AIU

sonia maria reina mokuy ondo baha / 30418297 / [1670848]
APPLICATION FOR ADMISSION

APPLICATION FOR:
3549
Campus Location:
American InterContinental University

231 N. Martingale Road, 6th Floor
Schaumburg, IL 60173
Admissions Advisor:
Kenric Buchanan
PERSONAL DATA
Applicants Full Legal Name:
First (Given) Name

sonia maria reina
Last (Family) Name

mokuy ondo baha
Middle Initial
SSN #:
Home Address: calle presidente naser

City: malabo
Phone 1:
State: OC
240-223-6657
Country: GQ
Phone 2:
Postal Code: none
240-223-6657
Primary Email: soniamokuyondo@hotmail.com

U.S. Citizen?
Yes
No
Is English your first language?
Legal Permanent Resident?
Yes
Yes
No
No
If English is not your first language, have you taken a TOEFL Exam or English Proficiency Exam?
Date of Birth:
Yes
08/19/1990
Do you have regular and reliable access to a computer and the internet?
Yes
Have you ever been convicted of a criminal offense (other than minor traffic offenses)?
No
Yes
No
If yes, please describe:

Optional
Gender:
Male
Female
Ethnicity:
Demographic questions are used for institutional research purposes only and not in the application process.
EDUCATIONAL RECORD
Name of High School / Secondary School: spanish school
City: bata
State: NA
Date of Graduation: 2008
Please list all colleges/universities previously attended:

Name
City
State
Dates of Enrollment
aset
aberdeen
OC
2012 - 2013

231 N. Martingale Road, 6th Floor * Schaumburg, IL 60173 * Tel:1-877-701-3800 * www.aiuonline.edu
Application For Admission Eff. 6/30/11
No

I certify that the above information is true and correct and make application for admission to
this institution. I understand that the institution does not guarantee employment or salary.
Applicants Signature
Date
Please contact the individuals below and provide information about the degree programs
offered at AIU:
Name
City
State
Home Phone
Work Phone
E-Mail Address
AIU Online does not discriminate on the basis of race, gender, sexual orientation, religion,
creed, color, national origin, ancestry, marital status, age, disability, or any other factor
prohibited by law in the recruitment and admission of students, the operation of any of its
educational programs and activities, and the recruitment and employment of faculty and
staff. The Dean of Student Affairs at AIU Online serves as the compliance coordinator for
Title IX of the Educational Amendments of 1972 and Section 504 of the Rehabilitation Act of
1973, which prohibit discrimination on the basis of sex or handicap.
For Official Use Only:

231 N. Martingale Road, 6th Floor * Schaumburg, IL 60173 * Tel:1-877-701-3800 * www.aiuonline.edu
Application For Admission Eff. 6/30/11
sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520
ENROLLMENT AGREEMENT
Applicant Name sonia maria reina mokuy ondo baha
Date
Address calle presidente naser
City malabo
State OC Zip none
Telephone (Primary phone) 240-223-6657
Telephone (Secondary phone) 240-223-6657
Email address soniamokuyondo@hotmail.com
Social Security Number
Are you at least 18 years of age?
Yes
No
Program:
Bachelor of Science in Information Technology
Credits:
180.00
Date of first class
Weeks:
02/08/16
110.00
Anticipated Completion Date
07/15/18
The time frames provided are based on full-time student status for a normally progressing student. The actual
time frame for completion can vary depending on the individual.
TOTAL TUITION
$54,360.00
The cost for this program at AIU Online LLC d/b/a American InterContinental University ("AIU Online") is provided
above, subject to the terms and policies as stated in this Enrollment Agreement ("Agreement"). The tuition noted above
is for the entire program. In addition, a $125 technology fee is charged each quarter (does not apply to students using a
military tuition rate). Military tuition rates are not bundled with course materials, books, or fees.
I understand that I will be charged tuition at rates established by AIU Online and published in an addendum to the catalog
and that I am fully responsible for the payment of the tuition charged by AIU Online. The tuition may be subject to change;
AIU Online evaluates institutional tuition rates periodically. Tuition rates may also vary depending on my enrollment
status. Tuition is based upon total program credits, which may vary due to transferred credits or repeated courses. Tuition
is billed on a quarter basis (the terms "quarter" and "term" are used interchangeably in this Agreement). Tuition costs
will vary depending on the number of credits taken during each term. The tuition noted include a custom suite of course
materials which are provided to the student by Words of Wisdom, LLC. At AIU's discretion, books may be delivered in
an electronic (e-Book) or standard textbook. Students not wishing to use e-Books are responsible for any additional
charges associated with purchasing standard textbooks.
I understand that it is my sole responsibility to ensure that all tuition for each term are paid by me or funded from financial
aid sources, which may include a cash payment agreement with AIU Online, prior to beginning that term. I understand
it is my sole responsibility to ensure that all financial aid paperwork has been completed; my financial obligation will
not be released due to incomplete paperwork. For a detailed breakdown of my financial plan, I must refer to my financial
aid award letters and/or cash payment agreements. If I leave school for any reason (other than an approved leave of
absence) and return at a later date, I will be charged tuition at the rate in effect at the time of my return as well as any
applicable reinstatement fee. I understand that I am not released from any of my obligations or commitments to AIU
Online if I leave the school for any reason or if I am not satisfied with the services provided. I also understand that if I
am in default of my obligations under this Agreement and my account is referred to a collection agency or an outside
attorney to collect the outstanding balance, I will pay the costs of collection, including reasonable attorney's fees, to the
extent permitted by state law.
BE SURE TO READ ALL PAGES OF THIS AGREEMENT AS THEY ARE ALL PART OF YOUR CONTRACT WITH THE UNIVERSITY.
I ACKNOWLEDGE THAT I HAVE RECEIVED AND READ THIS PAGE: Place student's
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231 N. Martingale Road, 6th Floor , Schaumburg, IL 60173 * Tel: 1-877-701-3800 * www.aiuonline.edu

