Student Information
Student’s Home Postal Address
Father’s Information
Mother’s Information
Emergency Contact Information
Student’s Home School Information

International Students Preparatory Academy reserves the right to contact a representative of your home school.

Student’s Academic Information
Student’s Self-Assessment

I certify that all information in this document has been completely and honestly submitted. Further, I certify that all written responses were written entirely by the student and without help from others.

Expectations of Students

Below are the basic expectations of students while with ISPA. These expectations are basic, and there are other expectations not listed here that ISPA will treat as simply common sense. If these expectations are not met consistently and without exception, a student may be dismissed from the program at any time at the sole discretion of ISPA and without refund. All costs associated with a voluntary or involuntary early departure will be the sole responsibility of the student’s family. By signing this form, you are unconditionally agreeing to the terms of this “Expectation of Students” document and all expectations of ISPA.

  1. All ISPA students will treat fellow ISPA students, faculty, staff and property with respect at all times.
  2. Fairfield University for ISPA students will treat fellow ISPA students, faculty, staff and property with respect at all times.
  3. All ISPA students will attend all classes, arrive to classes on time, and complete the work assigned by ISPA faculty in a timely manner.
  4. Any use or distribution of illegal drugs or alcohol will result in the immediate dismissal of a student.
  5. Students who are aware of the use or distribution of drugs or alcohol are required to inform ISPA faculty members or the Director immediately.
  6. Any unauthorized departure from the Fairfield University campus or from dorm rooms after “lights out” time will result in the immediate dismissal of a student.
Medical Release and Waiver of Liability

TERMS AND CONDITIONS

International Students Preparatory Academy (ISPA) is not responsible for any personal items which are lost, stolen or broken. For the security of all students, ISPA or its representatives have the right to search students’ backpacks and other personal belongings. Students are not permitted to use personal cell phones during daily classes or during any scheduled on-campus activity. If medication is to be dispensed by ISPA, a medical release form is required with a physician’s signature.

I authorize ISPA (on behalf of both parents) to arrange for any and all medical care in case of an emergency. The medical staff of any third party health care provider in its sole discretion has permission to disseminate pertinent information to ISPA or its staff. I am aware of the risks and uncertainties inherent in attending the ISPA program beyond those experienced at home and have spoken to my child about the necessity of abiding by all ISPA policies and procedures and I assume those risks on behalf of my child. In signing this form, I release any individual connected with ISPA and Fairfield University from any liability, medical expenses, hospital or other expenses that may arise from injury to or caused by each individual’s participation in this Program. In order to best serve my child, all information requested on this application has been provided completely and accurately.

I give permission for my child to leave campus grounds for weekend or evening excursions organized only by ISPA and consent to my child’s participation in any and all ISPA activities.

I give permission for the use of any pictures or videos, including web site usage and advertising.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS IN GENERAL AND, SPECIFICALLY, THAT IT IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN INTERNATIONAL STUDENTS PREPARATORY ACADEMY AND ME.

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