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On-line Application Form :: Application

Indiana University Intensive English Program On-Line Application Form

IMPORTANT:If your browser does not support forms, please click here.

This information will be sent directly to the IEP when you press the "SUBMIT" button below, BUT you will still need to mail us your financial guarantee information, the passport page which has your photo, and $100 application fee payment BEFORE we can process your I-20.

* Fileds marked with * are required.

Your Name:
Last or Family Name*
First Name(s)*
Middle Name
Email*
Your Address:
Street or Post Office Box*
City*
State
Postal Code
Country*
Date of Birth*
MonthDateYear
Gender* Male:              Female:
Country
of Citizenship:*
Country
of Birth:*
If married,
will you bring your spouse?		 Yes:              No:
Will you bring children? Yes:              No:
How many children?
Do you plan to
apply for a student visa (F-1)?*		 Yes:              No:
Did you finish high school* Yes:              No:
What year?*   

If you are now in the United States, please answer the questions:
On what date
did you enter the United States?
MonthDateYear

What type of visa do you have?
F/Student**        J/Exchange**        B/Tourist
Other:
** If you have an F or J visa, please bring a copy of your I-20 or IAP-66 with you to I.U.

Are you sponsored
by a government or corporation?
Yes:          No:
Sponsor name:

If yes, do you have permission
from your sponsor to transfer to our program?
Yes:          No:

If you have applied to I.U. before, please list your I.U. identification number:
Have you taken a TOEFL test?* Yes:          No:
What was your score? 
Will you need handicapped services? Yes:          No:
What type?
Where did you hear about the Indiana University Intensive English Program?

Mark the session in which you want to begin your studies (each session is 7 weeks long)*
January 3, 2007 January 2, 2008
February 22, 2007 February 21, 2008
May 2, 2007 April 30, 2008
June 21, 2007 June 19, 2008
August 22, 2007 August 27, 2008
October 11, 2007 October 16, 2008

We need you to fill in the address and phone number where your I-20 visa eligibility documents and/or admission letter should be delivered
Address:*
Phone number:*

Please read the following carefully before sending the form:

Before we can send you an I-20 visa eligibility document, we must receive:

  1. This completed application form;
  2. Passport page which has your photo
  3. A $100.00* application fee (non-refundable) in U.S. funds payable to Indiana University;                     *This includes payment for express mailing your I-20 document
  4. Proof that someone will support you while you attend our program.

If you are being sponsored by a friend, a relative or yourself, we need:

  1. an ORIGINAL bank statement of the person who will support you (estimated in U.S. funds).
    If this statement is YOURS, then this is all we need for support;
  2. if the statement is NOT yours, we also need an ORIGINAL letter from the person who will support you.  This letter must include:
    1. the length of time that this person will support you while you are in the U.S.;
    2. their name and address; and,
    3. their signature.

If you are being sponsored by a government or corporation, we need:

  1. an ORIGINAL financial guarantee letter covering English language training with our name on it; and
  2. a billing address in the United States for tuition and other fees.

At the bottom of this page are two buttons: the "Clear..." button on the left will remove all your answers and allow you to start over. The "Send..." button will send the information directly to us. If you have any additional comments, be sure to add them below BEFORE you press the button to send us the form. We look forward to hearing from you and thank you for your time and interest in the Intensive English Program at I.U.!

Any additional comments or questions