Cancellation A Student who cancels this Agreement prior to the Student's first day of class attendance will receive a refund of all
monies paid. If this Enrollment Agreement is not accepted by AIU Online or if AIU Online cancels this Agreement prior to the first
day of class attendance, all monies will be refunded. All requests for cancellation by the Student must be made in writing and mailed
or emailed to the Student Affairs Department.
Wisconsin Cancellation Policy A Student who cancels this Agreement prior to the Students first day of class attendance will receive
a refund of all monies paid. If this Enrollment Agreement is not accepted by AIU Online or if AIU Online cancels this Agreement prior
to the first day of class attendance, all monies will be refunded. All requests for cancellation by the Student should be made in writing
and mailed or emailed to the Student Affairs Department. Students who elect to cancel their enrollment with AIU Online within 3 business
days will receive a full refund of all monies paid, within 10 business days of their cancellation.
Refund Policy After the last day of the drop/add period for each quarter, which is the sixth business day of a quarter or five-week
session, no refunds or adjustments will be made to students dropping individual classes but otherwise enrolled at the University. For
students who reside outside the United States or in states without state refund policies, refunds will be calculated in accordance to the
Institutional Refund Policy.
Refunds are made for students who withdraw or are withdrawn from AIU Online prior to the completion of their degree program and
are based on the tuition billed for the quarter in which the Student withdraws, according to the schedules set forth below. Refunds will
be based on the total charges incurred by the Student at the time of withdrawal, not the amount the Student has actually paid. Tuition
attributable to any term beyond the term of withdrawal will be refunded in full. When a student withdraws from the institution, he/she
should notify the Student Affairs Department. The date from which refunds will be determined is the last date of recorded attendance.
Refunds will be made within 30 calendar days of the notification of an official withdrawal or date of determination of withdrawal by
the institution. Non-Title IV credit balances less than $5 will not be refunded to the student/lender unless requested by the student.
Institutional Refund Policy An academic quarter consists of two 5-week sessions or one 10-week session. In the event that a student
withdraws or is dismissed from all classes during the quarter, the date from which tuition adjustments will be calculated is the last date
of attendance. Tuition will be adjusted according to the following schedule:
Week of the Quarter
Students Enrolled in
5-week Sessions
Student's Last Date of Attendance
During the 1st week of instruction of the program*

During the first academic week
During the second academic week
During the third academic week
During the fourth academic week
During the fifth academic week
During the sixth academic week
During the seventh academic week
During the eighth academic week
During the ninth academic week
During the tenth academic week
1st Session Tuition

Refund
100%
80%
60%
40%
0%
0%
0%
0%
0%
0%
0%
2nd Session Tuition

Refund
Students Enrolled in
10-week courses
Quarter Refund
100%
100%
100%
100%
100%
100%
0%
0%
0%
0%
0%
100%
80%
60%
40%
0%
0%
0%
0%
0%
0%
0%
*This applies to a new student's right to cancel in the first week of their program quarter of attendance only.
Refund Policy for Alabama Residents Only In the event that a student withdraws or is dismissed from all classes during the quarter,
a pro rata refund will be made on all unearned tuition which will be based on the student's last date of recorded attendance, divided by
the total days in the University's quarter.
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Hypothetical Refund Example:At the time of the last day of recorded attendance, the student has been charged $3,000 in
tuition for the quarter, and has attended 28 of the total 70 days (42 days remaining in the quarter). Tuition charges will
be reduced by $1,800 (42/70 times $3000). The student is responsible for $1200.
Refund Policy for Wisconsin Residents Only In the event that a student withdraws or is dismissed from all classes during the quarter,
refunds of tuition will be calculated according to the following schedule:
Week of the Quarter

Student's Last Date of Attendance
Student's Quarter
Tuition Refund
During the first week of the instruction of the program*
100%
During the first academic week
90%
During the second academic week
80%
During the third academic week
70%
During the fourth academic week
60%
During the fifth academic week
50%
During the sixth academic week
40%
During the seventh academic week
0%
During the eighth academic week
0%
During the ninth academic week
0%
During the tenth academic week
0%
*This applies to a new student's right to cancel in the first week of their program quarter of attendance only.
Return of Title IV Funds Policy AIU Online follows the federal Return of Title IV Funds Policy to determine the amount of Title IV
aid a Student has received and the amount, if any, which needs to be returned at the time of withdrawal. For details regarding this policy,
please see the AIU Online catalog.
Policies and Disclosures

