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Online Application Form

 
 
 
 

Thank you for choosing the ELI at FIU for your language training. This information will be sent directly to the ELI when you press the "Send Form" button below; But you will still need to mail us a passport photo, a $100 US dollar non-refundable application fee payment, and financial documentation before we can process your I-20.
You will not be registered until we receive all the above items.
 

Please mail all of the above to:
Florida International University
English Language Institute
11200 SW 8 Street LC 204
Miami Florida 33199

 
  Part I  
Gender:      Male        Female
Family Name:     
First Name:     
Middle Name:     
 
  Permanent Mailing Address (Home Country)
Address:     
City:     
State/Province:     
Country:     
Phone:     
Fax:     
E-Mail:     
 
  U.S. Address (if applicable)
Address:     
City:     
State:     
Zip Code:     
Phone:     
 
  Personal Information
Date of Birth (DD/MM/YYYY) :     
Country of Birth:     
Country of Citizenship:     
Language Spoken at Home:     
Highest Degree:     
Major Field of Study:     
 

Do you plan on studying at an American university of college after attending ELI?

  Yes        No

How did you first hear about ELI?   

  Referral by a student or former student
  Received information by mail
  Other personal referral
  Telephone Directory
  The Internet
  Other
  Major medical insurance and Measles and Rubella immunization required at registration.

Are you a permanent resident of the United States?   

  No        Yes   If yes, please provide registration A#:
 

Are you currently in the United States on aF-1 Visa?   

  No        Yes   If yes, what institution issued your I-20?
  Please note that you will still need to apply for an I-20 from the English Language Institute in order to transfer your student status.
 

If you are not on a F-1 visa, what type of visa do you currently hold?   

  J-1
  B-2
  A-1
  F-2
  Other:
 
  Part II
(All applicants who require an I-20 for a student visa should complete this section):
In order to obtain an F-1 student visa to study at the English Language Institute, you must submit financial certification. Financial certification is the documentation which shows that you have the minimum sum of US$9,000.00 available for each semester that you intend to study at the ELI. (Additional funds required for dependents). Please check all categories that apply to your situation.
 
I am planning to support myself through personal savings. I have attached a certified letter from my bank which verifies that I have US$ in my personal savings account.
My parents and/or sponsors will support me. I have attached a certified letter from the bank of my parents and/or sponsors which verifies that US$ are available to me to study at Florida International University. Also attached is a certified letter which verifies their commitment.
My government is sponsoring my studies. I have attached a certified letter from my government which verifies that US$ are available to me.
My family will accompany me to the United States.
 
For each family member, spouse and/or child accompanying you to the United States, please provide first and last name, date of birth, country of birth and their relationship to you:
 
  How will you support your dependents if they join you in the United States?
 
IMPORTANT: I certify that the total amount of money available to me for this academic year in the United States is US$. Furthermore, by submitting this form, I certify that all information provided by me on this form is complete and correct, to the best of my knowledge.
 
  I am applying for (please select one of the following) :
  The Intensive English Program (IEP)   The Academic English Program (AEP)
Fall term (October-December) Fall term (October-December)
Winter term (January-March) Winter term (January-March)
Spring term (April-June) Spring term (April-June)
Summer term (July-September) Summer term (July-September)
  Tuition and fees for IEP include the cost of three of our four basic classes, laboratory, FIU student activities fee, II) (includes library privileges, extracurricular activities, and use of athletic facilities), health services fee, orientation brunches, graduation lunches, and traditional holiday festivities.
  Practical Conversation Program (Full Term)   Practical Conversation Program (Half-Term)
Fall term (October-December) Fall term (Oct-Nov) (Nov-Dec)
Winter term (January-March) Winter term (Jan-Feb) (Feb-Mar)
Spring term (April-June) Spring term (Apr-May) (May-Jun)
Summer term (July-September) Summer term (Jul-Aug) (Aug-Sep)
  Intensive Conversation Program
Fall term (August-August) 4 Weeks Fall term (September-October) 3 Weeks
Winter term (January-February) 4 Weeks Summer term (March-April) 3 Weeks
Spring term (April-May) 4 Weeks Summer term (June-July) 3 Weeks
Summer term (July-August) 4 Weeks  
  Business English Program   Four-Week Summer Institute July August
Fall term (October-November) Grammar/Conversation
Winter term (January-February) TOEFL Preparation
Spring term (April-May)  
Summer term (July-August)
   
   

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