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You can send us your Enrollment online. Your seat will be reserved much faster.
Once we receive your registration, we will contact you for further instructions.

If you would like to fill out the form in Spanish, please click here.

Online Enrollment Agreement <ESL Course Part Time>
First Name
Middle Initial
Last Name
Gender Male Female
Nationality
Street Address
City
State
Country
Zip Code
Home Phone number
Date of Birth (mm/dd/yyyy)
Email *

Registration <Please check number of weeks you would like to register>

A.Twice a week (7hours/week)

ESL
Wks
Hours
Registration fee
Tuition fee
Total
ESL Course
4
28
$30
$280
$310
ESL Course
6
42
$30
$420
$450
ESL Course
8
56
$30
$492
$522
ESL Course
10
70
$30
$615
$645
ESL Course
12
84
$30
$732
$762
ESL Course
16
112
$30
$977
$1,007
ESL Course
20
140
$100
$1,151
$1,251
ESL Course
24
168
$100
$1,395
$1,495

B.Three times a week (10.5hours/week)

ESL
Wks
Hours
Registration fee
Tuition fee
Total
ESL Course
4
28
$30
$420
$450
ESL Course
6
42
$30
$563
$593
ESL Course
8
56
$30
$738
$768
ESL Course
10
70
$30
$922
$952
ESL Course
12
84
$100
$1,029
$1,129
ESL Course
16
112
$100
$1,395
$1,495
ESL Course
20
140
$100
$1,761
$1,861
ESL Course
24
168
$100
$2,127
$2,227

Start Date; (mm/dd/yyyy)

Payment method
Check (Payable to PCTECH)
Cash
Visa
Master
Amex
Payment by wire transfer from foreign bank account

Housing Option -Do you need accommodation?-

No
Yes, YMCA Dormitory ( weeks YMCA Flushing YMCA Vandarbilt)

Student Visa-Do you need student visa(I-20)?-

No
Yes

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 I had read the Cancellation and Refund policy, by my signature, I agree to the conditions of this agreement.
Student signature