature (if applicable)
Date

Month Day Year
Date
10810 N. Tatum Boulevard, Suite 102-845 Phoenix, AZ 85028 www.arise-usa.org

Toll-Free: 1-877-6-ARISE-6 Phone: (602) 641-9699 Email: info@arise-usa.org
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