Application - Đơn xin học (On Line Application at http://vyea.com/web/2008)
Student's Name American first name - Michael Viet first name - Bảo Việt Family name - Trần / Johnson Student's birthday 01 02 03 04 05 06 07 08 09 10 11 12 MM Month 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 DD Day 1980 or earlier 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 YYYY Year VYEA Grade and Class Please review the Grade Selection Guide on the right ?? 1A 1B 1C 2A 2B 2C 2D 2E 3A 3B 3C 4A 4B 5A 5B 6 7 TA Grade / Class Previous VYEA Grade and Class if any N/A 1A 1B 2A 2B 2C-F 3A 3B-D 4A 4B 5A 5B 6 7 TA Grade/ Class Contact Information. Your information will be safeguarded Father's Name Mother's Name Address Number/Street City Zip code Phone Number @ Parent's Email address Pay by Check, OR Pay with Credit Card click on one to select Payment option If pay by check: Send check in the amount of $80 per student within 3 days of your registration: payable to Vietnamese Youth Education Association, 9432 Wallingford Dr., Burke VA 22015. Please write student name(s) and phone number on check. If pay by credit card: After the submitting application, you will enter the Paypal page for instructions on how to pay with credit card via Paypal. It's a secure method. You can change your mind and not to proceed and come back and fix your application and submit again. Click the Submit button on the left to send application to VYEA Summer School.
Pay by Check, OR Pay with Credit Card click on one to select Payment option
If pay by check: Send check in the amount of $80 per student within 3 days of your registration: payable to Vietnamese Youth Education Association, 9432 Wallingford Dr., Burke VA 22015. Please write student name(s) and phone number on check.
If pay by credit card: After the submitting application, you will enter the Paypal page for instructions on how to pay with credit card via Paypal. It's a secure method. You can change your mind and not to proceed and come back and fix your application and submit again.