Intensive English as a Second Language Application for Admission

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Intensive English as a Second Language
Application for Admission
IESL Program Office
207 Strickler Hall
Louisville, Kentucky 40292
Office:
Fax:
Email:
Web:
502-852-5901
502-852-2880
iesl@louisville.edu
www.louisville.edu/english/iesl
The Intensive English Language (IESL) Program is a full-time course of accelerated language
instruction for non-native speakers who want to increase their proficiency in the language for academic
or professional reasons. Our program is located on the 177-acre Belknap campus and is only minutes
away from downtown Louisville.
Classes are designed to help you develop the necessary skills in reading, listening, speaking, and
writing so that you can succeed in an academic or professional setting. We will also help you learn
about American culture and customs. The program director provides hands-on advising and
assistance with the university admissions application process.
Successful completion of the Advanced Level of our program is accepted by the university
undergraduate Office of Admissions as proof of English proficiency. Recent IESL graduates are
currently working toward degrees in the College of Business, Speed School of Engineering, School of
Public Health and Information Sciences, College of Music, and the College of Arts & Sciences. Other
students return to their home countries after finishing the program with improved English skills that
help them in their academic and professional careers.
Important Details:
 Applicants must demonstrate prior formal instruction in English on transcripts.
 We admit students and issue I-20s for the fall and spring semesters.
 New students take a placement test on the first day and begin their program of study in one of
three levels.
 Promotion to the next level is based on a designated level of performance on regularly scheduled
quizzes and exams throughout the semester. Beginning level students should expect to complete
the program in three semesters; intermediate students in two; and advanced students in a single
semester.
 Successful completion of the advanced level also requires satisfactory performance on the
program administered institutional TOEFL® ITP.
 All students are registered for 12 hours of non-degree credit each semester. The 12-credits are
awarded upon successful completion of the Advanced Level.
This application is for the IESL program only. If you are also interested in applying to the University of
Louisville, you must contact the Office of Admissions or check their websites at
louisville.edu/admissions or louisville.edu/futurestudents.
UNIVERSITY OF LOUISVILLE
INSTRUCTIONS: We advise students coming from overseas to send their information at least 10 weeks before the start of the
semester. Your application is reviewed when all of the required materials are received. If you meet the requirements for admission,
you will receive a letter of acceptance and (if required) an I-20 to obtain the visa. For more information on visas, visit the
International Center web page (http://louisville.edu/internationalcenter/isss/incoming-students).
What to Send: To apply for admission to IESL, you must submit the completed application, with signature, and the following
information. Return all items to the IESL office.
1. Academic Transcripts - Include official transcripts from ALL secondary school work and any records from college or
university courses. Transcripts must be in English or with a certified English, word-for-word translations. Applicants currently
enrolled in the U.S. must also submit transcripts of all coursework. (A transcript is a record of courses taken, grades received,
qualifying information about grading standards, years of attendance, and the title of any degree received.)
2. Application fee - $100 in the form of a certified bank/cashier’s check or international money order, payable in U.S. dollars to
the University of Louisville. We do not accept cash.
3. Applicants requesting an I-20, a copy of the page in your passport with your picture and the exact spelling of your name.
4. Certification of Finances – Applicants requesting an I-20 must provide documentation that they have the ability to finance
their education. Complete the Financial Declaration (page 3) and attach an original document or certified copy, on letterhead,
from a bank or supporting agency. This document must be in English and in U.S. dollars. A bank statement should be
included. Include adequate documents to prove sufficient funds to meet all educational and living expenses for one year.
Dependents - If dependents will be coming with you, complete the Dependent Information form (page 4). Indicate their
relationship to you (wife, husband, and children are the only dependents recognized by the U.S.). Include a copy of their passport
and proof of additional funds (listed on application).
TRANFERS - If you are transferring from another program in the U.S., you must contact the International Center (502-852-6602)
for the steps you need to complete the Transfer In form for UofL. The transfer must be completed before you can start IESL. More
information is available on their web, www.louisville.edu/internationalcenter.
TUITION AND ESTIMATED COSTS: Tuition must be paid in full during the first week of classes. Our program does not
offer scholarships, payment plans, or financial aid to students. Tuition is not refunded after the first week of classes. Failure to
pay tuition by the deadline will result in dismissal from the program.
Students should anticipate adjustments.
Tuition
$5,090 per semester
UofL Student Fees *
$202 per semester (*increase expected in Fall)
International Student Fee
$50 (per semester for F-1 and J-1 visa holders)
Textbooks
$250-350 per semester
Application Fee
$100 (non-refundable); this should be paid by certified (bank) check or money order; IESL cannot accept cash
University Meal plan
$200 per semester for all full-time undergraduate students (non-dormitory students)
Dormitory students pay a fee based on their housing (see www.louisville.edu/campuscard/)
Medical Insurance *
International Students are automatically enrolled in the insurance plan and billed for the UofL sponsored
insurance plan at a rate of $2,462/year ($1,231/semester). For more information, visit Campus Health Services,
http://louisville.edu/campushealth/information/insurance/international-students (*increase expected in Fall)
University Housing *
Application and costs available on the Housing Office website (www.louisville.edu/housing). You may contact
the Housing Office at 502-852-6636. (*increase expected in Fall)
Students are responsible for finding their own housing.
