ELC Programs Application

APPLICATION FOR INTENSIVE ENGLISH AND GLOBE PRE-MBA PROGRAMS

FEES AND EXPENSES (subject to change)

	Full term 2009	Half term 2009
Application Fee*	$75	$75
Tuition (cost of classes)*	$3250	$1950
Drexel University Health Insurance*#	$300	$200
Estimated Living Expenses**	$3600	$1800
TOTAL	$7225	$4025

*Required **Includes housing, meals, books, and personal expenses.
#Approximate cost. Waived if student provides proof of sufficient insurance.

DIRECTIONS:

Type in the information and PRINT OUT this application.
Both you and your financial sponsor must SIGN this application by hand.

We do not accept applications by fax or email. You must submit an original application document.

ENROLLMENT INFORMATION

I INTEND TO ENROLL (CHECK ONE):

	Full Term	1st Half Term	2nd Half Term
Winter 2009	Jan. 7 - March 20	Jan. 7 - Feb. 13	Feb. 11 - March 20
Spring 2009	Apr. 1 - June 12	Apr. 1 - May 8	May 6 - June 12
Summer 2009	June 24 - Sept. 4	June 24 - July 31	July 29 - Sept. 4
Fall 2009	Sept. 23 - Dec. 9	Sept. 23 - Oct. 30	Oct. 28 - Dec. 9

I am applying for full time study in the (check one):
Intensive Program GLOBE Pre-MBA Program*

*To be eligible for GLOBE, students must have a university degree and place into ELC
level 4 Speaking/Listening and Reading/Writing (or higher).

STUDENT INFORMATION

Please type or print clearly.

Family Name:
Given Name:

Date of Birth: (Month) (Day) (Year)
You must be at least 17 years old to attend Drexel ELC.

Male Female Single Married

Country of birth:
Country of citizenship:
Native Language:
Occupation:

Permanent address:

Permanent telephone:
E-mail:

Address to which I-20 should be sent:

Telephone:
Fax:

Educational Agent (company name) if applicable:

HOUSING INFORMATION

Please choose one of the following:
I would like to arrange housing through Drexel ELC. I am enclosing the ELC Housing Application and the required deposit or placement fee.
I will arrange my own housing.

VISA INFORMATION

1. If you are NOT in the U.S., you will need a F-1 (student) visa to study at the Drexel ELC.

To get your visa, you will need an I-20 form from the Drexel ELC.

I need an I-20 form from Drexel ELC. I will complete the Financial Certification section below.

I don't need an I-20 form because

2. If you are NOW in the U.S., what type of visa do you have?

If you have an F-1 visa, what school or university issued your I-20?

PLEASE NOTE: If you have attended or are currently attending another school, you must have that school complete a Transfer Report.

FINANCIAL CERTIFICATION

To get an I-20 from Drexel ELC, you need to prove that you have enough money to pay for your tuition, fees, insurance, housing, books, meals, and personal expenses for one term. We have estimated these amounts to be $7000 for one full term.

1. I will come to the U.S.

alone.

with my spouse and/or children.

(You will need to show an additional $1800 for your spouse, plus $900 for additional dependent. The spouse of an F-1 visa holder cannot work in the U.S. Please attach a list of each person's name, date of birth, and country of citizenship.)

2. You must provide one of the following documents with this application to prove that you have the necessary funds:

A CURRENT, ORIGINAL statement or letter (not a photocopy) from a bank in the name of the person who will pay your expenses. The document must show an amount equal to at least $7000 and must be dated within 6 months of the program start date.

An ORIGINAL scholarship or grant letter (not a photocopy) from a company or government organization.

3. Who will pay your expenses?

Myself A company or government organization

My family in the U.S. My family in another country (not in the U.S.)

4. The person who will pay for your expenses must read and sign the following statement:

I have read the information regarding expenses for full time study at Drexel ELC.

I certify that these funds are available, and I accept full responsibility for the expenses.

SIGNATURE
Date: (Month) (Day) (Year)

Name:
Relation to student:

Address:

Where did you first hear about our program?

Please give the name and address of the organization or person.

TO APPLY

Before signing the form, please check the following items:

I have carefully read and completed all parts of this form.
I understand that I cannot expect to work to support my studies.
I am enclosing the required documentation to verify the financial statement above.
(For Financial Certification Documents, please attach original bank statements, affidavits of support, scholarship award letter, or other documents to verify the financial statement above.)

I am enclosing the following payments. OR
I am sending the following payments by wire transfer.

I understand that these payments cannot be refunded to me.

Application Fee (Required)
$ 75

Tuition Deposit (Required)
$ 100

To reserve housing: $200 (World House or Homestay) or $355 (International House)
$

Express Mail Fee ($60) if you want your I-20 sent by express mail
$

Total Amount Enclosed $

Payments can be made by credit card (VISA, MASTERCARD, or AMERICAN EXPRESS), money order, bank draft or check, payable to "Drexel University ELC."
Note: Do NOT include your $100 SEVIS fee payment. Drexel ELC cannot pay your SEVIS fees.

Click here for Credit Card Payment Form.
Click here for instructions for Wire Transfers.
Click here for instructions for SEVIS Fee Information.

SIGNATURE
Date: (Month) (Day) (Year)

To apply, mail this application form to:

Drexel ELC
229 N. 33rd. Street
Philadelphia, PA 19104 USA

TEL: (215) 895-2022
FAX: (215) 895-6775

We do not accept applications by fax or email. You must submit an original application document.

Application Forms | I-20 Transfer Report | ELC Housing Application

Credit Card Payment Form | Wire Transfer Instructions

Myself	A company or government organization
My family in the U.S.	My family in another country (not in the U.S.)

Application Fee (Required)	$	75
Tuition Deposit (Required)	$	100
To reserve housing: $200 (World House or Homestay) or $355 (International House)	$
Express Mail Fee ($60) if you want your I-20 sent by express mail	$
Total Amount Enclosed	$