Dolphin STEM Academy PRIVATE SCHOOL APPLICATION

INTERNATIONAL STUDENT APPLICATION

Dolphin STEM Academy
Student Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender and Race/Ethnicity*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Grade Level Applying For*
Anticipated start date *
Student's STEM area(s) of interest*
Does this student have an IEP or require special education services? If yes, please explain in detail.*
Additional comments/NCAA Athlete
Please upload a current photo of the student (headshot) AND the student's birth certificate and school records (transcripts, report cards, standarized tests, etc). *

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Additional Enrollment

Enroll an additional student.
Do you want to enroll an additional student?

Yes, I want to enroll an additional student.No, I do not want to enroll an additional student.
Student Information

Enroll an additional student.
Name

First NameLast Name
Birth Date

MonthDayYear
Gender and Race/Ethnicity
Grade Level Applying For
Anticipated start date
Student's STEM area(s) of interest
Does this student have an IEP or require special education services? If yes, please explain in detail.
Additional comments/info about the student
Please upload previous the student's birth certificate and school records (transcripts, report cards, standarized tests, etc).

Browse Files

Cancelof
Additional Enrollment

Enroll an additional student
Do you want to enroll an additional student?

Yes, I want to enroll an additional student.No, I do not want to enroll an additional student.
Student Information

Enroll an additional student.
Name

First NameLast Name
Birth Date

MonthDayYear
Gender and Race/Ethnicity
Grade Level Applying For
Anticipated start date
Student's STEM area(s) of interest
Does this student have an IEP or require special education services? If yes, please explain in detail.
Additional comments/info about the student
Please upload previous the student's birth certificate and school records (transcripts, report cards, standarized tests, etc).

Browse Files

Cancelof
Parent/Guardian Info
We don't spam and we don't sell info! We use contact information to get in touch with you about your requested service and programs at Dolphin STEM Academy.
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Email*
Enter the email address to receive login information.
Phone Number*

Area CodePhone Number
How did you hear about Dolphin STEM Academy?*

Dolphin STEM WebsiteDolpin STEM FacebookGoogle SearchOther/Referral (Please enter referral name below)Other
Registration

Payment in Full Option
There are two options to make your tuition and fees payment:

-You can use your bank to make a wire transfer

-You can use Wise (formerly Transferwise)

To make a payment using Wise, use this information:

Wise Account: Manatee Education Services, LLC

Account Holder: Debbie Die

Account Email: director@dolphinstemacademy.com

(If you want to join Wise, use this link)

To make a wire transfer using your bank:

Bank of America
Manatee Education Services, LLC
Routing: 063100277
Account Number: 898097928967

Swift Code: BOFAUS3NXXX

Bank of America Address:

222 BROADWAY

New York, NY 10038

USA
How do you plan to pay your fees?

Online Bank Transfer using Transferwise (Wise)Credit Card
Submission of Application

Confirm your acceptance and agreement with our school policies.
CURRICULUM POLICY

An enrollment advisor will contact you to discuss our extensive list of courses and provide an orientation to the program. Private school courses are available year-round; custom school years may be created as needed. Please contact us with any questions.
PAYMENT AND REFUND POLICY

We want you to be happy! Payment is required prior to the beginning any courses/assessments. Refunds are available for written cancellations received within 7 calendar days after purchase. All refunds are subject to a 10% cancellation fee. Cancellation requests must be emailed and must include the student's full name, date of birth, enrollment courses, and parent/guardian applicant's name and phone number. To protect the interests of families, refunds will only be issued to the same payee and using the same payment method as the original purchase payment was made.
AGREEEMENT

By signing and submitting this form, you acknowledge that you are an adult age 18 years or older and are completing this form on behalf of a child/minor in your care to participate in our private school program(s). You agree to pay the required course fees for this program/service. Furthermore, you agree to the Terms of Service.
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INTERNATIONAL STUDENT APPLICATION

Student Information

Additional Enrollment

Student Information

Additional Enrollment

Student Information

Parent/Guardian Info

Registration

Submission of Application