ELI Application Form
English Language Institute's student application form.
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* Required Question
First Name:
Ex: Fatimah
Your answer
Last/Surname Name:
Ex: Smith
Your answer
Contact Email Address:
Your answer
Choose your ELI Location:
Choose the city you want to attend the English Language Institute.
Choose Your Course:
Please Choose One
Do you need an I-20?
An I-20 is needed to apply for an F1 student visa.
Country of Citizenship?
Ex. China
Your answer
Country of Birth:
Ex: Brazil
Your answer
Date of Birth:
Ex: March 17, 1998
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/
DD
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When do you want to start your class?
Ex. April 3, 2017 (Please choose a MONDAY only)
MM
/
DD
/
YYYY
How long do you want to study?
Ex: 6 months (MINIMUM STUDY PERIOD TO RECEIVE AN I-20 FROM ELI IS 8 WEEKS)
Your answer
Are you a Transfer Student?
Local US Phone: (if available)
Ex: (415) 123 4567
Your answer
What is your English Language skill level?
Choose one from the list of options.
Did someone refer you to ELI?
Ex: Name of Agency, Friend or Family Member who referred you
Your answer
Enter PROMO Code here (if applicable):
Your answer
ENROLLMENT AGREEMENT
Please read the Enrollment Agreement [ ESL - TOEFL https://goo.gl/ZV7dE8 ].
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