ESL Services Application

 

Our Program

Current Students

About UT & Austin

 

 

 

Click here to get an estimate of semesterly expenses

 

Applying to AEP or ELP is easy! To apply, send us:

Send airmail or regular domestic mail to:

EXPRESS mail to (or visit us in person at):

ESL Services, 3rd floor
International Office
Drawer A
The University of Texas at Austin
Austin, TX         78713-7206                                                                                                                         

ESL Services, 3rd floor
International Office
105 West Dean Keeton Street
The University of Texas at Austin
Austin, TX            78705

 

Fax materials to us at: 512-475-6810

1 ) PROGRAM CHOICE (check one):          r AEP (intensive only)   r ELP intensive r ELP part-time
ELP offers instruction to adults at all levels of proficiency. AEP requires at least low intermediate proficiency (as evidenced by a TOEFL score of 425(113 computer-based TOEFL) or higher, or an oral interview with ESL Services upon arrival) and a Bachelor’Äôs (4-year) degree. Students applying to AEP will be placed in ELP if they do not meet minimum qualifications.         

                                                                                                                                                                                    2) SESSION (check below): 

r  Summer 2002     10 weeks
r  Summer II 2002  5 weeks (AEP Only)
r  Fall 2002          15 weeks
r    Spring 2003 15 weeks
r    Summer 2003 10 weeks
r    Summer 2003 5 week (AEP Only)

2b)     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):

r Listening/Speaking (MWF 9-10:30 or 10:45 ’Äì 12:15)
r Reading and Discussion (TTh 1:00-3:15)
r Grammar/Idioms (MWF 3:00-4:30)
r Writing (MWF 1:15 - 2:45)     

3) TEST PREPARATION COURSES (Courses meet for 7 weeks and are optional for intensive students. Please check if desired.):

rTOEFL Preparation--intermediate proficiency required (Tuesdays and Thursdays 10-11:40)
rGRE Preparation’Äìhigh-intermediate proficiency required (Tuesdays and Thursdays 10-11:40; meets second half of Fall or Spring semesters)
rGMAT Preparation’Äìhigh-intermediate proficiency required (Tuesdays and Thursdays 10-11:40; meets second half of Fall or Spring semesters)

                                    Please note that all course times are dependent on room availability and are subject to change.

4) PERSONAL INFORMATION:

Name: _______________________________________                     _____________________________________r male rfemale
      Family Name (exactly as it appears on passport)     First Name (exactly as it appears on passport)

Date of Birth: ___/___/______       Country of Birth: _______________________ Country of Citizenship: _______________________
                    month/day/year
E-mail address: _____________________________________________________________

Permanent Mailing Address (your country):

__________________________________  _______________________________________________________

Number and Street

Apt. Number and Street Name

__________________________________  _____________________________________________________

City

State

__________________________________  _______________________________________________________

Country

Postal Code


Current Mailing Address (Immigration documents will be sent here):
______________________________  _______________________________________________________

Number and Street

Apt. Number and Street Name

__________________________________  _____________________________________________________

City

State

__________________________________  _______________________________________________________

Country

Postal Code

5) US VISA INFORMATION:

A. If you are in the US now, what kind of visa do you have? F-1         r J-1    r Other (please specify): ________
B. Do you need a Form I-20 (the immigration document you need to obtain an F-1 visa) from ESL Services? r Yes r No
C. Are you transferring from another US school? r Yes r No
If yes, please provide the school name and address: ______________________________________________________________________

Telephone: _______________________ Fax: ____________________________

(If transferring) Will you travel outside the US before joining our program? rYes rNo If yes, dates of travel: ____________________

If you have dependents who need immigration documents, please add their information below:

 

Name

Date of Birth
(month/day/year)

Relationhsip

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

 

 

6) EDUCATION INFORMATION:

What is your highest education degree?         r High School r Associate’Äôs (2-year) r Bachelor’Äôs/Undergraduate (4-year) r Master’Äôs           r Ph.D.

Graduation year: ______ Institution: _____________________________________ Field: __________________________

After English studies, what are your plans?   r Bachelor’Äôs degree in US            r Master’Äôs/Ph.D. in US            r University studies in home country                                                                                             r Return home to work               r Other ___________________________

Have you applied for admission to The University of Texas at Austin? r Yes r No

If yes, for which department? ___________________________________________

Have you been accepted by UT? r Yes r No r Waiting for decision If yes, which semester will you begin UT? ___________________

                                                                                                             What is your UT student ID number? _______________________

7) FINANCIAL GUARANTEE STATEMENT: (Intensive Students Only)

The United States Immigration and Naturalization Service 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.

Person who is financially responsible:         r Applicant       r Parents/Family           r Sponsor

If you will be funded by parents/family or a sponsor, please write that information below.

__________________________________________________________
Name of financially-responsible party                                             

__________________________________________________________
Address

__________________________________________________________          
Address (line 2)

__________________________ _____________________________
Telephone                                                                                          Fax                                                                             

8) CERTIFICATION:

All applicants complete:
r I have read and completed this form, and I certify that the information provided is accurate and complete.
r I understand that I am responsible for making my own housing arrangements and transportation from the airport.
r I understand that admission to the ESL Services English Language Program or Academic English Program is NOT a
guarantee of admission to any other academic program at the University of Texas at Austin.

Intensive applicants complete:
r I certify that I have sufficient funds available for the total expenses, as shown in my letter of financial guarantee.

**Please apply at least 30 days in advance to allow adequate time to process your Form I-20 and obtain a student visa.

AEP applicants complete:

r I am including my TOEFL score.                 TOEFL Score: ________ Date of Test: _________
OR       r I will receive an oral interview with ESL Services upon arrival (telephone interviews are available pre-arrival by calling 512-471-2480).
r I am enclosing a copy of a degree certificate which shows I have completed at least a Bachelor’Äôs/Undergraduate (4-year) degree.
r I understand that if I do not meet minimum qualifications for AEP admission, I will be placed into ELP.

___________________________________________________________                      ___________________
Applicant’Äôs signature                                                                                                       Date

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’Äôs checks, or a personal check drawn on a US bank.

All applicants must pay a non-refundable tuition deposit of $100 USD, which will be applied to the cost of the program upon admission. Please do not send US currency through the mail.

r I am enclosing or authorizing charges of $100 for my tuition deposit.
r Optional: I am enclosing or authorizing charges of $45 for express mail delivery of documents.
Payment type:            r Bank draft/money order             r Traveler’Äôs check/personal check (payable to "The University of Texas at Austin")
                                    r MasterCard                                         r Visa

If paying by credit card, please complete:

Card Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expiration Date: (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’Äôs Public Information Officer, Office of Financial Affairs, PO Box 8179, Austin, Texas, 78713 (email:cfo@www.utexas.edu).

AEP/ELP App:W                                                                                                                                                                                                                                   last revised 5/18/2002


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