American Institute of Diamond Cutting, Inc.

MAILING ADDRESS:

1287 E. Newport Center Drive. Suite 202

Deerfield Beach, Florida 33442-4067 USA

Continental US 1-800-831-8470

International (954) 574-0833

APPLICATION FOR ENROLLMENT

ROUGH DIAMOND GRADING PROGRAM.

Tuition: U.S. $2,500.00

Clock Hours: 30

Registration Fees:   $150.00 (inclusive of total tuition)

Duration: 1 week (5 days)

SECTION A:

Last Name________________First Name___________Middle Name_____

Street Address___________________________________________________

City/Town_____________________State/Province____________________

Country_______________________US Zip Code_______________________

Country Code____________(if available) Telephone__________________

Country of Citizenship___________Country of birth__________________

Nationality________________________________________ □Male □Female

Applicant's Date of Birth: Month___________Day_______Year________

SECTION B:

Are you a high school graduate:______ Years attended______________

Year of graduation______Name of High School______________________

Country/State____________________________________________________

College or institution of higher learning attended (if any):

(1) Name:____________________(2) Name:____________________________

Address:_____________________ Address:____________________________

(1) Years attended:___________(2) Years attended:___________________

Degrees, diplomas, or certificates received:

(1) a.____________________________(2) a._____________________________

(1) b.____________________________(2) b.____________________________

(1) c.____________________________(2) c._____________________________

List any special training or work experience received in a related field.

(1)______________________________________________________________________________________________.

(2)______________________________________________________________________________________________.

SECTION C:

Please state your purpose for taking this program. __________________________________________________________________

Are there special emphasis you would like considered during your training?____________________________________________________________________________________________________________________________.

Do you suffer from any physical disability? □Yes □No

If so, please explain briefly:____________________________________________________________

 

 

 SECTION D:

I have enclosed with this application:

□ 2 Passport size photographs.

□ An enrollment fee of U.S. $150.00 (Inclusive of total tuition)

□ Complete, sign and date this application.

My date of attendance for the rough diamond grading program is:

__________-___________to____________-__________.                           Month             Day              Month         Day

NOTE: Please call the Institute to arrange a mutually agreed class schedule. Class dates should be arranged as early as possible since other students are also scheduled throughout the year.

SECTION E:

  1. All applications will be handled and filed according to the date each application is received. In the event current classes are filled, the Institute reserves the right to set a new enrollment date for the next available class.

  2. A student is expected to abide by all rules and regulations as printed in the Institute official school catalog.

  3. The remaining portion of tuition must be paid in full before the commencement of classes. All funds must be paid in US dollars in the form of a certified check, money order, cashiers check or wire transfer.

Applicant's Signature_______________________First______________Last___________        (Please Print)

Date__________________