Academic Partner Online Application

Institutional Information

Name of your institution      Institution Address  

Contact Person      Phone Number      Email  

If applicable Details of Branch Offices (Including name, address, phone name of contact)

Name of President or Vice Chancellor      Website Address       This Institution was Founded on:  

Description of Facilities available (e.g., conference room, lecture hall, internet access, computer lab, etc.)  

Business Plan

Format of Partnership  

Programs you would like to launch on behalf of Alliance International University

Please describe the characteristics of your potential market (age, income, educational background, others like industry affiliates, university networks etc)

Which course areas do you believe would be of greatest interest to prospective students in your country and why?

Please outline the support services you can offer to students wishing to avail themselves of your services.

How would you promote AIU and its degree/ diploma/certificate programs?

What is the most suitable time of the year to launch the first intake of AIU programs?


Territory Status   

Proposed number of student intake annually  

Name of Prospective Representative   


Name of Principal Officer

Surname      First name      Date of birth      Place of birth  

Please list the, names, title(s), occupation(s), and/or responsibilities of the individual(s) in your college who will be authorized to deal with AIU on a daily basis.


Name of individual who will sign the Affiliate agreement with AIU

Surname      First name      Date of birth  


Do you have the best team of qualified, motivated and experienced lecturers?


(a) How many students currently are in your college pursuing degree programs?

(b) How many students currently are you able to register for Certificate, Diploma or Degree Programs via AIU before the end of this month?

(c) How many students do you expect to register on a monthly basis?

(d) How many students expected to rise by

1st year      2nd year      3rd year  


I certify that the information I have provided in this Form is complete and accurate and that all the statements and essays are my own work, and, I hereby certify that the foregoing information I have listed in this Form is true and complete to the best of my knowledge and fully realize that omission or falsification of information will be considered sufficient reason for rejection or dismissal of this Registration Form. I further acknowledge that you give no warranty and make no representation as to the approval and acceptance of this Registration Form. I further understand that a decision to accept or reject this Registration Form shall be entirely at AIU discretion, and AIU shall incur no liability whatsoever in respect thereof.
I understand that all Registration Form supporting materials sent to Alliance International University become the property of the School and cannot be returned.

 i agree to the rules and regulation mentioned above

Signature      Date  

In accordance with the Electronic Signatures in Global and National Commerce Act (E-Sign), your typed written signature constitutes a legal and binding application agreement.