1.
Catalog: Information about AIU Online is published in a catalog that contains a description of certain
policies, rules, procedures, and other important disclosures and information about the University and the
educational programs offered. AIU Online reserves the right to change any provision of the catalog at any
time as provided in the following paragraph. Students are expected to read and be familiar with the
information contained in the University catalog, in any revisions, supplements and addenda to the catalog,
and with all University policies. By enrolling in AIU Online, the Student agrees to abide by the terms
stated in the catalog and all University policies.
2.
Student Handbook: Students are provided with an electronic copy of the AIU Online Student Handbook
prior to starting classes. Students are expected to read and be familiar with the information contained in
the AIU Online Student Handbook. By enrolling in AIU Online, the student agrees to abide by all policies
stated in the AIU Online Student Handbook.
3.
Changes: AIU Online reserves the right to make changes at any time to any provision of the catalog,
including academic programs and courses, University policies and procedures, faculty and administrative
staff, the University calendar and other dates, and other provisions. AIU Online also reserves the right to
make changes at any time to the amount of tuition. Notice of changes will be communicated in a revised
catalog, an addendum or supplement to the catalog, or other written format. AIU Online also reserves the
right to make changes in equipment and instructional materials, to modify curriculum, and when size and
curriculum permit, to combine classes.
4.
Elimination of Classes: AIU Online reserves the right to cancel or postpone a scheduled class start when
the number of students scheduled to start the program is not sufficient as determined by AIU Online. If
the Student does not choose to change to a different start date, the Student will be eligible for a full refund.
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5.
Transfer of Credits: The awarding of credit for coursework completed at any other institution is at the
sole discretion of AIU Online. Additionally, AIU Online does not imply, promise, or guarantee that any
credits earned at AIU Online will be transferable or accepted by any other institution. It is the Student's
obligation to ascertain in advance of enrollment whether a possible recipient institution will recognize a
course of study or accept credits earned at AIU Online.
6.
Success of Student: The Student's individual success or satisfaction is not guaranteed, and is dependent
upon the Student's individual efforts, abilities and application of himself/herself to the requirements of the
University. The undersigned acknowledges receipt of the University's Hardware/Software Requirements
and Student Software Agreement. The student has regular access to a computer that meets these
specifications as required for the degree program of study and agrees to adhere to the requirements of the
Student Software Agreement. Graduates/completers who obtain employment after graduation typically
start out in an entry-level position. Career advancement and the success or satisfaction of an individual
student are not guaranteed and depend on a variety of factors including, without limitation, a Student's
abilities, personal efforts, employer and the economy. Career advancement assistance for a specific
industry position may be enhanced by the education received but will depend on an individual's abilities,
attitude, and prior relevant experience as well as the economy and local job market.
7.
Student's Failure to Meet Obligations: AIU Online reserves the right to terminate the Student's
enrollment for failure to maintain satisfactory academic progress, failure to pay tuition by applicable
deadlines, disruptive behavior, posing a danger to the health or welfare of students or other members of
the AIU Online community, conviction of a crime, failure to abide by AIU Online policies and procedures
or any false statements in connection with this enrollment. AIU Online can discontinue the student's
enrollment status, not issue grades, and deny requests for transcripts should a student not meet all of his/
her financial and institutional obligations or for any false statements in connection with this enrollment.
8.
Employment: AIU Online does not guarantee employment or career advancement following graduation
but does offer career planning assistance to students and graduates as described in the catalog. Some job
or internship/externship opportunities may require substantial travel, background checks, and/or drug
testing. Applicants with factors such as a prior criminal background or personal bankruptcy or failed drug
test may not be considered for internship/externship or employment in some positions. Employment and
internship/externship decisions are outside the control of the University. Graduates of some programs
may require additional education, licensure, drug testing and/or certification for employment in some
positions. AIU Online maintains information in its Career Services offices regarding the specific initial
employment that its graduates obtain. It is available to students to review upon request.
9.
No Salary Representations: AIU Online does not make any representations or claims to prospective or
current students regarding the starting salaries of its graduates or the starting salaries of jobs in any field
of employment. The salaries that may be earned by any particular graduate/completer are subject to many
variables including, among other things, the student's abilities, efforts and prior relevant experience as
well as the needs in the industry, the economy, and the local job market for the employment and freelance
opportunities sought by the student. By signing this form, the Student confirms that s/he has not been
promised anything about salaries and that the Student has not relied on anything heard or read from AIU
Online regarding anticipated salaries in deciding to enroll at AIU Online and/or deciding to continue to
attend.
10.
Virtual and Ground Graduation: The undersigned understands that graduation from the online degree
program carries with it the opportunity to participate in an online graduation ceremony. Graduates from
the online degree programs also have the option of participating in a ground graduation ceremony at times,
dates and locations designated by the University. Such times, dates and locations are subject to change.
Any and all costs incurred for travel to and from the ground graduation ceremony will be the sole
responsibility of the graduate.
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11.
Use of Images and Works: The undersigned agrees that AIU Online may use his/her name, voice, image,
likeness, and biographical facts, and any materials produced by the Student while enrolled at AIU Online,
without any further approval or payment, unless prohibited by law. The undersigned acknowledges that
the foregoing permission includes the right to tape and photograph him or her and to record his or her
voice, conversation and sounds for use in any manner or medium in connection with any advertising,
publicity, or other information relating to AIU Online.
12.
Notice of Non-Discrimination: AIU Online does not discriminate, or tolerate discrimination against
any member of its community on the basis of race, color, national origin, ancestry, sex/gender, age, religion,
disability, pregnancy, veteran status, marital status, or any other status protected by applicable federal,
state or local law in matters of admission or in any aspect of the educational programs or activities it offers.
The following person has been designated to coordinate inquiries regarding Title IX: Issac George,
University Ombudsman, 231 N. Martingale Road, Schaumburg, IL 60173, (847) 851-5122,
igeorge@aiuonline.edu. The following person has been designated to coordinate inquiries regarding ADA/
Section 504:Chris Sienza, Director of Student Success,231 N. Martingale Road, Schaumburg, IL 60173,
(847) 851-5296, csienza@aiuonline.edu.
13.
Pre-recorded Messages: The Student understands that s/he may periodically receive pre-recorded
messages during his/her time as a student at AIU Online. These pre-recorded messages are considered
"informational" and are intended to notify students of information that may be of interest to them (e.g.,
changes in class schedules or upcoming events at the school such as orientation).
14.
Agreement to submit to AIU Online's Grievance Procedure: The Student agrees to submit any claim,
dispute, or controversy that the Student may have arising out of or relating to his or her recruitment,
enrollment, attendance, education, financial aid assistance, or career service assistance by the University
to AIU Onlines Grievance Procedure set forth in the University catalog. The parties agree to participate
