English Language Center
Online English Program Application Form

Please read and complete this entire application. Check the information and then click Submit at the end of the form.
Note: This application is NOT for students who plan to enter the Intensive English Program at the English Language Center.
It is ONLY for the online classes ELC 401, ELC 402, ELC 501 and ELC 502.
Please click here if you want to apply for the Intensive English Program.
*REQUIRED FIELDS
ADMISSION INFORMATION
*Please select the session you would like to start attending our program:
STUDENT'S PERSONAL INFORMATION
*Home Address:
*State/Province:
*Country:
*Postal Code:
*Country of Birth:
*Country of Citizenship:
*Native Language:
*Phone Number:
*E-mail Address:
*Alternate E-mail Address:
*Birthdate (Month/Day/Year): ,
*Age:
*Gender:
COURSES (Please check which course(s) you are applying for:)

Choice A:
ELC 401:  Writing and Grammar for Academic Purposes and
ELC 402:  Reading and Vocabulary for Academic Purposes

 Choice C:
ELC 502:  Advanced Reading and Vocabulary for Academic Purposes

Choice B:
ELC 501:  Advanced Writing and Grammar for Academic Purposes
*Choose your combination of Courses:
Note: There will be an additional 3% charge for paying by credit card.

Please read the description of the courses carefully and answer the questions in the section, “How to determine your level.”  Within the first week of class, you will complete a sample writing assignment.  If it is determined that your level of English language proficiency is not appropriate for the courses you have registered for, you will not be able to take the courses.

PAYMENT

The application fee is waived for the online classes for Fall 2009.  Please note:  Each online course costs $890 USD.  Payment will be due by the second week of classes.  You must pay by credit card online.  Fees and charges may apply.

HOW DID YOU FIND US?
* Please Specify here:
APPLICATION SIGNATIURE

By completing this application with your electronic signature, you certify that the statements on this form are complete and accurate.  You also understand that your enrollment in this course is dependent upon your paying the course fees. 

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