516 High Street Bellingham, Washington 98225-­‐9102, USA Phone: +1 (360) 650-­‐3308 Fax: +1 (360) 650-­‐6818 Email: [email protected] Intensive English Program APPLICATION FOR ADMISSION Questions? Talk with us! ID: wwuiep PERSONAL INFORMATION: Family Name: Gender: Male First Name: Marital Status: Single Married Female Date of Birth (Month/Day/Year): / / Country of Citizenship: Will you bring your spouse or child to the U.S.? Yes No Country of Birth: City of Birth: Will you apply for on campus housing? Yes No I don’t know Native Language: For which quarter and year are you applying? (IEP Quarterly Schedule) Fall 20 Winter 20 Spring 20 Current Mailing Address: Street: Province/State: Telephone: Summer 20 Send my I-­‐20 to this address. City: Postal Code: Country: E-­‐mail: Send my I-­‐20 to this address. Permanent Address (if different from above): Street: Province/State: Telephone: City: Postal Code: Country: E-­‐mail: Emergency Contact Information: Parent or Guardian’s Family Name: Telephone: Parent or Guardian’s First Name: Relationship to you: E-­‐mail: How you heard about IEP: Agency: Website: Family: Friend: Other (please specify): WESTERN WASHINGTON UNIVERSITY (WWU) ADMISSION: I will not apply to WWU. I have applied for undergraduate/ conditional admission through the WWU admissions office. Intended Major: I will apply for undergraduate/ conditional admission through the WWU admissions office AFTER I arrive at IEP. Intended Major: Please complete the form in English. 516 High Street Bellingham, Washington 98225-­‐9102, USA Phone: +1 (360) 650-­‐3308 Fax: +1 (360) 650-­‐6818 Email: [email protected] Intensive English Program APPLICATION FOR ADMISSION SEVIS INFORMATION: I will apply for an F-­‐1 student visa. I will not apply for an F-­‐1 student visa. Please select your current visa type: F-­‐1 I will transfer my I-­‐20 from a school in the USA. Name of school: City and State: EDUCATION BACKGROUND: High School Attended: City: University Attended: City: I did not attend university. B-­‐2 J-­‐1 USA citizen Resident Other: Field of Study: Country: Country: Graduation Date: Degree Earned: Graduation Date: PROOF OF FINANCIAL SUPPORT: Provide an official bank/financial statement, letter or certificate verifying the financial funds available. Must verify that you have $7,112 for EACH QUARTER ($4,112 tuition and fees; $3,000 living expenses) you will study with the IEP. Source of Funds: Personal/family funds $ USD Sponsor: $ USD Other: $ USD Parent or Sponsor’s Financial Guarantee: I agree to provide financial support for the above named student while he or she is a participant of the Intensive English Program at Western Washington University. I guarantee to provide funds for tuition, fees and living expenses. *Final financial guarantee documents must be submitted prior to tuition and fee deadline. Sponsor Signature:________________________ Sponsor Name: Relationship to Student: APPLICANT CERTIFICATION: I certify that, to the best of my knowledge, all statements on this application are true. Failure to submit complete and accurate information may result in denial of admission to the Intensive English Program. ________/________/_______ Applicant Signature SEND APPLICATION BY: E-­‐mail: [email protected] Mail: Intensive English Program 516 High Street MS 9102 Bellingham, Washington 98225 USA OR Fax: 360-­‐650-­‐6818 Date Please complete the form in English. Connect with us! 516 High Street Bellingham, Washington 98225-­‐9102, USA Phone: +1 (360) 650-­‐3308 Fax: +1 (360) 650-­‐6818 Email: [email protected] Intensive English Program APPLICATION PROCESS APPLICATION CHECKLIST: Complete IEP application A financial guarantee in English, quoted in USD Application fee: $100 Copy of student’s passport or government ID card Optional: students who want to apply for undergraduate conditional admission must submit a separate application: http://admissions.wwu.edu/print/InternationalApplication.pdf COST (Quarterly Sessions: Fall, Winter, Spring, Summer): IEP Tuition *$3,212 Fees $900 See IEP website for description of fees. As some fees are subject to change, please contact IEP to confirm current costs. *IEP tuition does not include housing and other living expenses. NEXT STEPS: 1. Return completed IEP application and supporting documents 2. The IEP Office will send a link to pay the application fee with Credit or Debit Card 3. The IEP Office will send admission documents and further instructions via express mail VISA INTERVIEW INFORMATION: http://travel.state.gov/content/visas/en/study-­‐exchange/student.html Submit Form to [email protected] Please complete the form in English.