Start Your Journey ISAM 360 South Africa

Student Full Name*

Student Email*

Student Mobile Number*

Student Date of Birth*

Full Name of Parent / Guardian 1*

Parent/Guardian Email 1*

Parent/Guardian Phone Number 1*

Full Name of Parent / Guardian 2

Parent/Guardian Email 2*

Please list all emails you wish to receive communication on

Parent/Guardian Phone Number 2*

Please provide the specific Instagram and Facebook handles for you and your parents so that we can tag you*

Please upload at least 3 different Images for ISAM 360 Welcome posts

File*

Max. file size: 50 MB.

File*

Max. file size: 50 MB.

File*

Max. file size: 50 MB.

Student Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Put AS ABOVE if the address is the same

Gender*

High School Name*

Current School Year Level*

I'm Interested in*

Please Confirm*

I understand that ISAM 360 will be applying for university/college entry for me first and foremost, not a college sports team.
Whilst I have advised them of my preferred sport, I understand I may be required to trial for the athletic/sporting program upon my arrival at a college and earn a position on the team.
I understand that whilst a student / parent may have specific preferences, the default search criteria that ISAM 360 will use to source opportunities for the customer, is budget.

What Sport will you be pursuing in the US/Canada? If not looking to play sport simply put NA*

Select the Scholarship you have been Awarded (as per email communication)*

Gold Scholarship

The ISAM 360 College Placement program inclusive of College Care, The Education and Development Program and the Sports Performance Program is 155,000 Rand. I understand that with a Gold Scholarship I will only be charged 69,890 Rand once off.

GOLD AWARD AMBASSADOR CONFIRMATION*

I Agree and Confirm

As a recipient of the ISAM 360 Gold Scholarship, the above student confirms that he/she will always represent herself/himself, their school, their family and ISAM 360 in the best possible manner. Gold Scholarship Students may also become ISAM 360 Ambassadors and should ISAM 360 return to the students school, the student understands that ISAM 360 may request assistance (within reason and only one time) in the promotion of the program. Requests inc but not limited to, social media, handing out of flyers etc Assisting ISAM 360 is not compulsory

Silver Scholarship

The total ISAM 360 program inclusive of College Care, The Education and Development Program and the Sports Performance Program is 155,000 Rand. I understand that with a Silver Scholarship I will only be charged 100,000 Rand on a 3 month payment plan

Bronze Scholarship

The total ISAM 360 program inclusive College Care, of The Education and Development Program and the Sports Performance Program is 155,000 Rand. I understand that with a Bronze Scholarship I will only be charged 120,000 Rand on a 6 month payment plan.

Post Graduate Study Assistance*

R15,500 ZAR or FREE if you have received a Gold Scholarship
Do Not Add Post Graduate Study Assistance to My Package

Post grad support - Management and support for Post Grad studies confirming ISAM 360 will be there to help you with the applications when the time comes upon graduation.

College Deferment Option*

R14,250 ZAR or FREE if you have received a Gold Scholarship
Do Not Add College Deferment Option to My Package

Deferment - For those on the ISAM 360 program who cannot start university overseas at their entry year point for whatever reason and ISAM 360 must then restart the search another year.

SA Transfer Assist Program*

R 49,350 ZAR or FREE if you have received a Gold Scholarship
Do Not Add SA Transfer Assist Program Option to My Package

SA transfer assist program* For South African students currently in university, who wish to try and transfer their credits to the USA to complete their undergraduate degree. *when sold separately does not incl. Budget saving pathways option or deferment

PARENTS!

Would you (parents) like more information on becoming an ISAM 360 Agent?*

YES
NO

The ISAM 360 Agent program is for teachers, coaches, and parents that want to help other young aspiring students and student athletes realize their dreams and find opportunities in the US College system. This is a role that also comes with financial incentives

In what way would you like to make payment?*

Credit Card/Debit Card Details

IMPORTANT: TO PREVENT FRAUD PLEASE NOTE THAT YOUR CARD WILL NOT BE CHARGED UNTIL CONFIRMATION HAS BEEN RECEIVED FROM YOU THAT YOU HAVE ADVISED YOUR BANK OF THIS TRANSACTION We do not accept AMEX. There will be no surcharge or bank fees, however the fees will be converted to Australian dollars which could be the difference of 200 ZAR to 2000 ZAR. We will return any funds over the amount payable immediately. We can provide a copy of the exchange rate and will return any excess.

Cardholders Name*

Card Number*

Card Expiration Date*

Direct Deposit

IMPORTANT! Please note by selecting this option, your Gold Scholarship is now on hold. Direct transfer payments for a Gold award are not approved until a parent speaks with Head Office. By selecting this option, your Gold Scholarship may be allocated elsewhere until a parent/guardian receives a call from our office in the next 24/48 hours.

What name should the invoice be made out to?

I understand that by selecting direct deposit, my Gold Scholarship is on hold. I will be issued an invoice upon confirmation from Head Office.

I confirm that I will submit a proof of payment on or before the due date listed on the invoice

I understand that ISAM 360 may remove the gold scholarship that has been allocated should I not submit proof of payment on or before the due date

This field is hidden when viewing the form

I Understand that payment will be processed on the due date/or upon approval from my bank

I hereby give ISAM 360 permission to charge the provided credit card

I hereby give ISAM 360 permission to charge the provided credit card

Sibling Guarantee*

Add sibling price guarantee and placement Security for 23,870 ZAR
Do not add this to my package

This is a one time discounted option saving you 131,130 ZAR*. ISAM 360 aims to help SA families with education and understands the financial impact overseas study. *The Sibling Price Guarantee secures the future enrolment for the ISAM 360 program for a sibling. This option, if selected, guarantees the acceptance of a sibling for the discounted cost above on the same terms as the selected student (Gold, Silver or Bronze award) with ISAM 360 guaranteeing the future placement of an overseas option for the sibling. ** ISAM 360 reserves the right to reject this option (no cost/ charge will be added) and a response in writing will be provided explaining reasons for non acceptance *** Payment must be made at time of acceptance. Saving is based on full program cost of 155,000 ZAR

Sibling Full Name*

High School Grade*

High School Name*

Sibling email address*

Academic/Athletic/Artistic Achievements*

I understand ISAM 360 reserves the right to decline this offer if the candidate is not suitable for the program

I understand that ISAM 360 can provide college opportunities that are at or below the budget advised by ISAM 360 on my initial application form*

I understand

I understand that we may request to review opportunities that are not at this budget as it's our choice*

I understand

I understand that ISAM 360 is not liable for the selection of the final college option as ISAM 360's purpose is to provide college options and admission assistance, not final college selection, that is my choice*

I Understand

The student and or parents/guardians understand that all students who wish to play a sport will be required to try out for their chosen sport upon arrival at an institution in the USA as each coach will determine their ability directly in person so as to determine what team/ability/level the student has upon arrival. ISAM 360 cannot guarantee sporting participation as the coach is the only decision maker when it comes to sports.*

I Understand

ISAM 360 can provide opportunities for you to study abroad at institutions that have your preferred sport if you choose to, but ISAM 360 cannot guarantee sporting participation as the coach is the only decision maker when it comes to sports.*

I Understand

I agree to all IAM 360 terms and conditions

Congratulations on your acceptance into the ISAM 360 Program

PARENTS!

Credit Card/Debit Card Details

Direct Deposit