Personal Expenses
$4,000 (estimated for one semester; estimates are based on off-campus living costs; actual costs will vary
with each person, see http://louisville.edu/admissions/apply/requirements/international-applicants)
Shipping Information for
Express Mail
UofL uses an express mail service that allows you to receive your I-20 immigration document through DHL,
FedEx or UPS in 1 - 2 weeks. Requesting express mail is at your expense and your credit card (Visa,
MasterCard or Discover cards only) is charged when requesting the service. To request express mailing of
your I-20, go to: https://study.eshipglobal.com (works best with Internet Explorer & Mozilla Firefox
browsers). Do not go through the DHL, FedEx or UPS website directly. Be sure to check Express Mail on
your IESL application form.
1
INTENSIVE ENGLISH AS A SECOND LANGUAGE (IESL) PROGRAM
APPLICATION
RETURN TO:
I WISH TO ATTEND:
IESL Program Office
Strickler Hall, Room 207
University of Louisville
2301 S. Third Street
Louisville, KY 40292
□ Fall semester (August 22-December 8, 2016)
□ Spring semester (January 6-April 26, 2016)
PERSONAL INFORMATION (Please print or type)
Name
(Primary/Family/Last)
(Given/First)
Country of Birth
Country of Citizenship
Date of Birth
[] Female [] Male
Email address
Month / Day / Year
Permanent Home Country Address (required)* (apt/street)
(city/state/country/postal code)
*A street address is required for an I-20 or DS2019. A P.O. Box number will not be accepted.
Phone Number (Home Country)
How should we send your I-20: [ ] U.S. airmail (no tracking number, not express)
[ ] Express mail (instructions at https://study.eshipglobal.com)
[ ] someone will pick up (indicate phone number)
[ ] mail to address in U.S. (print below):
(apt/street)
(city/state/country/postal code)
ACADEMIC INFORMATION: * Transcripts for 3 years secondary school and any additional education must be provided
*The English prerequisite is satisfactory performance in formal instruction of at least one full-year course of high school English or one
semester at the post-secondary level. Applicants with several years’ permanent residence in the United States may qualify.
Secondary School
Location
Dates of attendance
Colleges/Universities
Location
Dates of attendance
English programs
Location
Dates of attendance
What are your academic plans:
Signature
Date
Not valid unless signed by the applicant. With your signature you indicate you have read and understand the following:





I-20s/DS2019s are issued by the International Center. For questions, contact their office at intcent@louisville.edu.
Payment of tuition is required in full on the first week of registration and is non-refundable after the first week of the semester. A student who
enrolls in IESL is committed to the full tuition and fees for the entire period for which the student is registered.
The University of Louisville reserves the right to modify or cancel at any time the entire IESL Program or any level of the program.
STUDENTS MUST BE PRESENT THE FIRST DAY OF THE SEMESTER. You may be denied enrollment if you are late. Failure to
report on the start date under number five (5) on your I-20 may jeopardize your immigration status in the U.S.
All items submitted in support of this application become the property of the UofL IESL Program and will not be returned.
2
INTERNATIONAL STUDENT INFORMATION FORM
Residents, citizens, or others not seeking or currently on an I-20 should complete only the following. If you are seeking an F1 or J1 visa (if
you need an I-20 or DS 2019), complete both sides of this form and include proof of financial support.
If you are currently in the U.S., answer the following questions:
[] I am a permanent resident or U.S. citizen
[] I am currently in the country on the following visa:
[] Student (F-1) Attach a copy of your Form I-94 bearing notification of your visa and copy of current I-20.
[] Exchange Scholar (J-1) Attach a copy of your Form-I-94 bearing notification of your visa and copy of current DS2019.
[] Other (specify)
SEVIS ID number ________________________ Date you entered U.S. ___________ Expiration date of your I-20 __________
Are you transferring to IESL from a school in the U.S.? [] Yes
[] No
If Yes, a Transfer In form must be completed by you and the school indicated on the I-20 before a new I-20 may be issued and you
begin IESL.
Name of School
Location ____________________________________________________________________________________________
Name of School Contact ___________________________________ Major field of study
Please note: Currently, INS regulations prohibit those on a B (tourist) or F2 (dependent) visa from studying in a full-time program.
Those seeking a visa to study in the U.S. should complete the following information and the Financial Declaration.
The University of Louisville must be assured that you will have adequate financial resources to support all of your educational and living
expenses for the duration of your studies in the U.S. Falsifying this information will result in your dismissal from the program.
For questions, contact the International Center, 502-852-6602, email them at intcent@louisville.edu, or visit their web site.
