Study Tour Application
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The following information will be sent directly to the English Center when you press
the “SUBMIT” button. You will still need to mail or fax your financial
certification information. Your I-20 and acceptance letter will be sent to you only
when we have received the financial certification and application fees.
Please be sure to check the certification box at the end of the application, just after the credit card payment. Checking this box is the same as our signature on a written application. |
Please select the Study Tour program you wish to attend | |||||||||
Your Name: |
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Email* | |||||||||
Your Address: |
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Your Telephone Number:* |
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Date of Birth* |
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Gender* | Male: Female: |
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Education History | Secondary (High) School: How many years? Did you graduate? Yes No
College or University: |
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Please rate your current ability in English: | None: Beginning: Low Intermediate: High Intermediate: Advanced: |
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Where did you hear about the English Center? | |||||||||
Credit Card Payment: Credit Card Payment: (If paying by cash or check, please pay in person at the English Center’s Business Office.) |
Visa MasterCard Name of Cardholder: Credit Card number: 3-digit security code (reverse of card): Expiration date:
US$50 Application Fee |
* I certify that all the information provided on this form is correct and complete. (Checking this box serves the same purpose as signing and dating a printed version of this application form.) |
Acceptance documents will not be sent until we have received the application fee. The Admissions Office may request that you appear in person at the English Center to provide additional information. To make an appointment, please call (510) 836-6700 ext 131 or 122; or email admissions@englishcenter.edu. |
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