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English Language School

Telephone 949.474.7646
Email Us [email protected]
Location California, USA

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Making Payment

Making Payment

This form is only for continuing students. If you are applying for the first time, you must complete the Application for Admission.

Student Name *

First

Last

Email *

Email

Confirm Email

Phone *

Date of Birth *

Which School Location? *

Poly Languages at Irvine
Poly Languages at Los Angeles

If you are an F-1 student, you must select the center you are affiliated to.

Adjusted/Partial Payment

I am making an adjusted/partial payment as advised by the administration.

Amount *

Which Program? *

General Courses
Private/Group Lessons

For General Courses, students must be 17+ years of age. For Private/Group Lessons, students must be 12+ years of age.

Description *

Briefly explain what the payment is about.

Which Payment Plan? *

I would like a Special.
I would like to pay monthly (4 weeks).

For details, please visit Tution & Fees.

Courses (4 weeks) *

General English – $320.00
Academic English L/S – $400.00
Academic English R/W – $480.00
TOEFL Prep L/S – $400.00
TOEFL Prep R/W – $480.00

Specials *

Long Term Promo for Part-Time (8 hrs/wk)
Long Term Promo for Intensive (18 hrs/wk))
Long Term Promo for Intensive Plus (23 hrs/wk)

*Long Term Promo for Part-Time applies to only a course from General English. The program is not applicable for F-1 students. They must me enrolled as a full-time student to maintain their status.
**Long Term Promo for Full-Time applies to two courses from Academic English or TOEFL Prep courses.

Long Term Promo for Part-Time *

It applies to one course from Business English, General English, or IELTS Prep courses.

Long Term Promo for Intensive *

It applies to two courses from Academic English or TOEFL Prep course.

Long Term Promo for Intensive Plus *

It applies to two courses from Academic English or TOEFL Prep course.

How many lessons? *

Each lesson is 50 minutes long. For details, please visit Private/Group Lessons.

How many students? *

There is a charge of $60 per student per term (4 weeks).

Who is your current teacher? *

Do you want to continue with the same teacher? *

Yes
No

Teacher Preferred *

What qualities are you looking for in a teacher? Please let us know.

Total Due: *

$0.00

Assisted by (Optional)

State the name of the advisor who assisted you in completing this form.

Stripe Credit Card *

Card

Name on Card

Acknowledgement and Agreement *

By checking the box and submitting this form, I confirm that I have reviewed Poly’s digital School Catalog and agree to all its terms and conditions. If enrolling as an F-1 student at Poly, I understand my obligation to undertake a minimum of 18 hours of instruction per week, and I acknowledge that online classes cannot be used to meet this minimum requirement. If I choose to include any online hours in the required minimum of 18 hours, these classes must be attended at the school site under supervision, in compliance with F-1 status regulations. I accept full responsibility for all expenses incurred during my enrollment and for my conduct during any excursions or other activities associated with Poly. I am aware of and accept the risks involved and hereby release Poly from any liability for harm or injury I may sustain during these activities.

Private/Group Lessons *

By checking this box, I acknowledge that Private/Group Lessons at POLY Languages Institute are typically conducted online. If I initially select Offline (Face-to-face) lessons, or if I choose to switch from Online to Offline lessons, I understand that my ability to do so will depend on teacher availability. Consequently, I may be required to continue with Online lessons. I am also aware that tuition paid is non-refundable. While Online lessons offer flexible scheduling options, I agree that any Offline (Face-to-face) lessons, if available, will be scheduled only between Monday and Thursday, from 2:30 PM to 4:30 PM.

Phone

Poly Languages at Irvine

Address: 18818 Teller Ave, Suite 160, Irvine, CA 92612

Phone: 949.474.7646

Poly Languages at Los Angeles

Address: 5757 Wilshire Blvd., Suite 510, Los Angeles, CA 90036

Phone: 323.933.9399

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