1

Lab Class Application and Registration 2013

for u.s. locations only

Submitting Your Application and Registration

Please read the instructions below before completing the Lab class application which immediately follows this page.
Information submitted to Admissions by prospective applicants will not be retained if the applicant does not enroll within the calendar year.

How to Apply and Deadlines

Apply by visiting www.gia.edu/howtoapply. There are options to either apply
online or to download this paper application and registration form. Lab
class applications downloaded from www.gia.edu are for U.S. locations
only. All pages of this downloaded paper application must be completed and
submitted to the campus you wish to attend.
Review pages 4–5 for details on Tuition and Fees and Schedule of Student
Charges. Cancellation and Refund Policies can be found on pages 37–39 in
the 2013 Education Catalog at www.gia.edu
You will not be able to reserve space in any Lab class until GIA has received
all required fees.
There are no application deadlines. Although GIA holds classes year-round,
Lab Classes typically reach capacity at least 1 to 2 months in advance, so
we encourage you to apply at least 2 to 3 months before the start date. If a
class reaches capacity, you will be placed on a wait list and notified if a seat
becomes available. Full payment is due 30 days prior to class start.

Enrollment Checklist
All Applicants
Have you…
†† R
 ead “Submitting Your application and Registration” on this page which †† R
 eviewed the Tuition and Fees and Schedule of Student Charges on
provides instructions for completing the application and registering pages 4-5 and filled in all applicable charges correctly?
for your Lab classes?
†† R
 eviewed Cancellation and Refund Policies on pages 37-39 in the
†† Reviewed all admissions policies and procedures? 2013 Education Catalog at www.gia.edu?
†† A
 nswered all applicable questions on the application and †† Indicated all Lab classes you are registering for?
registration form?
†† Selected your method of payment for all applicable tuition and fees?
†† P
 rovided your full legal name? This is how your name will appear
†† Signed your application?
on all official GIA documents, including credentials, certificates,
and diplomas. †† Sent your application and registration to Admissions?
†† P
 rovided your Social Security number if you are a U.S. citizen or †† R
 eviewed the Lab Class attendance policy on page 27 of the
permanent resident? This is optional. 2013 Education Catalog at www.gia.edu
†† Given a permanent home address and your mailing address?
†† Selected your academic interests?
†† S
 elected your Lab class(es) and filled in your first and second choices
for the Start Dates from the U.S. Lab Class and Student Workroom
schedule on page 6?

2013 Lab Class Application and Registration WLBA1013

 2
Lab Class Application and Registration 2013
for u.s. locations only
1 of 2
Date: (mm/dd/yyyy)
Please complete both pages and print legibly using black ink, or apply online at www.gia.edu

Pr evi o u s ly en ro lle d at GI A?  Yes  NO If yes, please provide your student number

Student Information T h e f o llow i n g i n f or m at i o n i s r e q u i r e d.

Education History
Last/Surname use full legal name. this is the name that will appear on your GIA credential. Date High School/Compulsory Education* was completed
(mm/yyyy)
Name and Location of the Compulsory Educational Institution:
First Middle Suffix Name City
State/Province Country
*Compulsory education is the number of grades (or years) that a child must legally be
U.S. Social Security Number enrolled in school. For example, in the U.S., students must complete through grade 12 or the
equivalent; other countries may have differing requirements.

Highest level of education completed:

Date of Birth (mm/dd/yyyy) Gender:  Male  Female  High School/Compulsory Education  GED
 Career/Trade School  College/University
Number of years completed
Email Address required for all school correspondence
Highest degree earned:
 Associate’s  Bachelor’s  master’s  Doctorate
Primary Phone Number Alternate Phone Number
Are you a U.S. citizen?  Yes  No
i f n o:

Fax Number
Country of Citizenship
Country of Birth
Permanent Home Address
Are you a U.S. permanent resident?  Yes  No
Can you read, speak, and understand English?  Yes  No
Street Number, Street Name, Apt # or p.o. Box
Have you ever pled guilty to or been convicted of a felony?  Yes  No
If yes, submit a letter of explanation and documents with your application. Your application
will be reviewed by the admissions committee. See page 16 of the 2013 Education Catalog
at www.gia.edu for a complete list of requirements.