NAME
Date of Birth
(Primary/Family)
(Given/First)
(month/day/year)
Country of Birth
Country of Citizenship
City of Birth
Country of Legal Permanent Residence
Permanent Address (apt/street)*
(city/state/postal code)
*A street address (not a P. O. Box) is required to complete your I-20.
Phone Number
Number of dependents (spouse or children) who will accompany you
(complete Page 4).
Where will you live while you are in the U.S**: □ University housing □ Private apartment □ Living with friends/family
**Students are responsible for finding housing during their stay in the U.S. For University housing, you must submit a
Housing application, deposit and pre-payment to the Housing office at www.louisville.edu/housing. Dormitory space is on a
first-come-first-served basis and is not guaranteed.
3
FINANCIAL DECLARATION
International Center Application
An I-20 or DS2019 will be issued only after proof of sufficient funds is provided. UofL does not offer scholarships,
financial aid, or payment plans to international students studying in IESL. Proof of funding must exceed the
estimated amount for tuition, fees, and personal expenses for one year (two semesters) of study. The following are
based on 2014 expenses (per semester unless indicated). *Increases possible in May:
Tuition . . . . . . . . . . . . . . . . . . . . . . . . . .$ 5,090
UofL Student Fees*. . . . . . . . . . . . . . . . $ 202
International Student Fee . . . . . . . . . . $ 50
Textbooks . . . . . . . . . . . . . . . . . . . . . . . $ 250-350
Commuter Meal Plan (mandatory) . . . . $ 200
Medical Insurance (mandatory)* . . . $ 2,462/year ($1,231/semester)
Additional Costs:
Housing* . . . . . . . . . . . . . . . $ 2,395 - $ 4,251
Meal Plan/dormitory student* . . . . . . . $ 1,460
Personal Expenses (estimated) . . . . . . $ 4,000
Dependent (spouse or child). . . . . . . . . $ 2,500
Complete the following: With this information, you are affirming that you have sufficient funds to pay for all of
your necessary expenses and will be able to travel from and to your country.
SOURCE OF
DOCUMENTATIONS REQUIRED
FINANCIAL RESOURCES
all documents should be in English
AMOUNT IN
U.S. DOLLARS
AVAILABLE
PER YEAR
Attach an original (not photocopied) bank statement in U.S.
dollars; letter from bank or other agency with amount in U.S.
dollars
$
Family funds
(If the name of the applicant is not
included on the bank statement, a
letter of intent, signed by the sponsor,
in English, must be included.)
Attach an original document or certified copy, on letterhead from a
bank or other supporting agency, in English, verifying that the first
year’s funds are on deposit for your study in America.
$
Relatives or friends in the U.S.
(any U.S. sponsor must be a U.S.
citizen or legal permanent resident)
Attach a completed the Affidavit of Support (INS form I-134). To
the I-134, the sponsor must attach a bank statement and proof of
the sponsor’s resident status. Form found at www.uscis.gov/, under
Forms.
Personal Savings
An original letter from the sponsor stating the amount and duration
of the scholarship and validity for attendance at the University of
Organization / Employer / Government Louisville. The letter should contain a name and address to bill the
sponsor.
Total resources available must meet the estimated cost of one academic year’s study.
$
$
$
1. Who will be serving as your financial guarantor? (self, father, mother, other)
Print full name
2. Do government restrictions exist on the amount of money which may be sent abroad for your studies? _____________
If yes, attach a letter from the currency control authorities stating that you will be eligible for currency exchange.
I DECLARE THAT ALL STATEMENTS MADE ABOVE AND EVIDENCE PROVIDED IN SUPPORT OF THESE
STATEMENTS ARE TRUE.
Signed by:
Date
Must be signed by applicant
DEPENDENT INFORMATION
4
Fill out the information for each dependent who will be accompanying you. Attach a copy of the passport page for each dependent. This
information must be exactly as it appears on their passport. You must supply additional financial proof of $2,500 for each dependent on
your financial information.
1-NAME
(Primary/Family)
Date of Birth
(Given/First)
Relationship to applicant
(month/day/year)
COUNTRY OF BIRTH _______________________ COUNTRY OF CITIZENSHIP
CITY OF BIRTH
COUNTRY OF LEGAL PERMANENT RESIDENCE
2-NAME
(Primary/Family)
Date of Birth
(Given/First)
Relationship to applicant
(month/day/year)
COUNTRY OF BIRTH _______________________ COUNTRY OF CITIZENSHIP
CITY OF BIRTH
COUNTRY OF LEGAL PERMANENT RESIDENCE
3-NAME
(Primary/Family)
Date of Birth
(Given/First)
Relationship to applicant
(month/day/year)
COUNTRY OF BIRTH _______________________ COUNTRY OF CITIZENSHIP
CITY OF BIRTH
COUNTRY OF LEGAL PERMANENT RESIDENCE
4-NAME
(Primary/Family)
Date of Birth
(Given/First)
Relationship to applicant
(month/day/year)
COUNTRY OF BIRTH _______________________ COUNTRY OF CITIZENSHIP
CITY OF BIRTH
COUNTRY OF LEGAL PERMANENT RESIDENCE
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