in good faith in AIU Onlines Grievance Procedure. Compliance with AIU Onlines Grievance Procedure
is mandatory and is a condition precedent to the Student commencing arbitration or otherwise pursuing
his or her claim. Notwithstanding the preceding sentence, if a statute or other legal authority specifically
bars AIU Online from requiring the Student to utilize AIU Onlines Grievance Procedure, or if a court of
competent jurisdiction determines that such a requirement is unenforceable with regard to the Student,
then the preceding sentence shall be severed and shall have no force and effect, and the Student may, but
will not be required to, submit his or her claim to AIU Onlines Grievance Procedure. AIU Online may
waive any or all limitations and requirements set forth in this provision. Such waiver shall not waive or
affect any other portion of the Enrollment Agreement, this paragraph, or the Arbitration Agreement. Other
grievance procedures - This provision is in addition to any grievance procedure specifically provided for
by statute or rule to the extent that the claims are within the scope of such statute or rule.
15.
Agreement to Arbitrate:Any disputes, claims, or controversies between the parties to this Enrollment
Agreement arising out of or relating to (i) this Enrollment Agreement; (ii) the Student's
recruitment,enrollment, attendance, or education; (iii) financial aid or career service assistance by AIU
Online; (iv)any claim, no matter how described, pleaded or styled, relating, in any manner, to any act or
omission regarding the Students relationship with AIU Online, its employees, or with externship sites or
their employees; or (v) any objection to arbitrability or the existence, scope, validity, construction, or
enforceability of this Arbitration Agreement shall be resolved pursuant to this paragraph (the Arbitration
Agreement). For purposes of this Section, the term AIU Online includes the School, its officers,
directors and employees, and its affiliates, subsidiaries and parents, and any officers, directors, and
employees of such entities. This Arbitration Agreement will not apply to claims by either party against
the other for relief of $5,000 or less, or any claim that could be brought in a small claims court or other
court of competent jurisdiction for claims not exceeding $5,000. Choice of Arbitration Provider and
Arbitration Rules - Unless the parties agree to an alternative, the arbitration shall be administered by the
American Arbitration Association ("AAA"). The arbitration shall be before a single arbitrator. The AAA's
Commercial Arbitration Rules, and applicable supplementary rules and procedures of the AAA, in effect
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at the time the arbitration is brought, shall be applied. Copies of the AAAs Rules may be obtained from
AIU Onlines Campus President. Location of arbitration All in-person hearings and conferences in the
arbitration shall take place in a locale near Student, so long as that location is in the continental United
States or unless the Student and University agree otherwise. In the event the Student is not located in the
continental Unites States, such in-person hearings and conferences requested by the Student in the
arbitration shall take place in a locale near the Universitys Illinois offices, unless the Student and
University agree otherwise, or the arbitrator directs a different locale based upon the location and
convenience of the necessary witnesses. Language - The language of the arbitration shall be in English.Any
party desiring or requiring a different language shall bear the expense of an interpreter. Choice of Law The arbitrator shall apply federal law to the fullest extent possible, and the substantive and procedural
provisions of the Federal Arbitration Act (9 U.S.C. 1-16) shall govern this Arbitration Agreement and
any and all issues relating to the enforcement of the Arbitration Agreement and the arbitrability of claims
between the parties. Costs, fees, and expenses of arbitration - Each party shall bear the expense of its own
counsel, experts, witnesses, and preparation and presentation of proofs. All fees and expenses of the
arbitrator and administrative fees and expenses of the arbitration shall be paid by the parties as provided
by the AAAs Commercial Arbitration Rules, including the Supplementary Procedures for ConsumerRelated Disputes, to the extent applicable, unless otherwise provided by the rules of the AAA governing
the proceeding, or by specific ruling by the arbitrator, or by agreement of the parties. Information about
the arbitration process also can be obtained from: AAA at www.adr.org. or 1-800-778-7879. Relief and
remedies - The arbitrator shall have the authority to award monetary damages and may grant any
nonmonetary remedy or relief available by applicable law and rules of the arbitration forum governing the
proceeding and within the scope of this Enrollment Agreement. The arbitrator will have no authority to
alter any grade given to the Student or to require AIU Online to change any of its policies or procedures.The
arbitrator will have no authority to award consequential damages, indirect damages, treble damages or
punitive damages, or any monetary damages not measured by the prevailing party's economic damages
unless such relief is expressly provided for by applicable law. The arbitrator will have no authority to
award attorney's fees except as expressly provided by this Enrollment Agreement or authorized by law or
the rules of the arbitration forum. Class and consolidated actions - There shall be no right or authority for
any claims within the scope of this Arbitration Agreement to be arbitrated or litigated on a class basis or
for the claims of more than one Student to be arbitrated or litigated jointly or consolidated with any other
Student's claims. Arbitrators Award At the request of either party, the arbitrator shall render a written
award briefly setting forth his or her essential findings and conclusions. Judgment on the award rendered
by the arbitrator may be entered in any court having jurisdiction. Severability and right to waive - If any
part or parts of this Arbitration Agreement are found to be invalid or unenforceable by a decision of a
tribunal of competent jurisdiction, then such specific part or parts shall be of no force and effect and shall
be severed, but the remainder of this Arbitration Agreement shall continue in full force and effect. Any or
all of the limitations set forth in this Arbitration Agreement may be specifically waived by the party
against whom the claim is asserted. Such waiver shall not waive or effect any other portion of this
Arbitration Agreement. Survival of provisions of this agreement This Arbitration Agreement will survive
the termination of the Student's relationship with the University.
16.
NOTICE: Any holder of this consumer credit contract is subject to all claims and defenses which the
debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds
hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor hereunder.
17.
Assignment: None of the rights of the Student or the Student's parent under this Enrollment Agreement
are assignable to any other person or entity.
18.
Entire Agreement: This Enrollment Agreement constitutes the entire agreement between Student and
AIU Online concerning all aspects of the education and training the Student will be provided by the
University. By signing this agreement, the Student agrees that no binding promises, representations or
statements have been made to the Student by AIU Online or any employee of AIU Online regarding any
aspect of the education and training the Student will receive from the University or prospects of
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employment or salary upon graduation that are not set forth in writing in this Enrollment Agreement. AIU
Online will not be responsible for any representation, statement of policy, career planning activities,
curriculum or facility that does not appear in this Enrollment Agreement or the University catalog.
19.
Electronic Correspondence: The undersigned provides consent to receive and/or sign electronic records,
and to confirm the undersigned's ability to access all of the disclosures, records, and other information
provided in electronic form. If the student withdraws consent, the terms of the previously delivered
Electronic Records will continue to apply to his/her related transactions with the University. Use of the
Services includes agreement to the terms of the previously delivered Electronic Records. Withdrawal of
consent to receive Electronic Records will not change the fact that terms were agreed to when the Service
was first used.
20.
Additional Tuition: The undersigned understands that any additional course work that results from the
option to complete lower level or prerequisite requirements, failed courses, or program changes may result
in additional tuition charges.
21.
Information for Residents of Certain States:

Wisconsin residents :Regardless of any other stipulations contained in this contract, the Wisconsin student
always has the right to file a complaint with the Wisconsin Educational Approval Board at (608) 266-1996
or EABmail@eab.wisconsin.gov.
By checking this box I acknowledge that:

*
I have read and fully understand the statements contained in this enrollment agreement. I further understand that
AIU is relying on my acknowledgement, understanding, and truthful representation in making its decision to enroll
me at AIU.
The information contained in this enrollment agreement supersedes all prior or other verbal or written statements
and agreements that may have been made by AIU or any employees of AIU regarding the subject matters set forth
in this enrollment agreement.
I will not start any class at AIU until I am completely satisfied that my understanding of the disclosures concerning
AIU, its programs, and outcomes is entirely consistent with all of the statements contained in this disclosure form.
I acknowledge and represent that my discussions with the admissions representative were entirely consistent with
the above disclosures.
I understand that AIU cannot guarantee employment or salary.

By checking this box and providing my contact information:
I am giving AIU consent to contact me by email or telephone, including text message. These calls may be pre-recorded
messages and/or use an automated dialing system.
By signing this agreement, I certify that I have received a complete copy of this Agreement, and that I have read, understand and agree
to comply with all of its terms. I also acknowledge that I have received and had an ample opportunity to review a copy of the AIU Online
catalog in one of the following formats: printed (hard copy), CD-ROM, or downloaded from the AIU Online registration site, and I
agree to comply with all school disclosures, policies and rules contained therein. I also understand and agree that this Agreement
supersedes all prior or contemporaneous verbal or written statements and agreements made by AIU Online or any employees of AIU
Online and that no binding promises, representations or statements have been made to me by AIU Online or any employee of AIU Online
regarding any aspect of the education and training I will receive from the school or the prospects for employment or salary upon
graduation that are not set forth in writing in this Agreement. I further understand and agree that this Agreement may not be modified
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without the written agreement of me and AIU Online except that the stated tuition is subject to change at the discretion of AIU Online.
I hereby certify that all information I provided in my application for admission to AIU Online is complete, accurate and up to date.
Once I sign this Agreement, and AIU Online accepts this Agreement, I understand that a legally binding contract will be created. My
signature indicates that I agree to all of the above terms.
I understand that American InterContinental University Online cannot guarantee employment or salary.
THIS CONTRACT CONTAINS A BINDING ARBITRATION PROVISION WHICH MAY BE
ENFORCED BY THE PARTIES
sonia maria reina mokuy
ondo baha
Signature of Student
Printed Name
Date
the age of 18)
Printed Name
Date
Admissions Advisor
Printed Name
Date
Signature of Parent or Guardian (required if Student is under
ACCEPTED BY AMERICAN INTERCONTINENTAL UNIVERSITY
Signature of Authorized School Representative

Printed Name and Title
Date
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WISCONSIN RESIDENTS ONLY:

Customers Right to Cancel
Date of Transaction is provided on

previous page
You may cancel this transaction, without any penalty or obligation, within three business days (72 hours) from
the date noted on the previous page. (Saturdays, Sundays and holidays are not business days.) If you cancel,
any property traded in, any payments made by you under the contract or sale, and negotiable instruments executed
by you will be returned within 10 business days following receipt by the seller of your cancellation notice, and
any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to
the seller at your residence, in substantially as good condition as when received, any goods delivered to you
under this contract of sale; or you may, if you wish, comply with the instructions of the seller regarding the
return shipment of the goods at the sellers expense and risk. If you do make the goods available to the seller
and the seller does not pick them up within 20 days of the date of your notice of cancellation, you may retain
or dispose of the goods without any further obligation.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written
notice, or send a telegram to the Student Affairs Department at AIU Online no later than midnight of:
____________________, ___________________ (72 hours from the date noted on the previous page).
Note: Purchase of educational goods and services offered by a school is deemed to take place when written and
final acceptance is communicated to the student by the school. If the representative who enrolls you is authorized
to grant written acceptance at the time you enroll, and does so, the cancellation period ends at the time specified
above. If you have not been accepted in writing at the time you enroll, the cancellation period does not end until
midnight of the third business day after the day you receive written acceptance by certified mail from the school.
I hereby cancel this transaction.
Date
Buyers Signature
Buyers Name Please Print ____________________________

Street Address,City,State,Zip Code ___________________________________
initials in box
Page 9 of 9
Place parent's
initials in box
12/03/15-0993520