Do you need special accommodations?  Yes  No

If yes, you are requesting reasonable support services for qualified learning or other
disabilities. GIA will make reasonable accommodations for students with qualified disabilities.
Each course requires students to perform particular physical and mental ability tasks related
to that course. Upon request, GIA is pleased to discuss these tasks with you to allow you to
City
evaluate your potential for success and your decision to apply. Students who will be requesting
special accommodations are asked to do so in writing following admission to GIA and at least
30 days prior to the date accommodations will be needed. Documentation must be from a
professional who is qualified in the testing and diagnosis of the disability. Please make an
State Postal Code Country
appointment to discuss your request with the Dean of Students or School Director.
Mailing Address (if different than above)
Ethnic Background (Participation is optional. U.S. citizens only.)
To comply with state and federal education laws, GIA asks that you complete the following
Business Name (if applicable)
survey regarding your ethnic background. Your response is confidential and no individuals
will be identified in statistical reports based on the results of this survey. It is not used in the
admissions process and will have no bearing on your admission status.
1. Are you Hispanic or Latino (regardless of race)?  Yes  No
Street Number, Street Name, Apt # or p.o. Box
2. For non-Hispanic/Latino individuals, are you:
†† American Indian or Alaska Native  Asian
†† Black or African American  Native Hawaiian or other Pacific Islander
†† White  Two or more races
†† Non-resident alien (optional item)  Unknown or decline to respond

GIA Non-Discrimination Policy

City It is GIA’s policy not to engage in discrimination against or harassment of any student enrolled
in, or seeking enrollment in, GIA on the basis of race, color, national origin, ethnicity, religion,
gender, age, disability, medical condition, pregnancy status, marital status, sexual orientation,
veteran status, gender identity, caste, union membership, political affiliation, physical
State Postal Code Country appearance, HIV status, or any other classification protected by applicable local, state, or
federal laws. All students have the rights and privileges to participate in programs and
activities generally accorded or made available to students of the school. GIA reserves the
right to deny an application and cancel an enrollment at any time.

2013 Lab Class Application and Registration World Headquarters and The Robert Mouawad Campus 5345 Armada Drive Carlsbad, CA 92008 T 760 603 4000 F 760 603 4003 www.gia.edu WLBA1013
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Lab Class Application and Registration 2013
2 of 2
NA ME Stu d e n t N u m b e r
Last/Surname First Middle Suffix

