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Where would you like to study?
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Program Interested in
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First Name
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Last Name
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Salutation
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Gender
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Date of Birth
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Month
Month
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Year
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Nationality
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Afghanistan
Aland Islands
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Brazil
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Brunei
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Canada
Cape Verde
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Vanuatu
Vatican
Venezuela
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Wallis and Futuna
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Yemen
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First Language
Other Languages
Intended Course Start Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
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9
10
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12
13
14
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16
17
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21
22
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25
26
27
28
29
30
31
Year
Year
2025
2026
2027
Course Type
*
- Select -
Humboldt English School - Course Test
Demo schools - For demo schools
Demo schools - English learning
Course Type
*
- Select -
Pacific University Oregon
Northern State University
University of Michigan - Flint
Colorado Mesa University
Kaplan - Glasgow International College
Study Group - University of Sussex International Year One
Study Group - Liverpool John Moores University (LMJU) International Year One
Study Group - University of Lincoln International Year One
Study Group - Kingston University International Year One
Study Group - Keele University International Year One
Study Group - University of Huddersfield International Year One
Study Group - University College Dublin
Study Group - Trinity College Dublin
Study Group - RHUL (Royal Holloway, University of London)
Study Group - University of Sussex
Study Group - University of Surrey
Study Group - Liverpool John Moores University (LMJU)
Study Group - University of Leicester
Study Group - Leeds ISC (Leeds Metropolitan University)
Study Group - Lancaster University
Study Group - Kingston University
Study Group - University of Huddersfield FoundationCampus
INTO - ST. George's University
INTO - City University London
INTO - Queen's University Belfast
INTO - Glasgow Caledonian University
INTO - Manchester Metropolitan University
INTO - University of Manchester Foundation Campus
INTO - Newcastle University Foundation Campus
INTO - University of Exeter Foundation Campus
INTO - University of East Anglia Foundation Campus
UCLAN - LONDON FOUNDATIONCAMPUS
SUNDERLAND - LONDON FOUNDATIONCAMPUS
INSTITUTE OF EDUCATION - LONDON FOUNDATIONCAMPUS
SOUTH BANK - LONDON FOUNDATIONCAMPUS
Royal Holloway - LONDON FOUNDATIONCAMPUS
QUEEN MARY - LONDON FOUNDATIONCAMPUS
GOLDSMITHS - LONDON FOUNDATIONCAMPUS
CEG BIRKBECK - LONDON FOUNDATIONCAMPUS
CEG COVENTRY FOUNDATION CAMPUS
University of Newcastle
Saint John's University
Mercer University
Longwood University
University of San Diego
Philadelphia University
Chadron State College
Valdosta State University
California State University Fresno
Course Type
*
- Select -
Colorado Mesa University
Study Group - University of Sussex
Study Group - Liverpool John Moores University (LMJU)
Study Group - Leeds ISC (Leeds Metropolitan University)
Study Group - Kingston University
Study Group - University of Huddersfield FoundationCampus
UCLAN - LONDON FOUNDATIONCAMPUS
SUNDERLAND - LONDON FOUNDATIONCAMPUS
INSTITUTE OF EDUCATION - LONDON FOUNDATIONCAMPUS
SOUTH BANK - LONDON FOUNDATIONCAMPUS
Royal Holloway - LONDON FOUNDATIONCAMPUS
QUEEN MARY - LONDON FOUNDATIONCAMPUS
GOLDSMITHS - LONDON FOUNDATIONCAMPUS
CEG BIRKBECK - LONDON FOUNDATIONCAMPUS
CEG COVENTRY FOUNDATION CAMPUS
Massey University
University of Newcastle
Mercer University
University of San Diego
San Jose State University
Philadelphia University
Chadron State College
Valdosta State University
California State University Fresno
Number of Weeks
- None -
1 Week
2 Weeks
3 Weeks
4 Weeks
5 Weeks
6 Weeks
7 Weeks
8 Weeks
9 Weeks
10 Weeks
11 Weeks
12 Weeks
13 Weeks
14 Weeks
15 Weeks
16 Weeks
17 Weeks
18 Weeks
19 Weeks
20 Weeks
21 Weeks
22 Weeks
23 Weeks
24 Weeks
25 Weeks
26 Weeks
27 Weeks
28 Weeks
29 Weeks
30 Weeks
31 Weeks
32 Weeks
33 Weeks
34 Weeks
35 Weeks
36 Weeks
37 Weeks
38 Weeks
39 Weeks
40 Weeks
41 Weeks
42 Weeks
Current Level of English
*
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Beginner
Intermediate
Advanced
Do you have an IELTS/TOFEL
*
- Select -
No
Yes
Which test did you do and the score
*
- Select -
IELTS
TOFEL
IELTS
*
- Select -
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
TOFEL
*
- Select -
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
Accommodation
Accommodation
*
- Select -
No
Yes
Number of Weeks
*
- Select -
2 Weeks
3 Weeks
4 Weeks
5 Weeks
6 Weeks
7 Weeks
8 Weeks
9 Weeks
10 Weeks
11 Weeks
12 Weeks
13 Weeks
14 Weeks
15 Weeks
16 Weeks
17 Weeks
18 Weeks
19 Weeks
20 Weeks
21 Weeks
22 Weeks
23 Weeks
24 Weeks
25 Weeks
26 Weeks
27 Weeks
28 Weeks
29 Weeks
30 Weeks
31 Weeks
32 Weeks
33 Weeks
34 Weeks
35 Weeks
36 Weeks
37 Weeks
38 Weeks
39 Weeks
40 Weeks
41 Weeks
42 Weeks
Type of Accommodation
*
- Select -
Homestay
Student Residence
Airport Pickup
*
- Select -
No
Yes
Airport Drop-off
*
- Select -
No
Yes
Contact Details
Email
*
Telephone
*
Land line
Home Address
*
Mailing address is same as home address
YES
Mailing Address
*
Country of Residence
*
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Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R., China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Emergency Contact
Name
*
Relationship to Student
*
- Select -
Father
Mother
Brother
Sister
Husband
Wife
Other
Country
*
- Select -
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R., China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Telephone
*
Email
Payment Source
Payment of Tuition Fees
*
- Select -
Self
Parent or Guardian
Co. Sponsor
Gov. Sponsor
Full Name of Sponsor
*
Transfer Students
Are you transferring from School/University in the United States
*
- Select -
No
Yes
High School Details
Please provide the name of the previous school you're transferring from
High School Name
*
GPA / Grade obtained in High School?
*
Graduation Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Bachelors Degree Details
University Name
*
GPA / Grade obtained in Bachelors Degree?
*
College/University Name
*
Graduation Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Family Information
Father/Guardian Name
Address
Occupation/Employer
Work Phone
Email address
Mother/Guardian Name
Address
Occupation/Employer
Work Phone
Email address
