Applicant Information

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Ethnicity, gender, date of birth and military status will not be considered in reviewing your application for admissions. This information is used for statistical date only.

The information obtained will be kept confidential and may be used only in accordance with the provisions of applicable laws and regulations. When reported, data will be aggregated and will not identify any specific individuals.

There are certain governmental record keeping requirements for the administration of civil rights laws and regulations. In order to comply with these laws, students are invited to voluntarily self-identify their race or ethnicity.

Program of Interest

Personal Data

Present Address

Permanent Address

Fill only if different from current address

Phones

Alternate Name

If any of your records are under a name other than the one given above (i.e. your alternate name) please list the name here

Emergency Contact Information

Employment Information

Adverse Background

Other Information

• Have you ever visited University of the Potomac?

  Yes
  No
  
• Are you active duty military?

  Yes
  No
  
• Are you a veteran?

  Yes
  No
  
• Are you a reservist using military tuition assistance?

  Yes
  No
  
• Are you planning on completing a Free Application for Federal Student Aid (FAFSA)?

  Yes
  No
  
• In accordance with the Americans with Disability Act (ADA), will you require any reasonable accommodations from University of the Potomac?

  Yes
  No
  
• * Are you a U.S. Citizen and/or U.S. Permanent Resident? (Please check one)

  Yes
  No
  

University of the Potomac does not discriminate on the basis of race, color, creed, religion, national origin, ancestry, sex, age, sexual orientation or disability in the administration of any of its programs or activities, or with respect to admissions or employment.

To be considered for admission to the University of the Potomac, please complete this application and submit the following, in English, to the International Student Office:

1. Completed International Student Application and Non-refundable application fee of US $100

2. Official / Attested academic evidence of completion of secondary education (high school or equivalent), translated in English language

3. Official proof of English language proficiency

4. Proof of sufficient financial funds shown in U.S. currency/dollars to cover educational and living expenses

5. A copy of the photo page and address page of passport, and if currently in the U.S., a copy of current visa page.

For international students transferring from another educational institution:

6. Copy of current I-20 Form

7. SEVIS I-20 Transfer Form completed by previous institution

Additional documents for graduate admissions applicants:

8. Two letters of recommendation and one required essay Statement of Purpose

9. Official academic evidence of completion of undergraduate education (Baccalaureate) instead of secondary education

University of the Potomac requires evidence of adequate financial resources from prospective students with (or intending to apply for) the F-1 student visa. These funds can come from the following sources (all financial documentation must reflect U.S. dollars):

1. Student's own personal or business savings or checking account (attach original or certified copy of bank letter or account statement translated in English language)

2. Student's parents or other sponsors' funds accompanied by an affidavit stating support of said student (attach original or certified copy of affidavit, bank letter or account statement translated in English language).

3. Scholarships (attach original or certified copy of scholarship letter translated in English language)

4. Other sources (attach original or certified copy of documentation).

I certify that I have the necessary funds available to me for each academic year (2 semesters or 24 credits) that I am in attendance at the University of the Potomac.

University of the Potomac only admits students who are high school graduates or who have an equivalent form of high school completion.

Attestation of High School Graduation or Equivalency: I understand that high school graduation (or its equivalency) is an admissions requirement for University of the Potomac. I hereby certify that I am a high school graduate or I have completed education resulting in my obtaining certification equivalent to high school graduation (GED, home-school certificate, etc.).

Enrollment Agreement

* City

* State/Province

* Zip/Postal Code

* Country

City

State/Province

Zip/Postal Code

Country

Home Phone

Work Phone

Cell Phone

Alt. First Name

Alt. Middle Name

Alt. Last Name

Current Employer

Position

Year of Employment

City

State/Province

Zip/Postal Code

Social Security Number

* I am a... New Applicant
Previous Potomac Student

The enrollment period for the Master of Business Administration Concentration in International Business program consists of 6 semesters of approximately 16 weeks each. Billing is processed and a student is obligated per semester.

Total cost for the

**Total program cost excludes the cost for the retake of failed courses and/or replacement textbooks or materials. University of the Potomac reserves the right to change the above costs, including tuition, at any time.

Payment:

Tuition and fees will be paid at the time of registration unless the student is eligible for financial aid and clearance has been given by the Financial Aid Administrator or other financial arrangements have been made with the Business Office. Students are responsible for any financial obligation incurred while attending University of the Potomac (the "University") regardless of any anticipated financial aid.

Cancellation and Refund Policy:

Rejected Applicants: If an applicant for enrollment is rejected by the University, all monies paid to The University will be refunded.

Three-Day Cancellation: An applicant who provides written notice of cancellation within three days (excluding Saturday, Sunday and federal and state holidays) of signing an enrollment agreement, making their initial payment or first visiting the University, whichever is the latest act to occur, is entitled to a refund of all monies paid. No later than 30 days of receiving the notice of cancellation, the University shall provide the 100% refund.