Academic Interest Payment

A one-time application fee is required for first time GIA applicants. A 10% deposit of the tuition
Select one or more GIA programs that match your educational goals:
is required with this application. The remaining balance is due 30 days prior to the class start
day. Submit your application and payment to GIA (see below). Do not send cash.
 Graduate Gemologist  Graduate Diamonds
PAYMENT METHODS:
 Graduate Colored Stones  Graduate Pearls Credit Card: You can charge application fees, confirmation deposits, tuition, books and
materials, and other fees to your VISA, MasterCard, Discover, or American Express account.
 Undecided
Check or Money Order: You can pay by cashier’s check or personal check. Make checks payable
to GIA. Payment must be in U.S. dollars and drawn on a U.S. bank. For your privacy, please do
Select Your Classes not submit your credit card information with this application. GIA accepts VISA, MasterCard,
American Express, and Discover.
For U.S. location only. Lab classes are offered on campus in Carlsbad (CB) and New York (NY), Wire Transfer: Call toll free 800 421 7250 ext 4001 or 760 603 4001, or for details email
and Gem Identification in Tucson (TUC). admissions@gia.edu. All wire fees must be paid by the applicant.
See page 5 for a breakdown of total charges. Student charges are valid for start dates from January 1, 2013 to December 31, 2013. Student
charges and schedules are subject to change. Refer to pages 37–39 of the 2013 Education Catalog
Total charges include tuition, books and materials, STRF, and applicable sales tax. Total charges
at www.gia.edu for Cancellations and Refund policies.
do not include a one-time application fee required for first-time GIA applicants. Students
enrolling in Carlsbad Lab classes are required to pay a non-refundable fee for the State of
SELECT PAYMENT OPTION(S) AND ENTER APPROPRIATE DOLLAR AMOUNT(S) BELOW
California Student Tuition Recovery Fund. See page 4 for a complete description.
 PAYMENT IN FULL: TOTAL CHARGES
Total Deposit
Select Class and Add Start Date Location Charges 10% of Tuition  Deposit to hold your seat: 10% of tuition $0.00
 GEM220L – Colored Stone Grading  CB  $1,085.30  $102.00  first-time GIA APPLICANTS: $35 application fee $35.00
Start Dat e : / / 2 013  NY  $1,080.00  $102.00
 first-time GIA applicant: $20 application fee
 GEM230L – Diamond Grading  CB  $1,455.30  $139.00 $20.00
When enrolling in new york pearl grading lab class
Start Dat e : / / 2 013  NY  $1,450.00  $139.00
TOTAL DUE TODAY $0.00
 CB  $1,458.50  $135.00
 GEM240L – Gem Identification
 NY  $1,450.00  $135.00  check enclosed payable to gia FOR ABOVE TOTAL
Start Dat e : / / 2 013
 TUC  $1,559.10  $145.00  payment to follow via wire transfer
 GEM149L – Pearl Grading  CB  $296.70  $28.00  credit card GIA will contact you when your application is processed. GIA accepts VISA, Mastercard,
Start Dat e : / / 2 013  NY  $295.00  $28.00 American Express, and Discover.
 JMA320L – Basic Repair and Setting
 CB  $968.70  $92.50 Applicant Signature – Required
Start Dat e : / / 2 013
I have read and understand all requirements for admission to GIA and herby certify the
 JMA340L – Intermediate Repair and Setting information given in this application is correct and complete to the best of my knowledge.
 CB  $968.70  $92.50
Start Dat e : / / 2 013 I certify that I have completed the minimum compulsory education required by the governing
educational system in my location and can provide proof of my compulsory education
SUB-TOTALS $ 0.00 $ 0.00
completion status if requested for verification purposes.
I certify that I have read the Chemical Safety Disclosure on page 17 of the 2013 Education
Required for Jewelry manufacturing arts Students ONLY: Jeweler’s benches are set Catalog at www.gia.edu and understand that I may come in contact with chemicals in certain
up for either left- or right-handed individuals. Which do you require? GIA classes, and that if I am pregnant, have certain medical conditions, or have allergies,
 Left  Right  Not Applicable I should contact my physician for advice.
I understand that falsification of the application and/or supporting documents will be
grounds for immediate refusal of my application and/or dismissal from GIA. I understand the
Submit Your Application registration process is not complete until I have read and signed an enrollment agreement.

Submit your Lab class paper application to the campus in which you wish REGISTRATION WILL NOT BE COMPLETE UNTIL PAYMENT HAS been received.
to attend:
Signature of Applicant Date
GIA Carlsbad GIA New York
The Robert Mouawad Campus Mailstop #70
Printed Name
Mailstop #3 270 Madison Avenue, 2nd Floor
5345 Armada Drive New York, NY 10016-0601 Applicants Under 18 Years of Age
Carlsbad, CA 92008 Fax 212 719 9563 If you are under 18 years old, the law requires the signature of your parent or legal guardian as
Fax 760 603 4003 For Information call: guarantor. By signing this application, the parent or legal guardian approves of your enrollment
and agrees to accept all obligations in case of default. More information for applicants under
For information call: 800 366 8519 ext 3063
18 years of age is available on page 16 of the catalog at www.gia.edu
800 421 7250 ext 4001 212 944 5900 ext 3063
760 603 4001
Name of Guarantor Relationship of Guarantor

Campuses Outside the U.S. Signature of Guarantor

Students wishing to apply for attendance at a GIA campus outside the

Address of Guarantor
U.S. should contact the appropriate campus directly. Find international
campus contact information at www.gia.edu City

State Postal Code Country

2013 Lab Class Application and Registration World Headquarters and The Robert Mouawad Campus 5345 Armada Drive Carlsbad, CA 92008 T 760 603 4000 F 760 603 4003 www.gia.edu
 4
Tuition and Fees
Schedule of Student Charges
Effective January 1, 2013 through December 31, 2013; subject to change.

