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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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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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Note:
Both schools are full for Fall 2 Term 2008. |
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Winter Term: Jan 12, 2009
Winter Half Term: Feb 9, 2009
Spring Term: Mar 23, 2009
Spring Half Term: Apr 20, 2009
Summer Term: June 1, 2009
Summer Half Term: Jun 29, 2009 |
Fall I Term: Aug 17, 2009
Fall I Half Term: Sep 14, 2009
Fall II Term: Oct 19, 2009
Fall II Half
Term: Nov 16, 2009 |
NOTE: Vacation English program: July 6, 2009 is only offered
at the ACC school this year.
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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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
-
If you answer "YES" your parent or guardian must sign
the Medical
Authorization Form and mail or fax it to Spring-Auraria.
[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. |
