Application for Admissions

Name:____________________________________________________________________________________________ (Last Name) (First Name) (Middle)

0611• 9288

14. International Student Information

Will you need a non-immigrant student visa to attend this school? Yes No

15. Do you desire assistance in seeking part-time employment while in school? (Please check one) Yes No

16. Extracurricular Activities: List extracurricular activities in which you have participated (such as societies, sports, service organizations) including leadership positions you have held.

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

17. How did you hear about The Art Institute of Charlotte?

18. Have you visited The Art Institute of Charlotte? Yes No If yes, date visited:

19. When you attend The Art Institute of Charlotte, will you: Apply for school-sponsored housing? Commute?

20. Applicant Essay:Because we are interested in YOUR ideas and YOUR ability to express yourself, you are not permitted to receive any assistance from others in creating this essay. Failure to follow this instruction may be grounds for rejection of your application or, if you are accepted, grounds for dismissal from the program.

Please respond to the following question with focused, organized paragraphs of approximately 150 words:

What are your career goals and how do you expect your education at The Art Institute of Charlotte to help you attain them? In what ways will youparticipate and commit to your education in order to be successful?

submitting a college transcript showing relevant courses, by submitting a portfolio, or by writing a brief essay (250 words) in response tothe following prompt:

Digital Image Management: Please identify an image in an advertisement found in a popular magazine that you think successfully advances its purpose. Please identify elements of the image and describe how these elements advance the purpose of the advertisement. Your essay shouldaddress line, shape, value, texture, and color. Fashion Retailing: Please identify the fashion retail store that you think has the most successful buying experience for its customers. Please identify the elements of the store that add to the experience in a positive manner and describe how those elements add to the buying experience.Your essay should address line, shape, value, texture, and color. Web Design & Interactive Media: Please identify a website that you think provides an outstanding experience to the user. Please identify the elements of the site that add to the Web Design & Interactive Media. Experience in a positive manner and describe how those elements add to the experience of the site. Your essay should address line, shape, value, texture, and color.

21. By signing below, you certify that the following:a) I will submit my typed or handwritten essay on a separate sheet of paper within 48 hours of my application.b) All information is true and complete to the best of my knowledge. I understand that it is my responsibility to provide proof of high school

graduation and I agree to submit my �nal high school transcript or my o�cial GED scores and all postsecondary transcripts (”Prior Educational Transcripts”) in order to complete my application. I understand that admission to The Art Institute of Charlotte is contingent upon, among other things, the school’s receipt of all Prior Educational Transcripts, satisfaction of all admissions criteria, the school’s acceptance of my application, and my signature on and the school’s acceptance of the Enrollment Agreement. I authorize all of the schools I have attended to release copies of my Prior Educational Transcripts.

By this application, you: (a) certify that your information on this application is true and complete; (b) agree that we may request a consumer credit report about you from one or more credit reporting agencies; (c) agree that we may ask third parties, governmental agencies and credit reportingagencies to verify information about you; and (d) agree that we may share information with lenders. We will, upon your request, inform you if we requested a consumer report about you and provide you with the name and address of the consumer reporting agency that furnished the report. You understand that you are providing “written instruction” to us under the Fair Credit Reporting Act authorizing us to obtain information from your personal credit �le.

Signature of Applicant Date

The Art Institute of Charlotte does not discriminate on the basis of race, color, creed, religion, national origin, ancestry, sex, age, sexual orientation, disability, genetic marker, or any characteristic protected by state, local, or federal law in the admission to any of its educational programs or activities or with respect to admissions or employment. The Art Institute of Charlotte is a member of The Art Institutes, one of the nation’s leaders in career-oriented education for the creative arts.

See aiprograms.info for program duration, tuition, fees, and other costs, median debt, federal salary data, alumni success, and other important info.

CREATE TOMORROW

2110 Water Ridge ParkwayCharlotte, NC 28217-4536

Toll-Free: 800.872.4417Local: 704.357.8020

www.artinstitutes.edu/charlotte

Accredited Member, SACS

9. Educational Background

THE APPLICANT IS RESPONSIBLE FOR PROVIDING THE ART INSTITUTE OF CHARLOTTE WITH ALL COPIES OF HIGH SCHOOL TRANSCRIPTS AND/OR PROOF OF COMPLETION OF GED OR ADULT HIGH SCHOOL DIPLOMA WHICH IS REQUIRED FOR CONSIDERATION BY THE ACCEPTANCE COMMITTEE. IF THE APPLICANT REQUESTS EARLY ACCEPTANCE (BEFORE COMPLETION OF HIGH SCHOOL), THE APPLICANT IS RESPONSIBLE FOR PROVIDING THE ART INSTITUTE OF CHARLOTTE COPIES OF PARTIAL TRANSCRIPTS AS WELL AS FINAL TRANSCRIPTS UPON HIGH SCHOOL GRADUATION.

Name of High School: Date of High School Graduation:

Address of High School:

(City) (State) (Zip)

Name of High School Counselor:

Cumulative Grade Point Average and Scale:

List all colleges, universities, or other postsecondary schools attended:

Yes No

Yes No

If yes, do not leave this answer blank — describe in full:

12. Program of study for which you are applying? (Please choose ONE of the following)

13. Start Dates: (Please choose ONE of the following)

Institution City/State Dates Attended Major Applying for Transfer of Credits?

Please complete this form in detail after reading it carefully. (Please Print)If additional space is needed, attach an extra sheet(s) of paper to the application

1. Name: (Last Name) (First Name) (Middle)

2. Social Security Number:

3. If any of your records is under a name other than the one given above (for example, your maiden name), please list the name(s) below:

(Last Name) (First Name) (Middle)

4. Permanent Address: (Street or PO Box) (Apt. #)

(City) (State) (Zip)

5. Current Address: (Street or PO Box) (Apt. #)

(City) (State) (Zip)

6. Telephone Home: ( ) Cell: ( )

Business: ( ) E-Mail:

7. Father (or guardian): Mother (or guardian):

Home: ( ) Home: ( )

Father’s address, if di�erent from your address Mother’s address, if di�erent from your address

(City) (State) (Zip) (City) (State) (Zip)

8. Spouse (if married): (Last Name) (First Name) (Middle)

DO NOT WRITE IN THIS AREA

Date Received

Amount Paid

Check Cash Money Order Credit Card

Source

$150.00 APPLICATION & ENROLLMENT FEE

ADA Numbers & Initials

Inquiry Number

Start Date Program

Culinary Management (BS)

Video Production (AAS)

Digital Filmmaking & Video Production (BFA)

Fashion & Retail Management (BA)

Graphic Design (BFA)

Interior DesignMedia Arts & Animation

(BFA)

Photography (BFA)Web Design & Interactive Media (BFA)Culinary Arts

(AAS)

Fashion & Retail ManagementFashion Design

(AAS)

Graphic Design (AAS)

Interior DesignRestaurant & Catering Management

(AAS)

Web Design & Interactive Media (AAS)

Art of Cooking (C)

Baking & Pastry (C)

Digital Design (C)

Digital Image Management (C)

Fashion Retailing (C)

Web Design (C)

Web Design & Development (C)

Web Design & Interactive Communications (C)

Quarter Starting Dates:January 7, 2013April 1, 2013July 8, 2013September 30, 2013

Mid-Quarter Starting Dates:November 8, 2012February 14, 2013May 19, 2013August 15, 2013

(BFA)

(AAS)

(AAS)Photography (AAS)