International Student Application - Pittsburgh Ballet Theatre

International Student Application Form

Pittsburgh Ballet Theatre School is a recognized educational institution by the United States Student and Exchange Visitor Program (SEVP) and processes M-1 visa applications for our international students. APPLICATION FEE: $100.
Student Information
Family Name (surname)*
Name (given)*
First Middle Last
Passport Name
Passport Name is optional but highly recommended. Enter the names found in the machine readable section of the passport, leaving out the separator character '<'. Enter them in the order shown on the passport.
Preferred Name
This field allows names to be written in the order preferred in the person's home country. It may contain letters with diacritical markings such as Ã. It may also contain hyphens, apostrophes, and a comma before the suffix. If you do not enter a Preferred Name, We will automatically enter the given name, surname/primary name, and a suffix, if applicable.
Date of Birth*
MM slash DD slash YYYY
Gender*
Home/International Address (even if currently living in the U.S.)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Country of Birth*
Country of Citizenship*
City of Birth
Address in the U.S. (if any)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Phone*
Alternative Phone*
Email*
Please explain in detail any injuries you have currently or have had in the past 12 months.*
How long do you plan on studying at PBT School?*
Passport Information
Passport Number*
Country Issued*
Terms & Agreements
I agree that all information stated is true and wish for PBT School to include this completed application in my registration materials. Upon receipt of the completed application and registration materials, PBT School will secure the necessary I-20 documentation needed to procure an M-1 visa at a U.S. consulate abroad. abroad. Additional forms and fees may be incurred during consular processing. For further details, please visit the United States Department of State website.*
- Yes, I agree.
ELECTRONIC SIGNATURE*

Please type full name to sign.
Today's Date*
MM slash DD slash YYYY
Application Fee*
Price:
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Pittsburgh Ballet Theatre

International Student Application Form

Student Information

Passport Information

Terms & Agreements