Admission Application - Ohio Program of Intensive English

Please print and complete this application form. Send by air mail to:

Ohio Program of Intensive English

Gordy Hall 155

Ohio University

Athens, Ohio 4570l-2979

U.S.A.

 

Contact information:

Telephone 740-593-4575

FAX 740-593-4577

E-Mail opie@ohiou.edu

Telex: 810-239-2992

With this application send:

1. $45 application fee, made payable to Ohio University
2. Affidavit of Financial Support (see second page)
3. Completed application
4. Transcripts

 

 

Part I

CHECK THE QUARTER YOU ARE APPLYING FOR AND COMPLETE THE YEAR

___ Fall (September, 200__)

___ Winter (January, 200__)

___ Spring (March, 200__)

___ Summer (June, 200__)

PLEASE TYPE OR PRINT ALL INFORMATION

Name: ___________________________________________________________

Address: ________________________________________________

_________________________________________________________

Telephone: __________________________________________

Fax: __________________________________________

E-mail: __________________________________________

Date of Birth:Month_______ Day____ Year ____

Country of Birth______________

City of Birth______________

Sex _____female ____male

Country of Citizenship___________________________________

Native Language______________________

Marital status: _____ single _____ married 

If married, will members of your family be with you in Athens? __ yes__ no. 

If yes, how many? _____ 

Will you apply for a married student apartment? _____ yes _____ no.

NOTE: If you plan to apply for a married student apartment, you should apply at least three months before expected date of arrival.

List the full names of all family members who will travel to the US with you. Please print the name as it appears on the passport.

Please indicate your application status:

Are you applying or do you plan to apply for regular admission to Ohio University? _____ yes _____ no.

If yes, as a _____ graduate _____ undergraduate student.

Have you been accepted for admission by an American college or university? _____ yes _____ no.

If yes, name of institution_______________________

Is academic placement to be arranged by sponsoring agency or embassy? ___yes___ no

 Part II

Ohio University

Affidavit of Financial Support

Ohio University requires confirmation of financial resources from all applicants who are not United States citizens or who are not holding permanent residence (immigrant) visas at the time they apply for admission. These statements must be on file in the Office of Admissions before the final evaluation for admission is completed.

Payment of tuition, fees, and other charges for the quarter or session are due at the beginning of each term. Please be prepared to meet these obligations. Current costs, including 1) tuition and fees, 2) living expenses, and 3) required health insurance, for the 2006-07 school year are

Financial resource requirements are different for three types of student

English study only

* includes health insurance cost of $367 per one quarter.

Undergraduate study at Ohio University

Graduate study at Ohio University

Please note that tuition fees and expenses are subject to change without notice. Please refer to the estimated expenses for detailed information.

I certify that I have a minimum of (please write the appropriate amount from above figures)

$________ for 1 quarter of study

$________ for two quarters of study

$________ for three quarters of study

I also certify that I have adequate funds of $______________ for my travel to and from the U.S.

These funds will be provided by (please circle one):

my own funds

 

my parents

 

other (specify):

I further certify that I can make the necessary arrangements to have these funds transferred to the United States

Applicant:

Family Name _______________________First Name__________________Middle

 

Signature of

applicant___________________________________________Date________________

 

Sponsor:

Family Name _____________________First Name _________________Middle

 

Signature of

sponsor______________________________________________Date_______________

 

Relationship to

sponsor______________________________________________________________

 

Sponsor's

Address _____________________________________________________

 

_____________________________________________________

 Statement from Bank or Financial Establishment:

 This is to certify that _______________________________________________whose

signature appears above, has $_________ at this time to meet the expenses of the applicant above. This certificate does not constitute a statement of liability on my part or that of the firm or bank I represent.

 

Signature____________________________________________Date_______

 

Organization____________________________________________________

 

Address________________________________________________________

Last updated on October 27, 2009