2012 2013 esl program application packet€¦ · spring b 2013 7 weeks 1/10/13 3/ 26-27 /13 3/28/13...

2012-2013 ESL PROGRAM APPLICATION PACKET

This packet contains:

SCHOLARSHIP INFORMATION APPLICATION INSTRUCTIONS APPLICATION FORM COST INFORMATION SCHOOL CALENDAR

2043 College Way, Forest Grove, Oregon 97116 USA Phone: 503-352-2851 Fax : 503-352-2975 or 503-352-2970

Email: [email protected] Web: www.pacificu.edu/intl

ESL SCHOLARSHIPS

The purpose of our ESL Scholarships is to reward students with top scores in ESL classes. Pacific offers one ELI scholarship each session for a currently enrolled student. To receive a scholarship, a student must have already studied two, 7-week terms in the ELI with perfect grades (4.0 GPA on a 0 - 4 scale). The winner will be picked randomly from all qualified students who apply. Students who win this scholarship can study one ELI session, full time, with no charge for ESL course tuition. The maximum ESL award per year, per student is $1950.00.

ESL SCHOLARSHIPSESL SCHOLARSHIPS

20122012--2013 ESL PROGRAM COSTS2013 ESL PROGRAM COSTS

7-WEEK ESL PROGRAM*

US$

Tuition 1,950 University Fees 213 Application Fee 0 Room & Meals 2,498 Books 100 Health Insurance 275

TOTAL* 5,036

*These estimated costs may change without notice.

FULL YEAR (28-WEEK)

ESL PROGRAM*

US$


TOTAL* 20,598


FULL SEMESTER (14 –WEEK)

ESL PROGRAM*

US$


TOTAL* 10,030


ESL APPLICATION Please send us by post, fax or email attachment:

ELI APPLICATION FORM 2-pages COPY OF HIGH SCHOOL TRANSCRIPT & DIPLOMA or CERTIFICATE, OR COPY OF COLLEGE TRANCRIPT ORIGINAL (not a copy) BANK STATEMENT (and signed affidavit of support if bank account is not in student’s name) COPY OF DATA PAGE IN PASSPORT HOUSING APPLICATION FORM (only if you are not bringing family)

After you have been accepted for ESL ADMISSION, please also send us:

1. ARRIVAL FORM 2. IMMUNIZATION RECORD TO APPLY FOR A HOMESTAY, PLEASE VISIT:

www.andeo.org

PLEASE NOTE: NO APPLICATION FEE IS NECESSARY but if express mail is used to ship

I-20, student will be charged. For students who live in the following countries, we send I-20 by reg-

ular airmail: Australia, Austria, Belgium, Canada, Denmark, France, Germany, Great Britain, Hol-

land, Italy, Japan, New Zealand, Norway, Portugal, South Korea, Spain, Switzerland, Sweden and

Taiwan. For all other countries, express mail shipping of I-20 is required, at students’ expense.

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20112011--2012 ESL APPLICATION 2012 ESL APPLICATION

TO GET YOUR F-1 STUDENT VISA

FOLLOW THESE 3 STEPS

STEP 1

Make a Visa Appointment at the US Embassy or Consulate in Your Country.

Please do this step immediately after receiving your I-20. Telephone or visit the US Embassy website to make the appointment. You may need to wait several weeks for this appointment. You will need to give your SEVIS ID number to make this appointment. Your SEVIS ID number is located at the top of your I-20 (it begins "N000").

STEP 2

Pay Your US$200 SEVIS FEE (I-901) Online. Please do this step immediately after receiving your I-20.This is not a school fee. It is a

US Government fee. Please go to: www.fmjfee.com and follow the directions. It will ask for your SEVIS ID number. Your SEVIS ID number is located at the top of your I-20 (it be-gins "N000"). You will need to pay this fee before you visit the US Embassy or Consulate. Be sure to print a copy of your 1-901 receipt and take it to your visa appointment.

STEP 3

Go to Your Visa Appointment.

You should bring your I-20, your I-901 fee receipt, your passport, the DS-156 Visa Application (https://evisaforms.state.gov/ds156.asp) and your original financial documents to this appointment. If you will enter an undergraduate or graduate program, bring proof of your English proficiency. Be sure to learn the details of Pacific University. Explain details of your study plan. Explain why your education in the US will help you when you return to your home country. Explain why you will return to your home country after you finish studying.

TO ENTER THE U.S. CARRY THESE DOCUMENTS WITH YOU

Your Passport (must be valid for at least 6 months after the start of your school program

Your I-20 and a Signed Letter of Acceptance From School

Your Financial Documents

Your I-94. “Arrival / Departure Card” (available at the airport)

The Name and Contact Information of Your School Advisor

US STUDENT VISA INSTRUCTIONS After you apply to Pacific University and are accepted, we will send you an official acceptance letter and a US Immigration form I-20. Then you can apply for your student visa at the US Embassy in your home country. If you are already in the U.S., please contact us for visa instructions.

http://www.fmjfee.com/

NAME

Of TERM

LENGTH OF TERM

APPLY

DEADLINE

ARRIVAL

DATE

REQUIRED

ORIENTATION

1

st DAY

OF CLASS

LAST DAY OF CLASS

Summer 2012

7 Weeks

3/15/12

5/20/12

5/21/12

5/21/12

7/6/12

Summer Break 7/7/12 to 8/26/12 Limited Housing Available During Break.

Fall A 2012

7 Weeks

6/20/12

8/ 19-20 /12

8/21/12

8/27/12

10/12/12

Fall B 2012

7 Weeks

8/15/11

10/ 16-17 /12

10/18/12

10/22/12

12/7/12

Winter Break 12/8/12 to 1/13/13 Dormitories Stay Open During Break.

