| To apply for AEP or
ELP: |
1) Send
a completed application form.
2) If you are applying to AEP, send proof of
a completed undergraduate degree.
3) If
you are requesting an I-20, send a copy of the photo page of
your passport.
4) If you are a NEW AEP/ELP INTENSIVE student
who needs an I-20, send a financial guarantee statement (usually,
a personal/family bank statement) and $350 USD for SEVIS fee
payment, express mail & document processing, and tuition deposit (non-refundable).
*OR*
If you are a PART-TIME or TRANSFER student,
send a $100 USD tuition deposit (non-refundable).
Photocopies, faxes, or
email attachments are acceptable; we do not require original or
official documents. If you are applying for an F-1 or J-1 visa,
please keep your original financial guarantee statement for your
visa interview. |
Send airmail or regular
domestic mail to:
ESL Services
International Office
PO Box A
The University of Texas at Austin
Austin, TX 78713-8901 |
Send EXPRESS mail
to
(or visit us in person at):
ESL Services
Wooldridge Hall, Suite 1.200
600 West 24th Street
The University of Texas at Austin
Austin, TX 78705 |
Fax materials
to us at: 512-475-6810
Or, email the PDF application (with any email attachments)
to: esl@www.utexas.edu |
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1) PERSONAL INFORMATION:
Family Name (as on passport) : _______________________________
First Name (as on passport): _________________________________
Middle Name (as on passport):_________________________________
.
Gender: __ male __ female
Date of Birth: ___/___/______ (month/day/year)
Country of Birth: ______________________
Country of Citizenship: _____________________
E-mail address: _____________________________________________________________
Permanent
Mailing Address (your country): .......................
Number and Street Apt. # :_____________________________________________________________________________________
.....................................................................................
City/State :_________________________________________________
Country/Postal Code _______________________________________
...................................................................................
Telephone Number .:_________________________________________________
Current Mailing Address (Immigration documents will
be sent here):..........
Number and Street Apt. # :_____________________________________________________________________________________
.....................................................................................
City/State :_________________________________________________
Country/Postal Code _______________________________________
...................................................................................
Telephone Number .:_________________________________________________......
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2) PROGRAM CHOICE
(check one): __ AEP (intensive only) __ ELP intensive
__ ELP part-time
ELP offers instruction to adults at all levels
of proficiency. AEP requires at least low intermediate proficiency
(TOEFL score of 425 [113 computer-based TOEFL/38
internet-based TOEFL] or higher) and a Bachelor's (4-year) degree. Students applying
to AEP will be placed in ELP if they do not meet minimum qualifications.
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3) SESSION (check
below):
__ Fall 2009, 15 weeks (August 24 - December 7)
__ Spring 2010, 15 weeks (January 19 - May 10)
__ Summer 2010, 10 weeks (June 1 - August 9)
__ Summer 2010, 5 weeks (AEP
only; July 5 - August 9)
The session I marked is when I would like to begin my ESL studies,
and I would like an I-20 for:
__ 1 session __ 2 sessions __ 1 year.
ELP applicants
only: Intensive students will be enrolled in all four
core courses. Maximum enrollment for part-time students is three
core courses, or two core courses and two test preparation courses.
Part-time students are not eligible for student visas.
CORE COURSES (Part-time students,
please select below):
__ Listening/Speaking ....... ....... ....... __ Reading and Discussion
.......(MWF 9-10:30 or 10:45-12:15)
............ (TTh
1:00-3:15)
__ Writing ....... ....... ....... ........ ....... __ Grammar and Idioms
.......(MWF 1:15-2:45) .................................. (MWF 3:00 -4:30)
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4) ELECTIVE COURSES
(Courses meet for 7 weeks and are optional for intensive
students. Please check if desired.):
__ TOEFL Preparation--intermediate proficiency required (Tuesdays
and Thursdays 8:30-10:20)
__ GRE Preparation--high-intermediate proficiency required (Tuesdays
and Thursdays 8:30-10:20; meets second half of Fall or Spring
semesters)
__ GMAT Preparation--high-intermediate proficiency required (Tuesdays
and Thursdays 8:30-10:20; meets second half of Fall or Spring
semesters)
__ Pronunciation--open to all proficiency levels (Tuesdays and Thursdays
8:30-10:20)
Please note that all course times are dependent on room availability
and are subject to change. |
|
5) EDUCATION INFORMATION:
What is your highest education degree?
__ High School __ Associate's (2-year) __ Bachelor's/Undergraduate
(4-year) __ Master's __ Ph.D.
Graduation year: ______ Institution: _____________________________________
Field: __________________________
Do you already have a UT EID?
