APPLICATION FOR ENROLLMENT

ROUGH DIAMOND GRADING PROGRAM

Mailing Address:

1287 E. Newport Center Drive #202
Deerfield Beach, Florida 33442
Phone: U.S. 1-800-831-8470
Fax: 1-954-574-0833
International: 954-574-0833

Program Details:

Tuition: U.S. $7,500.00
Enrollment Fees: $150.00
Clock Hours: 600 (maximum)
Duration: 20 Weeks

Section A

Name

Address


Section B


College or institution of higher learning attended (leave blank if none):

College or institution of higher learning attended (2):


Section C

If under 18 years of age, give the following information:


Section D




Section E

Requirements:

(1) Two passport size photographs to accompany this application.

(2) A check in the amount of US $150.00 as an enrollment fee, which will be applied towards tuition if you are accepted and refunded in full if you are not accepted or fail to obtain a student visa.

NOTE: Please allow four to six weeks for a response from the date the application was received by the institute.


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.

Passport Photographs

You may upload your two photographs here or mail them in.


Signature of parent of guardian if applicant is under 18 years of age:

Applicant Signature