Other Cancellations: A student has the option to withdraw from the University at any time by giving notice of their intent to terminate enrollment in writing. In the absence of the student giving written notification, the student is dismissed from the University after 14 consecutive calendar days from the last date of attendance, or upon the failure to return from an approved Leave of Absence.

For purposes of determining refunds, the number of days enrolled is calculated from the start date to the last date of attendance. The students withdrawal date is either the date the student notifies the University of their intent to withdraw, or the date the University determined the student was no longer attending, usually 14 calendar days after the date of last attendance. Class days missed due to absences are included. Time out of class due to an approved Leave of Absence, schedule conflict, termination and re-enrollment, and school closure is excluded.

When a student withdraws from a standard term-based program comprised of a series of modules, the University must determine whether a Return of Title IV Funds calculation is required and if so, the length of the period of enrollment or payment period, as applicable. The Return of Title IV Funds Policy of the U.S. Department of Education entitles recipients of Title IV aid to retain aid on pro-rata schedule up through completion of 60% of the semester. After the 60% point in the semester, the recipient is entitled to 100% of the scheduled aid. A student who terminates prior to the 60% point may be obligated to pay the University a portion of charges incurred and/or a repayment to the Title IV programs.

Institutional Refund Policy

Tuition is charged on a session basis. All fees are non refundable. The Institutional Refund Policy generally allows the University to earn 100% of the institutional charges from students who complete 60% or more of the semester. The student's withdrawal date is the date the institution determined the student was no longer attending. The institution may take up to 14 days from the last date of attendance to make the determination that the student was no longer attending.

Refund will be sent back via the original sources of payment that the University received it from. If applicable, refunds to agencies, private loans, scholarships, and to the student will be made within 30 days of the date the student is determined to have withdrawn. Notification will be sent to the students of all refunds made.

Although the staff cannot advise students on when to withdraw from their program the students are encouraged to become familiar with the refund policies, make their own decisions and take the appropriate actions.

All other charges are non-refundable.

Holder in Due Course Statement:

Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds, hereof Recovery hereunder by the debtor shall not exceed amounts paid by the debtor.

Student Acknowledgements:

• I hereby acknowledge receipt of the current University catalog and supplement (if applicable) or access to the most current copy of the University catalog online at www.potomac.edu, and a copy of this enrollment agreement. I understand that the terms within the catalog are incorporated as part of this enrollment agreement. I agree to abide by all terms within the University catalog and understand that my enrollment may be terminated if I fail to comply with the rules, regulations, and financial requirements.
• I understand that by providing my mailing address, e-mail address, and telephone and/or cell phone numbers, I consent to receive communications sent by, or on behalf of, The University (and its subsidiaries, affiliates, and/or agents) via regular mail, e-mail, telephone, cell phone, and/or SMS text message. (standard text messaging rates may apply)
• The University cannot and does not guarantee employment upon graduation. The University does not guarantee a salary a graduate will obtain from the training received at the University.
• The University does not determine nor imply that any credits will transfer. Transferability of credits is at the discretion of the receiving institution.
• The University reserves the right to modify its courses, schedule, curricula, policies, and/or procedures as deemed necessary to continue to improve th educational offerings.
• The student understands that if there is a finance charge or in the event tuition is paid in installments, a Disclosure Statement (Promissory Note) must be executed and become part of this contract. It is understood the promissory notes or contracts for tuition may be sold or discounted to third parties. In such cases, the refund policy continues to apply.
• The University's grievance procedure is followed in the manner outlined in the catalog. If the student complaint cannot be resolved after exhausting the University's grievance procedure, the student may file a complaint with the state.
  If enrolling in the state of Virginia:

  State Council of Higher Education for Virginia Private and Out-of-State Postsecondary Education 101 North 14th Street, 9th Floor James Monroe Building Richmond, VA 23219

  If enrolling in the District of Columbia or Online:

  Office of the State Superintendent of Education 810 1st Street NE, 9th Floor Washington D.C. 20002 Phone: 202-727-6436

• I grant permission to University of the Potomac to use my image (photographs and/or videos) taken at the University, other University-related places/University-sponsored events, for use in publications including videos/TV, email blasts, recruiting brochures, newsletters, newspapers, and magazines and to use my image in electronic versions of the same publications or on the website or other electronic forms of media. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image.

Severability

Each provision of this enrollment agreement, and any portion thereof, shall be considered severable. Should any provision of this enrollment agreement, or the application thereof, be determined invalid, unenforceable, or contrary to or in conflict with any applicable present of future law or regulation, the remaining provisions hereof shall continue in full force and effect without regard to the invalid or unenforceable provision.

Contract Acceptance

I have read and understand all provisions of this agreement and I acknowledge having received an exact copy of this agreement.

Date:

As the University official, I certify that in my judgment the applicant meets all the applicable standards for admission to the University.

Parent signature
* Click to use parent signature

Date:

Date:

Date:

* Click to use initial

* I authorize University of the Potomac to request and receive a copy of my U.S. college and high school transcripts. Students applying for transfer credit are required to present an official transcript of grades earned. To be considered official, transcripts must be in a sealed envelope from the institution of origin and bear all appropriate institutional markings. Students should submit transcripts from all previous colleges/universities attended. The University must receive official transcripts within the first semester of a students attendance.

* I acknowledge that unofficial transcripts can be reviewed for transfer of credit if they indicate school name, course name, and grade received. However, if my official transcript showing potential transfer of credit is not received by University of the Potomac, I understand that I am subject to loss of transfer of credit from this source, which could affect my financial aid plan and the length of my program.

COMPUTER USE & ELECTRONIC COMMUNICATION POLICY

University of the Potomac (the "University") has established this policy with regard to the use of the University's computer equipment of all types, the network, and the telephone system (together the "System"). This policy covers the general use of the System, including all activity using the Internet and the use, access, and disclosure of electronic communications messages and images created, sent, or received using the System. Specifically, this policy covers all messages transmitted or received by telephone, voice mail, internal e-mail, and external e-mail, including chat rooms, and instant messaging.

In this policy "user" includes any student, employee, or guest of the University who uses or participates in the use of the System as it is defined above.

The college intends to enforce the policies set forth below and reserves the right to change them at any time as may be required under prevailing circumstances.

1. This policy is applicable at all times, which includes class time, work time, break time, after hours, and on weekends, and applies whether the user is on or off University premises during the use.
2. The System hardware is University property. All messages composed, sent, or received on the System are and remain the property of the University and are not the private property of any person.
3. The use of the System is reserved solely for the conduct of educational business activities at the University. It is not for personal use. All messages sent shall contain accurate identification of the sender.
4. The System may not be used for outside commercial ventures, religious or political causes, outside organizations, or other non-job related solicitations.
5. The System is not to be used to create, send, receive, or use any offensive or disruptive materials or messages. Messages which are considered offensive are those which contain sexual implications, racial slurs, gender-specific comments, or any other comment that offensively addresses someone’s age, sexual orientation, religious or political beliefs, national origin, or disability. Also considered offensive are messages which are fraudulent, harassing or obscene, and those which contain abusive, profane, or offensive language. Persons who wish to express personal opinions on the Internet must obtain their own user names on non-University owned systems.
6. The University reserves and intends to exercise the right to review, audit, intercept, access, and disclose all uses of the System. The contents of electronic officials without the permission of the author.
7. The confidentiality of any message should not be assumed. Even when a message is erased from the System, it is usually possible to retrieve that message. Further, the use of passwords for security does not guarantee confidentiality or privacy.
8. All users are responsible for seeing that the System and the Internet are separately and together used appropriately and in an effective, ethical, and lawful manner. The University has the right to determine what constitutes appropriate use of the System and the Internet.

   Listed below are inappropriate uses of the System, the Internet, and University networks.

   1. Use for illegal activity or other non-school related purposes.
   2. Use for advertising, commercial and/or profitable purposes.
   3. Use to order or purchase any type of merchandise or services in the name of the University unless authorized, and/or any individual.
   4. Use for academic dishonesty.
   5. Use for political lobbying.
   6. Use for hate mail, discriminatory remarks, and/or use of copyrighted materials without permission of the copyright holder.
   7. Use to access or download obscene or pornographic material.
   8. Use to download and/or copy copyrighted music files without the express permission of the copyright holder.
   9. Use of inappropriate language and/or profanity.
   10. Use to transmit material offensive and/or objectionable to the recipient.
   11. Impersonation of another user and/or use of anonymity and pseudonyms.
   12. Loading, downloading, or use of unauthorized games, program files, or other electronic media.
   13. Destruction, modification, or abuse of networks, hardware, and/or software.
   14. Allowing an unauthorized person to use an assigned computer or account or revealing personal information, telephone numbers, addresses, etc. to other users of the networks.
   15. Unauthorized hacking, accessing, or circumventing security systems of any computer system, including University domains and network equipment.
9. Copyrighted material or trade secrets belonging to entities other than the University may be used only for legitimate and lawful purposes. Users are not permitted to copy, transfer, rename, add or delete information or programs belonging to others unless given express permission to do so by the owner. Failure to observe copyright or license agreements may result in disciplinary action from the University and legal action by the copyright owner.
10. To prevent computer viruses from being transmitted through the System, there will be no unauthorized downloading or loading of any software.
11. Users shall not use a code, access a communication file, or retrieve any stored communication information on the System, unless authorized to do so. Users should not attempt to gain access to another person’s messages without the latter’s permission.
12. Any persons who discover a violation of this policy shall notify the Systems Administrator.
13. Any user who violates this policy or uses the System for improper purposes shall be subject to discipline, including discharge in the case of an employee, and probation or dismissal in the case of a student; and in all cases authorities may be notified.
14. A user shall be responsible for cost incurred and damage to the System resulting from his or her negligent, willful, or deliberate acts, and for cost and damages from use of the System in violation of this policy.

I have read and understand the above Computer Use and Electronic Communications Policy and agree to be bound by it.

Date: