Admitted Student Reception in Jakarta

Contact Information

Legal First Name

Preferred First Name

Legal Last Name

Preferred Pronouns

Other Pronoun(s)

Date of Birth

Student ID Number

Email Address

Mobile Phone Number

I give SAIC permission to text me with updates and important deadlines.

Parent/Guardian Information

Would you like to provide parent/guardian information?

Yes

No

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Phone

Parent/Guardian Relationship

Would you like to provide a second parent/guardian's information?

Yes

No

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile Phone

Parent/Guardian 2 Relationship

Guest Information

Will you be bringing anyone with you? (parents/guardians or other family)
You are allowed to bring 2 additional people.

Do you have any dietary restrictions? (Self)

Vegan

Vegetarian

Gluten Free

None

Does your guest have any dietary restrictions? (Guest 1)

Vegan

Vegetarian

Gluten Free

None

Does your 2nd guest have any dietary restrictions? (Guest 2)

Vegan

Vegetarian

Gluten Free

None