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English Language Institute
PO Box 117051
315 Norman Hall
Gainesville, FL 32611-7051
Phone: (352) 392-2070
Fax: (352) 392-3744
studyenglish@eli.ufl.edu

The ELI is a proud member of UCIEP, a consortium of University and College Intensive English Programs

Online Application Form

Application Instructions

To request admission to the English Language Institute:

1. Complete and submit this form to the ELI by clicking on the submit button at the bottom of the form. (Do not email this page to us; use the submit button. Emailing will only result in our receiving a blank form.)

and

2. Send the following items via mail:

A non-refundable $100.00 application fee. We accept bank checks or money orders by mail. Visa, Mastercard, or American Express are also accepted for on-line payments.
Formal proof that the applicant has completed secondary education (transcript or copy of diploma)
Proof of financial responsibility if applying for a student (F-1) visa (Certificate of Financial Responsibility and certified bank statement from applicant's or guarantor's bank, or statement from sponsoring agency--in English, showing U.S. currency equivalence)
A copy of the applicant's passport
Immunizations:
U.S. immigration laws require visiting students to the United States to submit a record of their immunizations. International students at ELI must prove they have had the following:
- A current PPD skin test, taken within the last year, that confirms they are free of Tuberculosis
- One of the following vaccine combinations is acceptable
Immunization Form (Please send the completed Immunization Form only to the ELI )
Please read the Immunization instructions before filling out the form
If the student is not yet 18, a parent or guardian MUST sign and date the Waiver of Liability so that the student may participate in cultural activities AND the Immunization Form, Section A, below #5, AND Section F at the bottom of the page.
All students must provide proof of health insurance. If you purchase health insurance in your country, the company MUST fill out the Insurance Verification Form. All responses to this form must be "yes." If you wish to be sure your insurance is acceptable, it is preferable to purchase it when you arrive at the ELI.

Mail to:

English Language Institute
P.O. Box 117051
315 Norman Hall
University of Florida
Gainesville, FL 32611-7051, U.S.A.
Phone: (352) 392-2070
Email: StudyEnglish@eli.ufl.edu

RED FIELDS ARE REQUIRED

Personal Information

First Name (Given):
Middle Name:
Last Name (Family):
Sex:	Male Female
Country of Birth:
Country of Citizenship:
Date of Birth:

Present Address

Address1:
Address2:
City:
State or Province:
Zip or Postal Code:
* if your country does not use a Postal code, please enter 00000
Country:
Telephone:
Fax:
Email*+^:
If you do not have an email address, please mail* your application to the address above. You cannot submit an electronic application. +South Korean Students: Hanmail.net blocks all University of Florida e-mail as SPAM. Please use a different e-mail address, not hanmail.net, to ensure you receive all communications from the University of Florida. ^Please note that naver.com is blocking all University of Florida e-mail. Please use a different e-mail address while submitting your applications.

Permanent Address

Number and street:
City:
State or Province:
Zip or Postal Code:
Telephone:
Fax:

Academic Information

Have you completed secondary education, or will you have completed secondary education by the time you are at the ELI? Yes No
How many years of schooling have you had after secondary school? years
How many years have you studied English? years
For which session are you applying?
Summer B, 2012 (June 25 - August 10)
Fall C, 2012 (September 4 - December 7)
Fall B, 2012 (October 15 - December 7)
Spring c, 2013 (January 14 - April 26)
Spring B, 2013 (March 6 - April 26)

Visa Information

Your plans after completing the language program:
Attend a university in the U.S.A.
Attend a professional school at the University of Florida
Attend a professional school elsewhere in the U.S.A.
Return to my country to study or work
Other (explain)

If you are married and bringing your dependents to the U.S.A., list names and birth dates along with country of citizenship.

Dependent #1
Name:
Birth Date:
Country:
Relation to F1 Student:

Dependent #2
Name:
Birth Date:
Country:
Relation to F1 Student:

Dependent #3
Name:
Birth Date:
Country:
Relation to F1 Student:

Dependent #4
Name:
Birth Date:
Country:
Relation to F1 Student:

Dependent #5
Name:
Birth Date:
Country:
Relation to F1 Student:

Dependent #6
Name:
Birth Date:
Country:
Relation to F1 Student:

Please indicate the type of visa you will apply for:
Student Visa (for which you need a form I-20) -- Eligible for full-time enrollment only
Tourist Visa (B-1/B-2) -- Eligible for part-time enrollment only*
I am the spouse of a F-1 student. (F-2) -- Eligible for part-time enrollment only
I am a U.S. Citizen.
I am a legal permanent resident of the U.S.
Other; state the type

* You may not travel to the US on a tourist visa if your main intent is to study. If your main intent is to study, you must apply for a student visa.

Source of Funding Assistance for duration of English Studies at ELI

Will you receive funding assistance from your government or some other agency?
Yes No
(If yes, a letter of sponsorship must be included with your application materials before an I-20 can be issued.)
Details:

Guarantee of funding for duration of English Studies at ELI

This is to certify that the Guarantor named below will be fully responsible for all expenses of the student named below during his/her studies at the University of Florida's English Language Institute. The following should be filled out by the Guarantor. Submitting this information constitutes acceptance of this agreement. Students intending to study on a student (F-1) visa should fill this information and submit a completed Certificate of Financial Responsibility (CFR). Non-F1 students do not need to submit a CFR, but should fill out the information below.

Guarantor's Name:
Contact Information:
Relationship of Guarantor to Student: Parent; Guardian; Sponsor Self

Transfer Students Only

If you are a transfer student from another language institute in the U.S., please provide the following information:
Name of School:
Address of School:
Director's Name:
Date you began studies:
Date of arrival in U.S.:
Visa type:

UF Conditionally Admitted Students Only

If you are conditionally admitted to a University of Florida Graduate Program, please provide the following information:
Program to which you are admitted:
Graduate Advisor's Name:
Anticipated semester of graduate program enrollment:
Please send a copy of your admission letter to StudyEnglish@eli.ufl.edu You do NOT need to pay an application fee or submit proof of high school completion. You DO need to submit a Certificate of Financial Responsibility or Sponsorship Letter to StudyEnglish@eli.ufl.edu

Payment Method

Which method would you like to use for payment of the $100 application Fee?
Check or money order sent separately
Online
I am Conditionally Admitted

Application fees are non-refundable. Payments and any refunds will be processed in U.S.$ only at the current exchange rate.

How did you first find out about the ELI?

A University of Florida department or program told me about the ELI
The ELI was recommended by a different school/department/employer.
      Name:
A current or former student recommended the ELI.
      Name:
A friend or family member recommended the ELI.
      Name:
I spoke with someone from the ELI in my country.
An agency or company helped me learn about the ELI.
      Agency or Company Name:
I found the web page via the University of Florida web site.
I did a search for English language programs on the Internet.
I saw an advertisement in a magazine.

Certification:

I understand the terms of my admission to the English Language Institute and I agree to abide by all the rules and regulations of the University of Florida and the Institute. I am aware of the importance of using English in all ELI-related activities. I pledge that I will use English exclusively in all activities involving the ELI. Also, I authorize release of my credentials for admission and of my medical records to any qualified personnel for treatment in case of illness of injury. Finally, by submitting this form, I certify that the information contained in the application form is correct and true.

By clicking the submit button, you are agreeing to the terms above.

Your information will be submitted to a secure server.

The University of Florida English Language Institute is authorized under Federal law to enroll non-immigrant students.