General Information for All Applicants Student Tuition Recovery Fund (STRF)
You must pay the state-imposed assessment for the Student Tuition
APPLICATION FEE: Recovery Fund (STRF) if all of the following applies to you:
All new applicants are charged a one-time application fee.
1. You are a student in an educational program, who is a California resident,
• Application fee: $35 or are enrolled in a residency program, and prepay all or part of your
• Pearl Grading Lab (NY only): $20 tuition either by cash, guaranteed student loans, or personal loans; and
2. Your total charges are not paid by any third-party payer such as an
TOTAL charges do NOT INCLUDE: employer, government program or other payer unless you have a
• Housing, food, insurance, transportation, entertainment, other living separate agreement to repay the third party.
expenses, and possible additional fees (see below)
You are not eligible for protection from the STRF and you are not required
• One-time application fee to pay the STRF assessment, if either of the following applies:
• Shipping and handling fee 1. You are not a California resident, or are not enrolled in a residency
• Fees for remedial work program; or

• Fees for lost or damaged equipment, stones
• Returned check fee
• Wire transfer fees
• Purchase of gem testing instruments. All required instruments are
provided to Lab class students
ADDITIONAL STUDENT FEES MAY INCLUDE:
• $35 half day or $70 full day for Student Workroom
• $40 certificate replacement fee
• $45 diploma replacement fee
• $10 for each transcript after the first
Total charges are valid for Lab classes taking place in the U.S. from
January 1, 2013 to December 31, 2013 and are subject to change.
Gemology and Jewelry Manufacturing Arts
On-Campus Students
Total charges include all educational services, lesson materials, and texts
normally needed to complete the program, course, or class. GIA will provide
other necessary instruments, tools, and materials for classroom use only.
We reserve the right to reschedule or cancel classes. Books, instruments,
and materials are subject to applicable sales tax. Charges are subject
to change.
2. Your total charges are paid by a third party, such as an employer,
government program or other payer, and you have no separate
agreement to repay the third party.
The State of California created the Student Tuition Recovery Fund (STRF)
to relieve or mitigate economic losses suffered by students in educational
programs who are California residents, or are enrolled in a residency
programs attending certain schools regulated by the Bureau for Private
Postsecondary and Vocational Education.
You may be eligible for STRF if you are a California resident or are enrolled
in a residency program, prepaid tuition, paid the STRF assessment, and
suffered an economic loss as a result of any of the following:
1. The school closed before the course of instruction was completed.
2. The school’s failure to pay refunds or charges on behalf of a student to a
third party for license fees or any other purpose, or to provide equipment
or materials for which a charge was collected within 180 days before the
closure of the school.
3. The school’s failure to pay or reimburse loan proceeds under a federally
guaranteed student loan program as required by law or to pay or
reimburse proceeds received by the school prior to closure in excess
of tuition and other costs.
4. There was a material failure to comply with the Act or this Division within
30 days before the school closed or, if the material failure began earlier
than 30 days prior to closure, the period determined by the Bureau.
5. An inability after diligent efforts to prosecute, prove, and collect on a
judgment against the institution for a violation of the Act.
However, no claim can be paid to any student without a social security
number or a taxpayer identification number.
“Residency Program” means an educational course or program offered by
an institution that has approval to operate in California, when the instruction
occurs in California directly (face-to-face) between the student and the
faculty member(s). Example: An individual who resides outside of California
and enrolls in a course that requires him/her to be physically present in
California to complete the course is required to pay STRF.

