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English Language Program ~ Application Form Welcome to SDUIS. Please fill out the following information to begin your application process. You will needto pay the application fee today to proceed, and you will need to turn in the required documents in a timely manner if you require an I20. Thank you for choosing SDUIS and we look forward to helpingyou with your education goals!
1. Applicant Information
Full Legal Name:
~ Please print clearly!
Office Section - Student ID#: ___ _____
First/Given Name
Middle Name
Last/Family NameMale
Female
Birth Date: __________________________ Month Day Year Country of Citizenship: ______________________
Country of Birth: ______________________
Email:________________________________________________________________ Home Phone:______________________________ Current Visa Status: F (student) Cell Phone:________________________________ B (tourist) J (work) Other___________2. Start Date at SDUIS: Month______________________ Day: ________ Year:____________
How long would you like to study at SDUIS: __________________ (months/ years)
3. Permanent Address (HomeCountry):
4. Local Address (inside the US):
Required for I-20
Address: ______________________________________ _____________________________________ _____________________________________ Province:_____________________________________ State: ______________ Postal Code: ______________ Country: _________________________________ Address: ___________________________________________________________________________ City: ________________________________________ State: ____________________ Zip Code__________________
San Diego University for Integrative Studies - English Language Programwww.sduis.edu
5.
STUDENT VISA (F):
Will you need an I-20 from SDUIS for student visa?
YES, I will need I-20 NO, I do not need I-20
8.
HOW DID YOU HEAR ABOUT SDUIS?
INTERNET- Website:...
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