NEW YORK INSTITUTE OF ENGLISH AND BUSINESS
248 West 35th Street, New York, NY, USA 10001
Telephone:  (212) 725-9400
 Preliminary Application For Admission

 

Last  Name         First Name            M.I.  
Address 
City         State          ZIP Code                Telephone    
Date of Birth      Social Security No.                                  Male               Female
High School Attended 
Address
High School Graduate?     Yes                Year of Graduated        No            GED     Year    
U. S. Citizen         Yes              No             Interesting in Applying for a change of Status (School Visa)         Yes    No
What term you like to enroll?      Fall      Spring     Summer       Year  

Select the Program/Course from the list below that you are interested in enrolling in:
(Programs and courses qualify for Form I-20 approvals.)

PROGRAM/COURSES
(With ESL - Check one)

#Hours

ESL-Intensive Accounting____________________ 1920
 ESL-Medical Office Assistant__________________ 1920
 ESL-Office Assistant________________________  1920
 ESL W/Computerized Applications______________1536

 Comprehensive ESL   _______________________  1152
 Intensive ESL  ______________________________768

English 100 ________________________________288
English 200 ________________________________288
English 300_________________________________288


 English As A 2nd Language 100_________________ 384
 English As A 2nd Language 101_________________ 384
 English As A 2nd Language 102__________________384

Regular programs
(Check one)

#Hours


Computerized Accounting Assistant___________ 1536
Medical Administrative Assistant______________1536


Accounting W/Computer Applications_________ 1152
Medical Office Assistant____________________1152
Computerized Applications___________________768
 

Who do we contact in case of emergency?

Name

Address

Telephone

Relationship

New York Institute of English and Business provides equal opportunity for all qualified applicants, and prohibits discrimination on the basis of race; color; religion; sex; sexual orientation; age; national or ethnic origin; the physically handicap; marital, parental or veteran status; in the operation of its educational programs, courses, and activities; and in the recruitment of qualified personnel.

     

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Copyright © 2007 NYIEB.  All rights reserved.
Revised: 10/31/08.