First Name: Last Name: Title: Facility/Company: Physical Address: City: State/Province: Zip/postal code: Country (if outside of the US): Email address: Work phone: Home phone: Fax:
S M L XL XXL XXXL
Men
Member Type: (choose one)
Active Allied Associate Student (Use this category only if you are not employed in a facility full-time.) Non-member
If you are not an IAAM member, do you work at a public facility which pays dues for an Active member?
No Yes
If yes, please enter Member's name.
If you have applied for Oglebay previously, indicate which year(s).
No, I do not need financial assistance. Yes, I do need financial assistance, and I am submitting a scholarship application.
I have read the requirements below for PAFMS at Oglebay completion.
• Timely completion of pre-school assignments. • Attendance at all classes. • Attendance at all required activities, including panels, round tables, etc.. • Completion and return of required course and school evaluation forms. • Payment of tuition and fees. I understand and agree, by submitting this application, that failure to meet these requirements may result in the Board of Regents not approving my graduation.
I have read and understood the cancellation policy
• There will be a $100 fee charged for cancellation at any time up to 30 days prior to the school. • Cancellations within 30 days of the start of the PAFMS, Friday, May 30th 5pm, either a 50% cancellation fee and a refund of 50% or a $200 cancellation fee and the remainder “rolled over” to the 2009 PAFMS. This option includes a guaranteed seat in 2009. Rollovers cannot be carried over beyond 2009. • Cancellation after 5pm Eastern Time Friday, May 30th, will receive NO cash refund option. A $300 cancellation fee will be applied and the remainder “rolled over” to the 2009 PAFMS and a guaranteed seat in 2009. Rollover cannot be carried over beyond 2009. • Cancellations after 9am Sunday, June 1st will receive NO considerations. • No substitutions will be accepted.
By checking this box, I am documenting the need for accommodations in testing in accordance with the Americans with Disabilities Act of 1990 and will contact the Enrollment Administrator with specifications.
I hereby apply for enrollment in the Public Assembly Facility Management School - at Oglebay and understand that the information acquired in the application process may be used for statistical purposes and for evaluation of the PAFMS at Oglebay program. I further understand that the information for my enrollment records will be treated confidentially. To the best of my knowledge, the information contained in this application is true, complete, correct, and is made in good faith. I understand the Regents reserve the right to verify any or all information on this application and that any incorrect or misleading information may constitute grounds for denying enrollment. I have read and understand all of the aforementioned information and agree to abide by terms and conditions contained herein. I understand that by typing my name in the box and submitting the application, I am authorizing IAAM to use and reproduce any photograph and/or copy for IAAM publicity and promotional purposes.
SIGNATURE: DATE: