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Name: |
First Name: |
Middle Name: |
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| Sex: |
City of Birth: |
Country of
Citizenship: |
Male
(man)
Female
(woman) |
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| Date of Birth: |
Country of Birth: |
Passport Number: |
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| H O M
E A D D R E S S |
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| Number
and street: |
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| City: |
State/Province: |
Postal
Code (if any): |
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| Country: |
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| Telephone
(req. for express mail) |
Fax
Number: |
Email
Address: |
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| A
D D R E S S I N T H E U.
S. A. (if you live here now) |
| Number
and street: |
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| City: |
State: |
Postal
(Zip) Code: |
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Are you transferring from another school in the United States?
If YES, answer these questions: |
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Name of previous school: |
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| What is
your SEVIS number:
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| What
term do you wish to begin your studies? (see
Calendar
for details) |
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Winter Term: Jan 11, 2010
Winter Half Term: Feb 8, 2010
Spring Term: March 22, 2010
Spring Half Term: April 19, 2010
Summer Term: June 1, 2010
Summer Half Term: Jun 28, 2010 |
Fall I Term: Aug 16, 2010
Fall I Half Term: Sep 13, 2010
Fall II Term: Oct 18, 2010
Fall II Half
Term: Nov 15, 2010
Vacation
English program: July 12, 2010 |
Executive English
- Give desired dates:
Other
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| What
is your housing preference? |
Homestay
(Please complete homestay
application in Step 5)
I will
find my own apartment
Dormitory
Already
arranged (no housing help needed) |
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I'm a smoker
I'm a
non-smoker |
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| Have
you graduated from high school? |
Have
you graduated from college/university? |
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Yes
No |
Yes
No |
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How is your English ability now? |
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no
English
beginner
intermediate
advanced |
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| Where
/ how did you hear about our program? (check all that
apply) |
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Friend
or Relative
Brochure
Internet
Magazine
Other - how?
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| Do
you have a friend or relative in the U. S.? If
'yes', |
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| Name: |
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| Address: |
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| Telephone: |
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FINANCIAL INFORMATION |
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U. S. Federal Law requires applicants to show evidence of
financial support for the period of their study in the United
States. Please provide statement of
financial support from your bank, your family’s bank or your
sponsor showing that you have sufficient funds to cover your
expenses while in the United States.
Approximately $5000 must be available to cover tuition,
food, housing, books, and miscellaneous expenses for each 9-week term. |
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How long do you plan to study at Spring International? |
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Half-term
(5 weeks) |
One
term (9 weeks) |
Two
terms |
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Three terms |
Four terms |
Five terms
(one year) |
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Six terms
(level 1 to graduation) |
Until
I finish the program |
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Sources of financial support funds (check all that apply): |
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Personal funds |
Sponsor |
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Family funds |
Other:
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SELF /
SPONSOR / GUARDIAN: I certify that the funds described above
will be available to the applicant during his/her study at
Spring International. |
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Name: |
Relationship to
Applicant: |
Telephone: |
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Address - Number and Street: |
City: |
Country: |
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E-mail address: |
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I accept
these financial terms. (You
must check this box to complete this application.)
I do not
accept. |
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I am under 18 years old: |
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NO
YES
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If you answer "YES" your parent or guardian must sign
the Medical
Authorization Form and mail or fax it to Spring-ACC.
[The form will open in a new tab or
window.] |
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PLEASE CHECK YOUR APPLICATION FORM,
THEN CLICK THE "SUBMIT" BUTTON BELOW.
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After you click "Submit" you may
see a "Form Confirmation"
page.
If you do, please click "Return to the form"
to continue to STEP 3. |
