ESL Institute & APSU Undergraduate Application for Admission

1. Family/Last Name:*

Given/First Name:*

2. GenderMale, Female, Non-Binary

3. Country of Birth:*

City of Birth:*

4. Date of Birth*

5. Country of citizenship *(passport country)

6. Student Email Address*(agent or other emails can be added later)

7. I-20 Form

The I-20 Form is used to apply for an F-1 international student visa. The English Language Institute will only provide I-20 forms to students who apply for the full-time Intensive English Program.
The DS-2019 is used to apply for a J-1 exchange student visa. The English Language Institute/APSU will only provide DS-2019 forms to students who are coming from an APSU partner institution.

Do you need an I-20 Form?*

Yes, I am now outside the U.S. and need an I-20 Form (F-1 student visa)

Yes, I am outside the U.S. and need a DS019 Form (J-1 exchange student visa)

Yes, I am changing my visa to F-1 and need an I-20 Form

No, I am studying at another institution in the U.S. and will transfer.

No, I have another type of visa.

8. Permanent Address (in home country)

This must be your permanent address in your home country.

If you are in the United States now, do NOT enter your U.S. address. You will enter your U.S. address in Question #11.

Home Country - Street Address 1:*

Home Country - Street Address Street 2:

City*

State/Province/Territory*

Postal CodeIf none, leave blank.

Country*

9. Phone Number (in home country)*

10. Do you have a current address in the U.S.?*

Yes

No

If yes, please enter your current U.S. address and phone number.
If no, go to Question #13.

11. Current U.S. Address

City

State

Zip/Postal code

12. Current U.S. phone number

13. Are you under 18 years old?*

Yes

No

14. Are you using an agent or educational consultant?*

Yes

No

If yes, what is the name of the Agency/Company and the name of your agent?
If no, go to Question #16.

15. Name of the Agency/Company

Name of your agent

Email for agent/agency

16. When will you start English Language classes?*

17. How many terms do you want to study?*

18. Please choose your entry level:*

First-time student

Transfer student; first time at APSU's ESL Institute

19. If a First-time student, go to Question #20.
If a Transfer student, where are you currently studying?

Where are you currently studying?

20. Will you bring any dependents with you?*

I plan to come alone.

I will bring my spouse with me.

I will bring my spouse and child/children with me.

I will bring my child/children with me.

21. Where will you live?*

I will apply to live on-campus in student housing.

I will live off-campus and find my own housing.

22. Do you know someone in the Clarksville/Nashville area?*

Yes

No

(sponsor, family member, friend, etc.)

If yes, please enter their name, relationship to you (friend, uncle, aunt, cousin, brother, etc.), their email address and phone number.
If no, go to Question #23.

Name and Relationship to You

Email

Phone number

23. When do you plan to begin taking undergraduate or graduate courses at Austin Peay?*

24. 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

A new student fee $50 is required at time of application for English Language admission only. For English Language and APSU undergraduate admission, the payment is $75.

Payment Options: https://www.apsu.edu/esl/tuition-fees/paymentoptions.php

Have you submitted your application fee?

Yes

No

F-1 Visa Student: English Language Institute and APSU Undergraduate Application for Admission

English Language Institute