2013 Lab Class Application and Registration GIA

 5
Tuition and Fees
Schedule of Student Charges
Effective January 1, 2013 through December 31, 2013; subject to change.

Carlsbad, California Lab Classes – Gemology and Jewelry Manufacturing Arts

Balance Due 30 Days
Prior to Start of Class*
Class Refundable Deposit = Total Charges –
Number Class Title Tuition Fees Total Charges* due with Application Refundable Deposit
$60.00 (B&M)*
$4.80 (CA Sales Tax)
GEM 220L Colored Stone Grading $1,020.00 $0.50 (STRF) $1,085.30 $102.00 $983.30

$60.00 (B&M)
$4,80(CA Sales Tax)
GEM 230L Diamond Grading $1,390.00 $0.50 (STRF) $1,455.30 $139.00 $1,316.30
$100.00 (B&M)
$8.00 (CA Sales Tax)
GEM 240L Gem Identification $1,350.00 $0.50 (STRF) $1,458.50 $135.00 $1,323.50
$15.00 (B&M)
$1.20 (CA Sales Tax)
GEM 149L Pearl Grading $280.00 $0.50 (STRF $296.70 $28.00 $268.70
$40.00 (B&M)
$3.20 (CA Sales Tax)
JMA 320L Basic Repair and Setting $925.00 $0.50 (STRF) $968.70 $92.50 $876.20
$40.00 (B&M)
$3.20 (CA Sales Tax)
JMA 340L Intermediate Repair and Setting $925.00 $0.50 (STRF) $968.70 $92.50 $876.20

New York and Other Cities Lab Classes – Gemology and Jewelry Manufacturing Arts
Balance Due 30 Days
Prior to Start of Class*
Class Refundable Deposit = Total Charges –
Number Class Title Tuition Fees Total Charges* due with Application Refundable Deposit

GEM 220L Colored Stone Grading $1,020.00 (NY) $60.00 (B&M)* $1,080.00 (NY) $102.00 (NY) $978.00 (NY)

GEM 230L Diamond Grading $1,390.00 (NY) $60.00 (B&M) $1,450.00 (NY) $139.00 (NY) $1,311.00 (NY)

$1,350.00 (NY) $1,450.00 (NY)

$1,450.00 $100.00 (B&M, NY, TUC) $1,559.10 $135.00 (NY) $1,315.00 (NY)
GEM 240L Gem Identification (TUC) $9.10 (Sales Tax TUC) (TUC) $145.00 (TUC) $1,414.10 (TUC)

GEM 149L Pearl Grading $280.00 (NY) $15.00 (B&M) $295.00 (NY) $28.00 (NY) $267.00 (NY)

Amounts shown are in U.S. dollars:

CB = Carlsbad; NY = New York; TUC = Tucson
*T
 otal charges shown include tuition, books and materials, STRF, and applicable sales tax. Total charges do not include the one-time application fee, if
applicable. Students enrolling in Carlsbad Lab classes are required to pay a non-refundable fee to the State of California Student Tuition Recovery Fund.
See page 4 for a complete description. The balance is due 30 days prior to start of class. Failure to pay balance will result in lost seat in class.

