Summer Experience: Northeast College Tour

First Name

Last Name

Email Address

Date of Birth

Please select your date of birth

Please note, only students ages 14-18 are eligible for this program. You will not be able to enter your date of birth if your age is outside of this range.

Address Details

Permanent Non-US Home Address

Address

City

Region/State/Province

Postal Code

Country of Residence

Mobile Phone

International Code

Area Code

Phone Number

Session

English Exam Taken

Score of English Exam

TOEFL Overall Score

IELTS Overall Score

Are you working with an educational counselor/agency?

Name of educational counselor/agent

Educational counselor/agent email

Upload the following documents to complete your program registration:

Proof of English proficiency
Copy of valid passport

Documents may also be submitted via email to summerprograms@shorelight.com after you have submitted your registration. Please note, your registration cannot be finalized until these documents are received.

Please Upload Your Documentation

I have read and agreed to the enrollment contract listed here.

Yes, I agree

I understand my registration cannot be finalized until I have submitted my $500 deposit payment and required documents. Instructions for paying my deposit will be emailed to me in 1-2 business days after this form is submitted.

Yes, I agree

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Contact Information