Student Name (print)sonia maria reina mokuy ondo baha
Student Disclosure Form

As part of our enrollment process, American InterContinental University (the School) asks
you and your admissions advisor to read the following information to acknowledge your
mutual understanding of, and agreement to, each of the following important points.
1. Accreditation: The School is institutionally accredited by the Higher Learning Commission (HLC), which is a
member of the North Central Association of Colleges and Schools (NCA), a regional accrediting agency recognized
by the United States Department of Education (USDE). Additional information is available at
www.ncahigherlearningcommission.org or 312-263-0456. This indicates that the School substantially meets or
exceeds the stated criteria of education quality established by HLC and approved by the USDE. USDE recognition
of institutional accreditation by HLC, entitles the School to offer Title IV Financial Assistance to students who
qualify. Individual programs may also be programmatically accredited by outside agencies. Programmatic
accreditation may enhance employment opportunities or allow graduates to sit for some credentialing or licensure
exams upon graduation. No one at the School, including my admissions advisor, has made any representations or
guarantees regarding accreditation other than what has been provided to me in writing by the School in the School
Catalog and/or a separate disclosure.
2. Transfer of Credits: The awarding of credit for coursework completed at any other institution is at the sole
discretion of the School. Additionally, the School does not imply, promise, or guarantee that any credits earned
at the School will be transferable or accepted by any other institution. It is the Students obligation to ascertain in
advance of enrollment whether a possible recipient institution will recognize a course of study or accept credits
earned at the School.
3. Academic Standards: My admissions representative explained that the School has academic standards that I must
meet or exceed in order to progress in my program. I understand that I will be required to attend class, participate
in the classroom, complete homework assignments, and meet deadlines in order to remain enrolled at the School.
4. Attendance/Course Participation: My admissions representative explained that the Schools attendance/course
participation policy is detailed in the School Catalog and that I am required to read it and abide by it. I understand
my education may be interrupted or terminated should I fail to comply with the attendance/course participation
policy, and that my failure to attend classes (or participate online) in accordance with the policy may result in a
failing grade in or withdrawal from class. I understand that I may be required to retake any failed or withdrawn
course at an additional cost and, if I am required to retake any course, my date of graduation will likely be extended,
which may ultimately impact my financial aid eligibility. I also understand that if I am withdrawn from the program,
I may be required to reapply for admission and acceptance will be based on my eligibility at that time.
5. Code of Conduct:Each student has the responsibility to refrain from any behavior that detracts from the reputation,
safety and security of the School. This requires that students cooperate and comply with the Schools policies as
reflected in the School Catalog, as well as with respect to local, state and federal laws and regulations. My
admissions representative explained and I understand that if I fail to comply with the Schools policies and
procedures or with any local, state or federal law or regulation, I may be subject to disciplinary action, up to and
including dismissal from the School.
6. Financial Responsibility: I understand that financial aid is available to those who qualify and that I may qualify
for student loans and/or grants depending upon the financial information that I provide and the criteria and
requirements of the lender or grant awarder. Any substantive discussions regarding qualification for financial aid
are conducted with financial aid personnel. No one at the School guaranteed that I will receive any loans or grants,
or the amount or terms of any loans or grants. I further understand that if I receive loans, I will be responsible for
repaying the loans. I understand that loans must be repaid. I also understand that no one at the School is a financial
advisor and no one has made any representations about my ability to repay my loans after graduation. I understand
BE SURE TO READ ALL PAGES OF THIS AGREEMENT
Student Disclosure Agreement
08/01/13 Go Live 08/01/13
Page 1 of 4
231 N. Martingale Road, 6th Floor * Schaumburg, IL 60173 * Tel: 1-877-701-3800 * www.aiuonline.edu

that I am responsible for repaying my loans regardless of my satisfaction with the institution or completion of my
program of study. I further understand that I must pay for education charges according to my agreed upon terms
and that a delinquent tuition account may be grounds for dismissal and may cause the lender(s) to pursue legal
remedies against me and/or any of my co-borrowers. I understand that if I choose to begin my coursework without
having my financial aid paperwork complete, I am still liable for any charges that accrue based on the applicable
refund policy as outlined in the School Catalog. I also understand that my education may be interrupted or terminated
should I fail to complete the financial aid requirements. Finally, I understand that education charges are subject to
change by the School. If you receive public benefits that are based on income, those benefits may change if you
receive financial aid in the form of loans, grants, or a debit card. Before accepting financial aid, you should contact
your benefit provider to see if financial aid will change your benefits.
7. Housing and Jobs While Attending School: Although employment and housing in the immediate area of the
School may be available, I understand that there is no guarantee of employment or housing while attending the
School.
8. Factors Affecting Employment: Employers, industries, and jurisdictions are largely free to set their own
requirements for employment, and these requirements are not controlled by the School and may change at any time
without notice to me or the School. Graduates/completers from the School who obtain employment after graduation
typically start out in an entry-level position. The School cannot guarantee me employment, career advancement,
or my individual success or satisfaction. These items depend on a variety of factors including, without limitation,
my abilities, personal efforts, and attitude, as well as the economy, the local job market, prior relevant experience,
and any other credentials or requirements established by my jurisdiction, industry or employer. For instance, I
understand that there may be certification, permit, and/or licensure requirements or exams that may be generally
needed to be employed in the field. However, no one at the School has made any representations or guarantees
regarding my ability to take or successfully pass any applicable certification or licensure exams, other than what
has been provided to me in writing by the School in the School Catalog and/or a separate disclosure. Further, no
one at the School has implied or guaranteed that I would obtain a particular credential upon graduation, other than
the degree, certificate or diploma conferred upon successful completion of my program. I understand that further
study or experience may be required to be eligible to take certain exams or receive certain credentials, and that I
may have to successfully pass such exams or receive such credentials in order to obtain certain employment.
Depending on where I reside, I also understand that I may have to relocate to pursue certain opportunities. Before
starting my program at the school, I understand it is my responsibility to investigate any such requirements, including
those that are generally needed to be employed in my field of study, and that I should confirm that the program in
which I am enrolling will help me reach my goals.
9. Specific Factors That May Preclude Employment (e.g. Criminal Background Checks/Medical Testing):
Companies, agencies or institutions that accept students for externship/internship placement and/or potential
employment may consider a variety of factors that will prevent an applicant from qualifying for employment.
These factors are not controlled by the School, and may change at any time without notice to me or the school.
For example, entities routinely conduct a criminal and/or personal background check, and the results may affect
my employability. I understand that students with backgrounds that include criminal conduct (e.g., misdemeanor
or felony charges or convictions, including those that involve dishonesty or are drug related, or involve conduct
that may not have been considered a crime, felony or misdemeanor in the jurisdiction in which the conduct occurred)
or financial issues, such as bankruptcy, may not be accepted by these companies, agencies, or institutions for an
externship/internship or employment following completion of the program. I also understand that some employers
or externship/internship sites may require candidates to submit to a drug test, and may deny employment based on
substances that are lawfully prescribed. I understand that a medical condition or drug use may prevent a student
from obtaining employment or placement at externship/internship sites. My admissions representative encouraged
me to discuss any questions regarding how these issues may affect my externship/internship or possible future
employment with the head of academics prior to beginning my program. I acknowledge that it is my responsibility
to investigate any such requirements, before starting my program and throughout my education at the School, and
my responsibility to confirm that I will be able to pursue my goals upon graduating from the program.
08/01/13 Go Live 08/01/13
Page 2 of 4