TOEFL Prep 2013

2 Weeks

11/3/12

1/13/13

1/14/13

1/14/13

1/25/13

Spring A 2013

7 Weeks

11/25/12

01/ 28-29 /13

1/30/13

2/4/13

3/22/13

Spring Break 3/23/13 to 3/31/13 Dormitories Stay Open During Break.

Spring B 2013

7 Weeks

1/10/13

3/ 26-27 /13

3/28/13

4/1/13

5/17/13

Summer 2013

7 Weeks

3/15/13

5/ 21-22 /12

5/23/13

5/28/13

7/12/13

Summer Break 7/13/13 to approximately 8/26/13 Limited Housing Available During Break.

20122012--2013 ESL Program Calendar 2013 ESL Program Calendar (mm/dd/yy)

for students admitted to the non-credit ESL program only

These dates may change. Please contact the school before making travel or study plans.

ESL PROGRAM

ESL“BRIDGE” PROGRAM

NAME

Of TERM

LENGTH OF TERM

APPLY

DEADLINE

ARRIVAL

DATE

REQUIRED

ORIENTATION

1

st DAY

OF CLASS

LAST DAY OF CLASS

Summer 2012

7 Weeks

3/15/12

5/20/12

5/21/12

5/21/12

7/6/12

Summer Break 7/7/12 to 8/26/12 Limited Housing Available During Break.

Fall 2012

15 Weeks

6/20/12

8/ 19-20 /12

8/21/12

8/27/12

12/12/12

Winter Break 12/8/12 to 1/13/13 Dormitories Stay Open During Break.

Spring 2013

15 Weeks

11/25/12

01/ 21-22 /13

1/23/13

1/28/13

5/17/13

Spring Break 3/23/13 to 3/31/13 Dormitories Stay Open During Break.

Summer 2013

7 Weeks

3/15/13

5/ 21-22 /12

5/23/13

5/28/13

7/12/13

Summer Break 7/13/13 to approximately 8/26/13 Limited Housing Available During Break.

These dates may change. Please contact the school before making travel or study plans.

20122012--2013 ESL Bridge Program Calendar 2013 ESL Bridge Program Calendar (mm/dd/yy)

for students conditionally admitted to Bachelor Degree programs

OF 2

When do you want to begin studying? Summer (late-May to early July)

Fall A (late-August to mid-October) Spring A (late-January to late-March) Fall B (late-October to early-December) Spring B (early-April to mid-May)

How long do you plan to study at the ELI? From ___________________ to ___________________. Month/Year Month/Year

Personal Information (should be same as in applicant’s passport) Family Name (surname) Given Name Middle Name

Date of Birth: Male Female

mm / dd / yyyy

Country of Birth: Country of Citizenship:

Mailing Address

Telephone: Fax:

E-mail address _______________________________________

Permanent Home Country Address (if different from mailing address above)

__________________________________________________________________________________

Emergency Contact Information

Name: Telephone:

E-mail:

Are you transferring to the ELI from another school in the United States? Yes No

What is your US Visa Status AT THIS TIME? No visa at this time

I have an F-1 visa I have a J-1 visa I’m a Permanent Resident I’m a US Citizen

Education Have you graduated from High School? Yes No Graduation Date:

Have you attended a college or university? Yes No Highest Degree:

Have you taken TOEFL or IELTS? Yes No Score: ____ Date of test:

How did you first hear about Pacific University?

“I hereby certify that all information on this application form is true and accurate. I understand that giving false information is cause for rejecting or terminating enrollment at Pacific University.”

Student’s signature Date

PACIFIC UNIVERSITY

ENGLISH LANGUAGE INSTITUTE ESL APPLICATION

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PAGE 2 OF 2

PACIFIC UNIVERSITY INTERNATIONAL UNDERGRADUATE APPLICATION

AFFIDAVIT OF SUPPORT

All applicants who need a student (F-1) Visa to study in the U.S. must show enough money to pay for tuition, living expenses, and cost of dependents (if any) during their first year of study.

In addition to this form, you must also give us an official bank statement prepared within the last 6 months.

Student’s Name____________________________________________________

PARENT of SPONSOR SIGNS HERE “I certify that the information on this form is complete and correct. I understand that if I include incomplete or false information, Pacific Universtiy may reject my application, withdraw an offer of acceptance or cancel my enrollment at any time. I give permission for Pacific University to confirm this information. I will notify Pacific University of any changes.”

You may use more than one source of support, if necessary.

Sources of Support Amount of Support Additional Information 1) Student’s Personal Funds US$_____________

2) Family Funds US$_____________ _________________________________

(Relationship to student)

3) Government Scholarship US$_____________ _________________________________

(Source of scholarship)

4) Other (sponsor) US$_____________ _________________________________

(Relationship to applicant)

I/we agree to provide the funds shown above to the applicant for the purpose of full-time study at

Pacific University. Please attach bank documents, created in the past 6 months, showing the availability of these funds.

Family Member (or Sponsor) Signature_____________________________________________ Date__________________ mm/dd/yyyy

Name (printed) ______________________________________________________________________________________

Address____________________________________________________________________________________________

Street/PO Box

HOUSINGHOUSING

Why Live on Campus?

Students who live on campus usually get better grades,

make more friends, and are more positive about their

college experience.

IT’S A FACT!

► 6 DORMITORIES ► AMERICAN ROOMMATES ► YOUNGER STUDENTS LIVE ON-CAMPUS ► OLDER STUDENTS, TRANSFER & ESL STUDENTS LIVE ON - OR OFF-CAMPUS ► MANY DIFFERENT ROOM STYLES ► CHOICE OF MEAL PLANS ► AIRPORT PICK UP