Tuition and fees are subject to change without notice.

 

I have read and agree to the terms and conditions of the Cancellation and Refund Policy            
Yes

Students need to submit (if applicable):

An ELC application
Homestay Application (if a homestay is desired)
Financial Statement
Copy of current I-20 if transferring from another school
$75 application fee

Last Name / Family Name

First Name


Male Female

Date of Birth (month/day/year)

Country of Birth

Country of Citizenship

Current Mailing Address/Street Address or P.O. Box

District/City/State or Province/Zip Code/Country

Telephone

Fax/E-Mail



2011 Schedule:

*Class begins January 2 due to Christmas vacation.

Do you need an I-20? Yes No

Are you bringing any dependents? Yes No
If yes, please list complete name and date of birth.


Would you like residence information?
Apartment Homestay

Do you want to be picked up at the airport? Yes No

Educational Background
What is your knowledge of English?
Beginning Intermediate Advanced

Have you taken the TOEFL? Yes No If yes, please include a copy of your score.

What is the highest degree you have earned? High School, Bachelors or Masters degree, etc.


If you are now in the U.S., what visa do you have?
F-1 F-2 Other

Are you transferring from another U.S. language school?
Yes No If yes, please include a copy of your I-20

If you plan to attend a university, at what level will you study?
Undergraduate Graduate Other

Objectives
Why are you interested in learning English?
To prepare for study in an American university.
Major Field
For business purposes.
Type of Business
Personal Reasons.
Reason (optional)

How did you learn about ELC?
Family/Friend.
Internet, etc.
Agency.
Ad.

STUDENT OBLIGATIONS

According to USCIS ( U.S. Citizenship and Immigration Services), F-1 students must be full-time students.

• Students must attend the school to which they are assigned for a minimum of one (1) session.

• Students are to report to ELC within ten (10) days of entering the U.S.

• Full tuition is due before the first day of each session.

• Students are to speak only English while at school.

STATEMENT OF FINANCIAL RESPONSIBILITY
I certify that I have sufficient funds (in U.S. currency) to support my educational and living expenses during the entire period of study at ELC. I agree to take full responsibility for my expenses and to send a document of financial support. I promise to pay fees when due.
The funds will be provided by:
My own savings.
My parents.
Sponser/Other.

I understand and agree to the terms of Student Obligations and Statement of Financial Responsibility. (Signature required upon arrival).
Name
Date

For Parents/Sponsors:
If the student is under 18 years of age, the application must be signed by a parent or sponsor. (Faxed copy wth signature will be accepted).

I agree to the terms above.

Parent/Sponsor Name

Date

Relationship to Applicant

Address of Parent/Sponsor

 
Reminder: Did you read, understand, and agree to the Cancellation and Refund Policy
Yes

English Language Center
1015-C Waterwood Parkway
Edmond, Oklahoma 73034-5325
Phone: 405-348-7602
E-mail: info@elcok.com