US Registration Form – Peps Academy

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Nom complet *

Prénom

Nom de famille

Phone *

Courriel *

E-mail

Confirmez l’e-mail

Mot de passe *

Password

Confirm Password

Date of Birth *

Do you have a mailing address?

Yes
No

Mailing Address

Adresse ligne 1

Address Line 2

Ville

Etat/Province/Région

Code Postal

Pays

Billing address same as mailing address?

Yes
No

Billing Address

Adresse ligne 1

Address Line 2

Ville

State

Zip Code

Highest level of education *

High School no degree
High School Diploma
Associate (2 years college)
Bachelor (4 years college)
Master (5-6 years college)
Doctorate

Is this application for a Texas University or College? *

Yes
No

In what area of study do you want to enroll? *

When would you like to start your program? *

Spring 25 (Payment due: Jan 04, 25)
Summer 25 (Payment due: May 10, 25)

Where are you in the process? *

Just starting to explore options
Fine tune my list of target schools and programs
Ready to apply
Already applied
Already admitted
Other

Describe your current status in the process

What motivates you to attend college? *

Describe your motivation to attend college

What concerns you about college? *

Describe your concerns about college

Do you have particular campus in mind? *

Yes
No

What's your preferred campus?

Do you or your sponsor have a Bank Account or Card for payment? *

Yes
No

If yes, please ask your banker to provide information about international payments/transfers.

Can you or your Sponsor show availability of enough funds for the first 19 months of your studies(*) *

Yes
No (not eligible)

(*) Currently $29500.

Current work status *

Unemployed
Part time employee
Full time employee
Self-employed
Volunteer
Other

Please specify your work status

Upload Documents (up to 10) *

Click or drag files to this area to upload. You can upload up to 10 files.

(ctrl + Click to choose multiple files) - Highest Diploma - Transcripts - Resume (CV) - ID ...

I agree to the terms of services *

Yes
No

Terms of services

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