2013 Lab Class Application and Registration GIA

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2013 U.S. Lab Class and Student Workroom Schedule
U.S. LAB CLASS AND NEW YORK, NY Student workroom las VeGas, NV
Available daily, Monday – Friday, Seminar offerings during JCK shows to
WORKROOM SCHEDULE GEMOLOGY 8:00 – 11:00 a.m. and 12:00 – 3:00 p.m. be announced.
GEM 220L Colored Stone Grading Fees are $35 for half day and $70 for full
Unless otherwise noted, all day. No fees for exams. For a complete GEM 275L Gemology Seminars
Jan 28-30
classes are held at GIA facilities list of Student Workroom prerequisites, May 30
Feb 19-21 services, and additional details, visit
at the address shown on the Mar 25-27 www.gia.edu. To reserve a seat, call TUCSON, AZ
back cover of the 2013 Education Apr 22-30 (N) 800 366 8519 ext 3102, or outside the Fees and enrollment details vary.
Catalog at www.gia.edu May 28-30 U.S. call 212 944 5900 ext 3102, or Tucson classes are held at the Tucson
Jul 15-17 email nyworkroom@gia.edu Convention Center, 260 South Church,
CARLSBAD, CA Aug 26-28 Available dates: Tucson, AZ 86701.
Oct 7-9 Jan 7–11
GEMOLOGY GEMOLOGY
Nov 2-16 (S) Feb 4–8
GEM 220L Colored Stone Grading Dec 9-11 Feb 19–22 GEM 240L Gem Identification
Feb 4-6 GEM 230L Diamond Grading Feb 25–Mar 1 Feb 4-8
Apr 1-3 Apr 8–12
Jan 14-18 GEM 275L Gemology Seminars
May 13-15 Apr 15–19
Feb 4-19 (N) Feb 9
Jun 24-26 May 20–24
Feb 11-15
Aug 12-14 May 28–31
Mar 9-Apr 6 (S)
Sep 30-Oct 2 Jun 10–14 Lab class hours
Mar 11-15
Nov 11-13 Jun 17–21
May 13-17 Day Classes
June 24–28
GEM 230L Diamond Grading Jun 3-7 Carlsbad and New York:
Jul 1–5 (except Jul 4)
Jan 21-25 Jun 17-21 8:00 a.m. – 4:00 p.m.
Jul 22–26
Mar 18-22 Jul 22-26 Other Cities: 9:00 a.m. – 5:00 p.m.
Aug 19–23
Apr 29-May 3 Jul 29-Aug 2
Aug 26–30 Night Classes
Jun 10-14 Aug 5-9
Sep 3–6 New York:
Jul 29-Aug 2 Aug 12-16
Sep 9–13 Monday – Thursday
Sep 16-20 Sep 14-Oct 12 (S)
Sep 16–20 6:00 – 9:30 p.m.
Oct 28-Nov 1 Sep 23-27
Oct 14–18
Oct 14-29 (N)
Oct 28–Nov 1
Exceptions to
GEM 240L Gem Identification
Oct 21-25
Nov 4–8
Lab Class Hours
Jan 28-Feb 1 Nov 18-22
Mar 25-29 Nov 11–15 Pearl Grading
Dec 16-20
May 6-10 Dec 16–20 Carlsbad:
GEM 240L Gem Identification 8:00 a.m. – 3:00 p.m.
Jun 17-21
Jan 21-25
las VeGas, NV New York
Aug 5-9 To register, and for class location call
Feb 25-Mar 1 8:00 a.m. – 3:00 p.m. or
Sep 23-27 American Gem Society at 702 255 6500
Mar 18-22 6:00 – 9:00 p.m. (N)
Nov 4-8 ext 1034. Fees and enrollment
Apr 20-May 18 (S) details vary.
GEM 149L Pearl Grading
May 20-24
Feb 7 Jun 3-18 (N) GEMOLOGY
Apr 4 Jul 8-12 GEM 220L Colored Stone Grading
May 16 Aug 19-23 Sep 16-18
Jun 27 Sep 30-Oct 4
Aug 15 Dec 2-6 GEM 230L Diamond Grading
Oct 3 Feb 25–Mar 1
GEM 149L Pearl Grading
Nov 14 Sep 9-13
Jan 31
Student workroom GEM 240L Gem Identification
Feb 22
Available daily, Monday – Friday,
Mar 18-19 (N) Mar 4-8
9:00 a.m. – 12:00 p.m. and 1:00 – 4:00 p.m.,
on a first-come, first-served basis for Mar 28
up to eight students. Fees are $35 for Apr 20 (S)
half day and $70 for full day. No fees for May 31
exams. For a complete list of Student Jul 18
Workroom prerequisites, services, and Aug 29
additional details, visit www.gia.edu. Sep 30-Oct 1 (N)
To reserve a seat, call 800 421 7250 ext
Oct 10
7750, or outside the U.S. call 760 603 4000
ext 7750, or email lessons@gia.edu Oct 19 (S)
Dec 12
JEWELRY MANUFACTURING ARTS
JMA 320L Basic Repair and Setting
Apr 1-5
Nov 18-22
JMA 340L Intermediate Repair
and Setting
Apr 8-12
Nov 25-29

You will be placed on a waiting list until 30 days prior to the start of your program or class when GIA can confirm your space availability.
Schedules are subject to change without notice. For a current schedule, visit www.gia.edu. Contact GIA Admissions in Carlsbad or
New York to confirm availability and for additional information and details. (N) = Nighttime; (S) = Saturday (W) = Weekend

2013 Lab Class Application and Registration GIA