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DATES

Pre-EAP Testing Registration May 1

Application for Admission for Pre-EAP Courses

Complete the following and click the submit button.

For SPONSORED STUDENTS/SPONSORS ONLY: you must also submit a financial document, a copy of the student's passport, and a $150 application fee. Send an additional $50 fee for returning the I20 via Express Mail.

PERSONAL INFORMATION
*Last Name:
*First Name:
Middle Name:
*Date of Birth:	Month(MM) Day(DD) Year(YY)
*Gender:	Male Female
*Marital Status:	Single Married
*Country of Birth:
*Country of Citizenship:
*Mailing Address 1:
Mailing Address 2:
*City:
*State:
*Country:
*Postal Code:
*Home Phone:
Work Phone:
Fax:
*Email Address:
Email Address:
*Permanent Home Address:
Permanent Home Address:
*City:
State:
*Country:
Postal Code:
PROGRAM DATES
*Semester you wish to begin:	Summer 2009 (May 1- June 26)
	Fall 2009 (September 8 - December 11)
	Spring 2010 (January 6 - April 8)
VISA INFORMATION
*Are you currently in the U.S.?	Yes No
*Do you currently have a visa?	Yes No
If Yes, what is your current visa/immigration status?
Issuing Country:
Date of Issue:
Date of Expiration (mmddyy):
Are you currently attending school in the U.S.?	Yes No
If yes, what is the name of the institution that issued your I-20?
What is the SEVIS ID number of your current I-20?
Do you want to request a certificate of eligibility (I-20 form) for an F-1 visa?	Yes No
EDUCATIONAL BACKGROUND
Have you graduated from high school?	Yes No
Have you graduated from college or university?	Yes No
University Name:
Graduation Year or Expected Graduation Year:
English Proficiency:	good fair poor none
Have you taken the TOEFL within the past 2 years?	Yes No
TOEFL Score:
DEPENDENT INFORMATION
Will your spouse or children be accompanying you?	Yes No
Spouse Last Name:
Spouse First Name:
Spouse Middle Name:
Spouse Date of Birth:	Month(MM) Day(DD) Year(YY)
Spouse Gender:	Male Female
Spouse Country of Birth:
Spouse Country of Citizenship:
Child1 Last Name:
Child1 First Name:
Child1 Middle Name:
Child1 Date of Birth:	Month(MM) Day(DD) Year(YY)
Child1 Gender:	Male Female
Child1 Country of Birth:
Child1 Country of Citizenship:
Child2 Last Name:
Child2 First Name:
Child2 Middle Name:
Child2 Gender:	Male Female
Child2 Date of Birth:	Month(MM) Day(DD) Year(YY)
Child1 Country of Birth:
Child2 Country of Citizenship:
Complete the following and click the submit button. For SPONSORED STUDENTS/SPONSORS ONLY: you must also submit a financial document, a copy of the student's passport, and a $150 application fee. Send an additional $50 fee for returning the I20 via Express Mail.

DATES

Application for Admission for Pre-EAP Courses

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