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Application for Admission - Agape English Language Institute
Requirements for applicants:

You must be at least 15 years old.
You must be able to read and write at a high-school level in your native language.

Family Name
Enter your surname exactly as it appears on your passport.
Your answer
First Name
Enter your first name exactly as it appears on your passport.
Your answer
Phone Number
Your answer
Email Address
Your answer
Gender
Date of Birth
mm/dd/yyyy
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Do you have a medical condition that may affect your attendance at Agape?
For example, are you are pregnant or do you have a chronic illness that will require frequent absences from class? Our school has a strict attendance policy. Please contact us by email if you have questions about this.
Do you have any special needs?
Please write anything that will help us to give you a great experience at Agape.
Your answer
Are you an agent applying on behalf of a student?
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