AEP Application

Please complete sections 1-5 of this application. Please answer all questions truthfully. Download the Student Application Instructions and Checklist to see the steps to successfully complete this application.

Section 1: Personal Information

Student First Name
Student Middle Name
Student Family Name
Gender
Birthday
 / 
 / 
Native Language
Country of Birth
Country of Citizenship
Home Phone
Cell Phone
E-mail
Home Country Street Address
City
Province/Territory
Country

Emergency Contact

First Name
Middle Name
Last Name
Home Phone
Cell/Work Phone
Email

Please choose ONE of the following options below and fill in the information for that option.

1. This is my first time studying in the U.S. I need an I-20 form so that I can obtain an F-1 visa.

My passport number is
Expiration date

Note: There must be at least 6 months validity remaining on your passport.

2. I am transferring from another school. I will need a new I-20 from ELI.

My SEVIS ID is
Current School Name
Foreign Student Advisor's Name

Note: You will also need to fill out ELI's Transfer-in form. This form will be emailed to you by the DSO.

3. I currently have a different visa and need to change my status to F-1.

Visa type
Current Visa Expiration Date
 / 
 / 

Note: Please complete ELI's Change of Status form. M-1 students cannot change their status while in the U.S. If you have an M-1 visa, you must depart the U.S. and apply for an F-1 visa.

4. I do not need a visa.

Please explain

Section 2: Dependents

Please fill out this section if you have dependents that will also need an I-20 form. F-1 students bringing children or a spouse must provide financial documentation (such as a bank statement) which will show the student's ability to support the family. The bank statement must show there are sufficient funds to pay $6,300 for their spouse per year, and $4,300 for each child per year.

Dependent #1

D1. First Name
D1. Middle Name
D1. Family Name
D1. Country of Birth
D1. Country of Citizenship
D1. Date of Birth
D1. Visa Type
D1. Visa Expiration Date
 / 
 / 
D1. Relationship
If other, please explain

Section 3: Eligibility Information

Please answer the following questions truthfully.

1. Are you at least 17 years of age?
2. Have you graduated from High School?
If No, What is your expected graduation date?
3. Are you able to provide your official high school transcript/diploma?
4. Did you receive a grade of C or higher in each subject?
5. Did you plan on attending a college or university in the United States?
6. Are you willing to attend various cultural events/activities about U.S. culture?
What is your desired start date?

Section 4: Financial Information

The English Learning Institute requires all students of the Academic English Program to pay for their tuition, room and board in full, before the start of each semester. Please fill in the following information regarding your ability to pay for the tuition and additional costs associated with our Academic English Program. Please note that textbooks are not included in the tuition.

Please select one of the following:

A. Self-Supporting Students

Tuition, Room, and Board Information

Students need to show proof that they have enough funds to cover the total for 4 semesters of tuition, room, and board. Please keep in mind that we do not have on-campus work opportunities for our students to work, so make sure that any funds you mention that will be used to pay for your expenses will not include any expected work experiences here during your program start and end date.

Please submit a bank statement that shows a current balance of $50,000 or more, plus the necessary funds for the dependents (if applicable), $6,300 for spouse, $4,300 per child. The bank statement that is submitted must be on the bank letterhead and signed by an official.

I confirm that I will have the necessary funds to cover all costs while I study in the USA. I have attached supporting documentation to support my claim. I agree to pay for all the semesters during my program start and end date. I certify that the information I have provided on this form is accurate. I understand that providing any false information or concealing important information regarding my finances will result in dismissal from the program or the denial of application to ELI.

Signature
Today's Date
 / 
 / 

B. Students with Financial Assistance (this section should be filled out by the financial sponsor(s))

Tuition, Room, and Board Information

The Financial sponsor(s) need to show proof that they have enough funds to cover the total for 4 semesters of tuition, room, and board. Please answer the questions below.

Please describe your relationship to the student
If Other, please explain
Please provide your address
Sponsor Country of Citizenship
Native Language
Email Address
Phone Number

Please submit a bank statement that shows a current balance of $50,000 or more, plus the necessary funds for the dependents (if applicable), $6,300 for spouse, and $4,300 per child. The bank statement that is submitted must be on the bank letterhead and signed by an official.

I confirm that I have the necessary funds to cover all costs while the student studies in the USA. I have attached supporting documentation to support my claim. I agree to pay for all the semesters during the student's program start and end date. I certify that the information I have provided on this form is accurate. I understand that providing any false information or concealing important information regarding my finances will result in dismissal from the program or the denial of application to ELI.

Signature
Today's Date
 / 
 / 

Documents: Please submit the following documents with this application.

Bank Statement
Copy of Passport Photo page
Transcript

Section 5: Agreement and Signature

By submitting this application, I affirm that the information provided is true and complete. I understand that if I am accepted as a student, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Application Fee
 $ 
How did you hear about ELI?
If Other, please explain:

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