APPLICATION FOR ADMISSION

Please fill in the form below and our admission officer will contact you shortly

   

1. Last Name:
2. First Name:
3. Gender:	Male Female
4. Address:		City:
State:		Zipcode:		Country:
5. Telephone :		Fax:
6. * Email :	(You need to enter a valid Email Address here)
7. Date of Birth:	(Month/Date/Year)
8. Country of Birth:
9. Country of citizenship:
10. Please specify the Class you wish to enroll       English Class       Dental Class       Computer Class  11. When you want to start at study in Newton College Click here to know about the school schedule 12. Which campus do you want to attend ?       Garden Grove Campus       Los Angels Campus       Irvine Campus 13. Do you need an I-20 form ?     Yes No 14. What is your level of education ?       High School Graduate      College Graduate      Other: 15. Person to notify in case of Emergency .     Name:        Tel:            Address:    E-Mail:    16. Other Comment:

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