Student Panel - Study CenterTexila American University

STUDY CENTER - APPLICATION FORM

Please note, this is a questionnaire that we wish to get your feedback on. This will help us to understand your organization better and your market better. Please fill this as per actual conditions.

Once we are satisfied with your application, we shall support your marketing efforts and also conduct seminars for you in your country. This may take Ten minutes of your time

Just type "NA" where ever Not Applicable

* Fields Are Mandatory

Institution Details

Full name of Institution *	Year of Incorporation *
Incorporation Certificate
Address *	Country *
Name and address of any branch or associated institutions (if applicable) and whether they will also offer the courses
Branch 1	Branch 2
Branch 1 Photo	Branch 2 Photo
Telephone *	Fax
E-Mail *
Principal/Directors Name *	Institution Established Date *
Are you registered with your local Ministry of Education? *	Yes No	Company Quote No:
Have you operated this institution under any other name? *	Yes No	Name:

Current Course Details

List here other courses that are offered at your institution and the approximate number of students enrolled each year. Please indicate whether the students are full-time or part-time *

List any professional or examining bodies which recognise your institution as a teaching centre. State whether this is an internal or external courses centre *

List any Courses held at your institution with the approximate numbers sitting at any one time. (These should be Courses of recognized examining bodies.) *
#	Course	Students per Annum
1
2
3
4
5
6
7
8
9
10

Facilities & Equipment

What facilities and equipment can your institution offer to students wishing to study the courses? Classrooms *

Photo:

Number of lecture rooms (capacity: 40 students +) Please list any teaching aids (eg Overhead Projector) *

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Number of large classrooms rooms (capacity: 20 - 39 students) Please list any teaching aids *

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Number of small classrooms (capacity: 8 - 19 students) Please list any teaching aids *

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Specialist Rooms

Number of large computer rooms (capacity: 16 students +) Please list hardware/software provision *

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Number of other Labs

Please list hardware/software provision *

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Programs Interested

Programs am interested to offer in my Center *

LAB BASED FULL TIME

Distance and ONLINE

Staff Details