10. Career Services: My admissions representative explained that the School will offer career services assistance as
described in the School Catalog. I acknowledge that opportunities may be available at locations other than where
I live, and that graduates may therefore have to relocate in order to obtain employment. My admissions
representative also explained that the School does not and cannot guarantee employment. I acknowledge that no
one at the School made any express or implied promises or guarantees regarding employment.
11. Salaries: Any information provided by the School regarding salaries is for general information purposes only.
The School does not make any representations or claims to prospective or current students regarding the starting
salaries of its graduates or the starting salaries of jobs in any field of employment. The salaries that may be earned
by any particular graduate/completer are subject to many variables including, among other things, the student's
abilities, efforts and prior relevant experience as well as the needs in the industry, the economy, and the local job
market for the employment and freelance opportunities sought by the student. The School cannot guarantee
employment or salary, or any range of salaries. By signing this form, the Student confirms that s/he has not been
promised anything about salaries and that the Student has not relied on anything heard or read from the school
regarding anticipated salaries that influenced my decision in deciding to enroll at the school and/or deciding to
continue to attend.
12. My Responsibility to Myself: The School did not make any representations to me about my ability to repay my
loans (to the extent I take out any loans to finance my education). I acknowledge the need to research the job
markets where I am interested in working to learn more about the job qualifications required and potential salaries
available to people who will be in similar circumstances to me after I graduate from my program. I am responsible
to prepare my own budget and make my own estimates of my earnings potential based on my own research about
potential entry level jobs and/or career advancement. I expect the School to provide me with education, training
and career services assistance. However, the jobs and salaries I ultimately obtain will depend, among other things,
on my abilities, attitude, prior relevant experience, the economy and the local job market.
13. Graduation Rate and Employability: I acknowledge being informed that the Student Outcomes Disclosure Form
is available on the School website. I also acknowledge that no one at the School provided, and I have not relied
and will not rely upon, any graduation rates, employment or placement information, different than the information
in this Disclosure Form. I further acknowledge that the disclosed rates reflect historical outcomes and should not
be relied on by anyone as an implicit or explicit representation or promise of future outcomes or employability for
any student following completion of a program of study. I understand that numerous individual and market factors
contribute to the likelihood of me securing a job after graduation and the School has little or no control over many
of these factors and, thus, cannot guarantee or estimate the likelihood of employment to me.
14. Acknowledgement of Externships/Internships/Practical Experiences: Many programs offer the opportunity,
and some programs require students to participate in an approved externship, internship, or practical experience at
a third-party facility, in order to receive practical education and/or to earn credit toward my program. The facility
may be located a significant distance from my School or home, may operate 24 hours a day, or utilize non-standard
scheduling. Although the School will assist me in finding such an opportunity, and my personal preferences will
be considered, I acknowledge that no one at the School has made any representation or guarantee that I will be
placed at any specific facility, at a specific time, or for specific working days or hours, and that I am responsible
for transportation and expenses during this opportunity.
By checking this box, I acknowledge that:

*
I have read and fully understand the statements contained in this disclosure form. I further understand that
the School is relying on my acknowledgement, understanding, and truthful representation in making its
decision to enroll me at the School.
The information contained in this disclosure form supersedes all prior or other verbal or written statements
and agreements that may have been made by the School or any employees of the School regarding the subject
matters set forth in the disclosure form.
08/01/13 Go Live 08/01/13
Page 3 of 4

*
I will not start any class at the School until I am completely satisfied that my understanding of the disclosures
concerning the School, its programs, and outcomes is entirely consistent with all of the statements contained
in this disclosure form.
One requirement for admission is to provide a valid proof of graduation from high school or its equivalency.
I understand that the School cannot guarantee employment or salary.

By checking this box, I acknowledge and represent that my discussions with the admissions advisor were
entirely consistent with the above disclosures.
sonia maria reina mokuy ondo baha

Printed Name of Student
Student Signature
Date
............................................................................................................................................................................
Student Name:
By my signature below, I acknowledge and represent that my discussions with the Student were entirely consistent
with the above disclosures.
Printed Name of Admissions Advisor
Admissions Advisor Signature
Date

08/01/13 Go Live 08/01/13
Page 4 of 4
GRADUATION FROM A U.S. HIGH SCHOOL OR ITS EQUIVALENT

ATTESTATION STATEMENT:
I,
,have applied for admission as a student at

I understand that one requirement for admission to AIU Online is graduation from a U.S. high school or
its equivalency.
I hereby certify that:
I graduated from:
spanish school
(Name of High School)
bata
GQ
2008
(City)
(Country)
(Date of Graduation*)
If, for any reason, this attestation of high school graduation or GED/home school completion is found to
be false or untrue, I understand that I will not have met an admission requirement of AIU Online and I will
not be considered a regular student, and thus, will be subject to immediate dismissal from the University.
Furthermore, I understand that if this attestation is found to be false or untrue, all Title IV financial aid or
any state or institutional financial aid that was disbursed on my behalf must be refunded to the appropriate
source, and that I will be responsible for payment to AIU Online for any and all monies refunded.
By my signature below, I attest the information provided is true and correct to the best of my knowledge.
Student Signature
(Electronic):
Date:
Student Signature:
Date:
*High School students who have not yet completed high school should note their anticipated date of graduation and indicate that the
date is not yet final.

Rev 4/9/2012
sonia maria reina mokuy ondo baha / 25229111 / 30418297 / [1670848]

BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY
PROGRAM DISCLOSURE FORM
INSTITUTIONAL ACCREDITATION
Accreditation is a voluntary process which may be undertaken by schools to demonstrate compliance with specific standards designed to
indicate a level of education quality. American InterContinental University (AIU) is institutionally accredited by the Higher Learning Commission
(HLC), a regional accrediting agency recognized by the United States Department of Education. Additional information is available at
www.hlcommission.org or 312-263-0456. The recognition of institutional accreditation by HLC indicates that AIU substantially meets or
exceeds the stated criteria of education quality established by HLC and entitles AIU to offer Title IV Financial Assistance to those who qualify.
PROGRAMMATIC ACCREDITATION
An additional form of accreditation that a school may undertake to obtain is a specific, individual accreditation of certain programs
(programmatic accreditation). Institutional accreditation is not the same as or a substitution for programmatic accreditation. Although
programmatic accreditation is not required for employment in many cases, the existence of it is a further indication that a program meets the
standards of the profession, and may therefore indirectly enhance employment opportunities. Also, in some cases, programmatic accreditation
will allow the graduates of the accredited program to sit for some credentialing exams immediately upon graduation without any requirement
of work experience. The Bachelor of Science in Information Technology program at AIU is not programmatically accredited.
FACTORS AFFECTING EMPLOYMENT

Employers, industries, and jurisdictions (federal, state, and local) are largely free to set their own requirements for employment and
advancement, and these requirements are not controlled by the School and may change at any time without notice to the School. For example,
in the computer and information technology field, employers may favor applicants who have obtained certifications from product vendors,
computer associations, or other third-parties, have prior experience, and/or keep current on technological advances through continuing
education and professional development. This program is not designed to prepare students for a particular certification exam. In fact, in many
cases, graduates will have to obtain practical experience working in their field before they are eligible to apply for certification. Employers also
may be more likely to refrain from employing applicants with a criminal record, or other items that may be disclosed on a personal background
or credit check. These are non-exhaustive examples. Specific potential employers, industry groups, jurisdictions, and the latest edition of the
Bureau of Labor Statistics Occupational Outlook Handbook (see www.bls.gov/oco) are good places to start researching the specific
requirements for employment in this field. The School cannot guarantee that a graduate will be able to obtain a particular certification, permit,
or license or secure employment in the field upon graduation or at any time in the future. It is the students responsibility to investigate the
requirements before starting class to determine whether he/she will be eligible to pursue any particular employment and/or advancement in
this field upon graduation. Also, this program may not be approved in all states.
If you relocate while in school to a state that has not approved this program, you may not be able to continue in the program and/or obtain
employment after graduation.
By my signature below,I acknowledge and represent that I have read and fully understand the statements contained in the disclosure form,
and no representation or statement has been made to me by AIU, which contradicts the information contained in this disclosure. I further
understand that AIU is relying on my acknowledgement and representation in making its decision to enroll me in the Bachelor of Science in
Information Technology program.

Student Signature
Printed Name
Date
By my signature below, I acknowledge and represent that my discussions with the student were entirely consistent with the above disclosures.
Admissions Advisor Signature
Printed Name
Date
For Official Use Only
Rev. August 24, 2015
Page 1 of 1
HIGH SCHOOL REQUEST FOR TRANSCRIPTS

STUDENT INFORMATION
Name: sonia maria reina mokuy ondo baha
Name when attending, if different from above:
Social Security #:
Date of Birth: 08/19/1990
Current address of student: calle presidente naser

malabo
OC
City
State/Country
none
Zip/Postal Code
INFORMATION OF INSTITUTION ATTENDED

Please complete a separate form for each institution attended.
Name of High School:
spanish school
ATTN: Registrar/Records
Address of School:
bata
NA
City
State/Country
Zip/Postal Code
Telephone Number of School:

Date of High School Graduation:
1994
To:
2008
Please send one (1) official transcript for the above student to:
Attention: Registrar
231 N. Martingale Road, 6th Floor |Schaumburg, IL 60173
Toll Free Number: (877)221-5800, Option 3
Fax: (866)566-9524
Student Signature
(Electronic):
Date:
Student Signature:
Date:
For Office Use Only:
Payment of $ _________ is enclosed

Effective 3/15/12
COLLEGE REQUEST FOR TRANSCRIPTS

Please complete a separate form for each institution attended
INFORMATION OF INSTITUTION ATTENDED

Name of College:
aset
ATTN: Registrar/Records
Address of School:
Hareness Rd, Aberdeen AB12 3LE,
City, State, Zip/Postal Code:
aberdeen, OC none
Student: Please ensure that you fill out the address information above accurately so that we can receive your transcripts in a timely
manner.
STUDENT INFORMATION
Name: sonia maria reina mokuy ondo baha
Name when attending, if different from above:
Social Security #:
Date of Birth: 08/19/1990
Current address of student: calle presidente naser

City: malabo
State: OC
Dates Attended: 2012
Country: GQ
Zip/Postal Code:
none
To: 2013
Year
Year
Please send one (1) official transcript for the above student to:
Attention: Registrar
231 N. Martingale Road, 6th Floor |Schaumburg, IL 60173
Toll Free Number: (877)221-5800, Option 3
Fax: (866)566-9524
Student Signature
(Electronic):
Date:
Student Signature:
Date:
For Office Use Only:
Payment of $ _________ is enclosed

231 N. Martingale Road, 6th Floor * Schaumburg, IL * 60173 * Tel: 1-877-701-3800 * www.aiuonline.edu
Effective 3/15/12

AIU

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sonia maria reina mokuy ondo baha / 30418297 / [1670848]

APPLICATION FOR ADMISSION

American InterContinental University

First (Given) Name

Last (Family) Name

Home Address: calle presidente naser

Postal Code: none

Primary Email: soniamokuyondo@hotmail.com

Is English your first language?

Legal Permanent Resident?

If yes, please describe:

Date of Graduation: 2008

Please list all colleges/universities previously attended:

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848]

For Official Use Only:

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

Bachelor of Science in Information Technology

Date of first class

Anticipated Completion Date

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

Week of the Quarter

Student's Last Date of Attendance

During the 1st week of instruction of the program*

1st Session Tuition

2nd Session Tuition

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

Week of the Quarter

During the first week of the instruction of the program*

During the first academic week

During the second academic week

During the third academic week

During the fourth academic week

During the fifth academic week

During the sixth academic week

During the seventh academic week

During the eighth academic week

During the ninth academic week

During the tenth academic week

Policies and Disclosures

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

Information for Residents of Certain States:

By checking this box I acknowledge that:

I understand that AIU cannot guarantee employment or salary.

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

the age of 18)

Signature of Parent or Guardian (required if Student is under

ACCEPTED BY AMERICAN INTERCONTINENTAL UNIVERSITY

Signature of Authorized School Representative

Printed Name and Title

American InterContinental University

sonia maria reina mokuy ondo baha / 30418297 / [1670848] / 12/03/15-0993520

WISCONSIN RESIDENTS ONLY: