PRINCETON HIGH SCHOOL INTERNATIONAL ENROLLMENT AGREEMENT

PRINCETON HIGH SCHOOL INTERNATIONAL ENROLLMENT AGREEMENT
Princeton High School International

1629 K Street NW Suite 300, Washington, D.C. 20006

Administrative Office: 1410 Hillabee Street, PO Box 1334

Alexander City, Alabama 35010

Phone: (256) 215-4211

http://www.jjbi.education
STUDENT INFORMATION
Name*

First NameMiddle NameLast NameSuffix
ADDRESS:*

Street Address Line 2

CITY/STATE/ZIPState / Province

Postal / Zip Code
DATE OF BIRTH

MonthDayYear
Date
AGE
PHONE NUMBERS:
(HOME)*
(WORK)
(CELL)*
E MAIL:*
example@example.com
SOCIAL SECURITY NUMBER (Last 4 digits only):*
EMERGENCY CONTACT:*
RELATIONSHIP:*
(PHONE #)*
TUITION

THE TOTAL COST OF THE PROGRAM IS THE FOLLOWING:

REGISTRATION FEE & EVALUATION (NON-REFUNDABLE): $75.00

TUITION FEE: $1,200.00

Note: The PHSI Board of Directors offer academic scholarships to assist students with tution. The adjusted cost of tution for each student depening on your age group is the following amount (if awarded scholarship):

For Students 14 -18 Years of Age - Your Full Tuition Amount is $575.00.
For Students 19 - 99 Years of Age - Your Full Tuition Amount is $675.00.

DIPLOMA FEE: $75.00
By signing this enrollment form, the student understands that any college can still require ACT or entrance exam before honoring diploma. PHSI will not refund any monies due to school or employment non-acceptance. No scholarships or hardships will be awarded without proper information and notarized documentation. See attachment below for transcript request form. Please print form and complete as instructed.

(Any additional information will need to be scanned and emailed to the Office of Admissions at princetonhighschooldc@gmail.com)
Signature

Clear
DATE:

MonthDayYear
PHSI Transcript Request Form
Should be Empty:

PRINCETON HIGH SCHOOL INTERNATIONAL ENROLLMENT AGREEMENT

STUDENT INFORMATION