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F-I Visa Student Form
If you would like to enroll at Empire State English as an F-1 Visa Student from outside the U.S., please fill out this form.
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Your name as listed on your passport *
Given name *
Surname / last name / family name *
Middle name, if any
Your date of birth (month/day/year) *
MM
/
DD
/
YYYY
The last four digits of your passport number *
Your mailing address (outside the U.S. - the address where we will send the Form I-20 - please include the postal code and country) *
Email address, Skype name, WhatsApp number, and phone number (include the country code). *
Will you arrive in the U.S. with a spouse and/or children? *
When would you like to start studying English in the U.S.? *
How long would you like to study English in the U.S.? *
How will you pay for your classes? (Check all that apply.) *
Required
Do you have student health insurance or do you need information from us? (Please check all that apply.) *
Required
Do you already have housing in the U.S. or do you need information from us? There are several options: hotel, apartment, homestay, stay with friends/family. (Please check all that apply.) *
Required
If you already have housing in the U.S., where will you stay during your English classes? Please provide an explanation and the address.  Your housing sponsor will need to fill out a housing sponsor form with us. *
If you would like to transfer from another Intensive English Program in the U.S., what is the name of the school? (If you are not a transfer student, please type N/A.) *
Why are you transferring schools? (If you are not a transfer student, please type N/A.) *
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