If yes, write it here: _______________________
If you have taken the TOEFL exam, write your score here:_____________ Date of test: ___________________............................. |
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6) US VISA INFORMATION:
A. If you are in the US now, what kind of visa do you have? __ F-1
__J-1 __Other (please specify): ________
B. Do you have a SEVIS ID number? __ Yes __ No If yes, please write
your SEVIS ID here: _______________________
C. Do you need a Form I-20 (the immigration document you need to obtain
an F-1 visa) from ESL Services? __ Yes __ No
**New intensive students should apply at least 60 days in advance to allow adequate time to process the Form I-20 and obtain a student visa.
D. If you are transferring from another school in the US, please provide the school name and contact information:
.......School name: .__________________________________________________________________
.......Telephone: _______________________
Fax: ____________________________
If you have dependents who need immigration documents, please add
their information below (attach additional
pages if needed):
Name: ________________________________________
Date of Birth.(month/day/year)::_________________.
Country of birth:__________________________
Country of citizenship:
__________________________
Relationship to student: __________________________ |
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7) FINANCIAL GUARANTEE
STATEMENT: (Intensive Students Only)
The United States Customs and Immigration Services requires that
students give evidence that they are able to pay all tuition, fees,
and living expenses while studying in the US before a school issues
a Form I-20.
Attach a letter of financial
guarantee from the bank of the responsible party showing sufficient
funds are available for the total expenses outlined above. Additional
funding is required when dependents accompany the student.
Person who is financially responsible: __ Applicant __ Parents/Family
__ Sponsor
If you will be funded by parents/family or a sponsor, please write
that information below.
Name of financially-responsible party:__________________________________________________________
.......
Address:________________________________________________________________________________
.......
_______________________________________________________________________________________
Telephone: _________________________________ Fax:_________________________________________
By signing below, I certify that funds are available for the
total expenses, and will be provided as specified.
_____________________________________________________________
___________________
..Parent or Sponsor
signature ...... ...... ...... ......
...... ...... ...... ...... .........Date |
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8) CERTIFICATION:
All applicants complete:
__ I have read and completed this form, and I certify that the information
provided is accurate and complete.
__ I understand that I am responsible for arranging my own housing
and transportation from the airport.
__ I understand that admission to ESL is not a guarantee
of admission to any other program at The University of Texas
at Austin.
AEP applicants complete:
__ I am enclosing a copy
of a degree certificate which shows I have completed at least a
Bachelor's/Undergraduate (4-year)
.....degree.
__ I understand that if I do not meet minimum qualifications for
AEP admission, I will be placed into ELP.
_____________________________________________________________ ___________________
...... Applicant's signature
...... ...... ...... ......
...... ...... ...... ...... ...... ...... ...... ...... Date
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9) PAYMENT INFORMATION:
Payment in full is due at registration. Tuition and other fees may
be paid with MasterCard, Visa, US currency, a bank draft or money
order in US dollars, traveler's checks, or a personal check drawn
on a US bank. New students who will
apply for an F-1 or visa must pay $350 USD (non-refundable). This payment covers your SEVIS fee of
$200, $50 for express mail & document processing, and a $100 tuition deposit. The SEVIS
fee is mandatory for all new students applying for an initial F-1
or J-1 visa. It is used by the Department of Homeland Security to
maintain the SEVIS (Student & Visitor Exchange Information System)
database.
All other applicants
must pay a non-refundable tuition deposit of $100 USD, which
will be applid to the cost of the program upon admission. Please
do not send US currency through the mail.
__ I am enclosing or authorizing charges of $350 USD for SEVIS fee
payment, express mail & document processing, and tuition deposit. (I do need an F-1 or J-1 visa)
OR
__ I am enclosing or authorizing
charges of $100 USD for my tuition deposit. I do not need an F-1
or J-1 visa, or I am transferring from another school in the US.
Payment type:
__ Bank draft/money order __ Traveler's check/personal check (payable to "The University
of Texas at Austin")
__ MasterCard ................ __ Visa
If paying by credit
card, please complete:
Credit Card number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___ ___ Expiration: ______________
(month/year)
Printed name of cardholder: ___________________________________
Authorized signature: ________________________________________ |
| Upon receipt of ALL required
information listed above, your application will be processed and applicable
immigration documents will be sent to you.
Notice
Concerning Your Information: The Texas Public Information
Act, with a few exceptions, gives you the right to be informed about
the information that The University of Texas at Austin collects
about you. It also gives you the right to request a copy of that
information; and to have The University correct any of that information
that is wrong. You may request to receive and review any of that
information, or request corrections to it, by contacting the university's
Public Information Officer, Office of Financial Affairs, PO Box
8179, Austin, Texas, 78713 (email:cfo@www.utexas.edu). |
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