Antonelli Institute Art & Photography

Name of Applicant:

Last *

First *

Date of Birth:

Email*

Home Phone*

Work Phone

Home Address*

Apt #

City *

State*

Zip *

Name of Parent or Guardian:

Last

First

Address

Apt #

City

State

Zip

Phone

School Information:

High School*

Address

City

State

Zip

Graduation Date

Graduated ?

yes no

GED

yes no

Other colleges?

no yes

please list

Have you ever attended a vocational-technical
secondary school?

no yes

please list

Do you have a degree?

no yes

Do you plan to transfer any credits?

no yes

Application Information:

I am applying for admission to the:

semester.

I plan to attend

Program:

Commercial Art Photography

I plan to live

Form of transportation I plan to use
to travel to and from school :

my car public transportation

Source of funds while attending school:

Are you a citizen of the United States?

yes no

Is English your primary (or best) language?

yes no

In a brief paragraph explain why you
would like to attend Antonelli Institute:

What are your plans for the future?

APPLICATION AND
ENROLLMENT PROCEDURE

1. A $25.00 non-refundable application fee is not due till you are notified that your electronic application has been received at witch time you must mail it to Antonelli Institute.

After you receive your acceptance letter, a $100.00 non-refundable tuition deposit, along with a signed enrollment agreement that we will send you must be received within 30 days of your receipt of the above document.

A refund of any fee or deposit will be granted in full when a cancellation is recorded within 5 working days.

2. A personal interview is required and a tour of the school is recommended.

Reference:

Please provide the name and address of a person, other than a relative, who could serve as a reference:

Last
First
MI
Relationship
e-mail

How did you find out about Antonelli Institute?

(Name of college fair, or other source)

Emergency contact information:
Name
Phone

Antonelli Institute | 300 Montgomery Ave., Erdenheim, Pa 19038 | 1.800.722.7871 | 1-215-836-2794