Student Application

1. Family/Last Name:*

Given/First Name:*

2.GenderMale, Female, Non-binary

3. Country of Birth:*

Date of Birth*

4. What is your native language?*

5. Choose your citizenship/residency type or visa type. If not listed, choose other.*

U.S. Citizen

U.S. Permanent Resident (Green Card)

B Visitor Visa

J-1 Au Pair Visa

L-2 Visa

E-2 Visa

No residency or visa

Other Visa (go to next question)

If "Other Visa" was selected, give the letter and number of your visa type.

6. Address*

City*

State*

Zip Code*

7. Email Address*

8. Phone Number*

9. General English Program:
Courses listed below. Course fee covers the cost of course and any materials; no separate textbook purchase is required.

Term:

Summer (June - August) - $195

Fall I (August - October) - $195

Fall II (October - December) - $195

Spring I (January - March) - $195

Spring II (March - May) - $195

10. Intensive English Program:
Select one or more courses listed below. Students will be placed into levels after placement testing before classes begin.

Term

Fall I (August - October)

Fall II (October - December)

Spring I (January - March)

Spring II (March - May)

Summer (June - August)

Course Offerings

Intensive Speaking, Listening and Pronunciation ($560*)

Intensive Reading/Vocabulary ($480*)

Intensive Grammar ($480*)

Intensive Writing ($535*)

11. How did you hear about the English Language Institute at APSU?*

From a current English Language student

From a friend or family member

From a poster or printed brochure

From the APSU website

From a general internet search

From an online international student directory (such as StudyUSA, Intensive English USA, etc.)

Other