APPLICANT'S DATA

Name (first, middle, last):         
Address (Permanent): 
City:    State:    Zip: 
E-Mail:    Phone: 
Country: 

Mailing Address (Current): 
City:    State:    Zip: 
Country:    Phone: 

Mailing address valid until:  Choose One January February March April May June July August September October November December Choose One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ,  Choose One 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Which address do you wish correspondence to:  Choose One Permanent Current

PROGRAM

I am applying for the program indicated:  Choose One June * Jun 1 - Jun 28 September * Sep 1 - Sep 28   Program Cost:  $6,270.00 USD

APPLICANT'S EDUCATION - School now attending OR previously attended

School: 
Address: 
City:    State:    Zip: 
Your Major: 
Dept. Chairperson: 
Year of Graduation: 

Other colleges attended:    Dates: 
Address: 
City:    State:    Zip: 
Country: 
Dept. Chairperson: 

Name and address of 2 of your teachers who would give you a recommendation:

Professor:    Department: 
School Address: 
City:    State:    Zip: 

Professor:    Department: 
School Address: 
City:    State:    Zip: 

PERSONAL DATA

Date of Birth:  Month January February March April May June July August September October November December   Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , Year 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 Not Listed   City of Birth:    State:
Country of Citizenship: 
Father's Name: 
Address: 
Phone:
Father's Occupation: 

Mother's Name: 
Address: 
Phone:
Mother's Occupation: 

Person to contact in case of an emergency:

Name: 
Address: 
Phone: 

MISCELLANEOUS

How did you hear of the Paris Fashion Institute?

CHOOSE ONE Lecture Institution/College Poster Cruising the Internet A friend of mine By E-mail Promotion

Search Engine:  (which one?)
Magazine:  (which one?)
Web Link:  (from where?)
Other:  (how?)

Name of friend who attended Paris Fashion Institute, who could recommend you, if any? 

Have you ever applied for admission to Paris Fashion Institute before?  CHOOSE ONE Yes No
If so, which program? 
Number of previous trips to Europe: 
What countries?: 

Have you ever studied French Before?  CHOOSE ONE Yes No

On a separate sheet of paper, all students should submit a personal statement and resume outlining your recent working experience, travel, school activities, hobbies and special interests.

The information I have supplied on this application is true to the best of my knowledge and beliefs.  I understand that the material submitted with this application (except the portfolio) becomes the property of the Paris Fashion Institute and not be released to another party.

AN APPLICATION FEE OF $50.00 (USA NON-REFUNDABLE) MUST ACCOMPANY ALL APPLICATIONS. A PERSONAL OR CERTIFIED BANK CHECK WILL BE ACCEPTED. PLEASE MAKE CHECK PAYABLE TO PARIS FASHION INSTITUTE.