English Language Institute - University of .English Language Institute (ELI) International Student

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    INTERNATIONAL STUDENT ADMISSIONS APPLICATION

    University of Houston-Downtown

    ELI - International Student Admissions1 Main Street, Suite 411S

    Houston, TX 77002

    www.uhd.edu Email:

    ELI.InternationalAdmissions@uhd.edu

    NEW STUDENT REQUIREMENTS:

    - Application - Application fee ($60.00/ $100 if late)- Copy of passport- Financial Support letter ($25,187.00)

    TRANSFER STUDENTS:

    - ALL requirements mentioned above+

    - Copy of visa- Copy of I-20 from current school-Advisor's Report (Transfer form)

    UNDERAGE STUDENTS: (17 & under)Contact the ELI at 713-221-8047 for further instructions.

    Meeting your English needs!

    http://www.uhd.edu/http://www.uhd.edu/

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    English Language Institute (ELI)

    International Student Admissions Application

    University of Houston-Downtown

    ELI International AdmissionsOne Main Street, Suite 411S

    Houston, TX 77002-1001

    Phone: (713) 221-8002ELI.InternationalAdmissions@uhd.edu

    $60 Application Fee (Non-Refundable & valid for 12 months)

    Please type/print legibly and completely answer ALL questions to avoid delays in processing your

    application.

    Please fill in the year for the session you plan to take.

    (Select only one): Are you transferring from another U.S. school?

    Yes No

    If yes, name the school you are transferring from:

    Applicant Name (as it appears on your passport) Last (Family) First (Given) Middle/Maiden

    Other name (s) by which your record may be identified:

    Permanent Home Address Mailing Address Street Address Street Address

    City City

    Province/State/Region Province/State/Region

    Postal Code Postal Code

    Country Country

    Email address

    Telephone Number (country code, area code and number)

    Cell Phone Number

    SPRING SEMESTER 20_____SUMMER SEMESTER 20 _____FALL SEMESTER 20 _____

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    Date of Birth Gender

    Male Female

    Country of Birth Country of Citizenship

    Native Language

    Educational Background (Please list the two most recent secondary or post-secondary schools or universities attended.)

    Name of School City State From (mm/yy) To (mm/yy)

    Sources of Funds Amount in U.S. Dollars Self Support Please attach an official bank statement on bank stationery verifying

    amount.

    Parents or Individual Sponsors Please attach a statement from the sponsors on bank stationery verifying

    amount.

    Government or Other Sponsoring Agency Please attach your letter of award with the current date, the dollar amount, and the exact starting date and length of sponsorship.

    Other

    Please attach a signed affidavit from an authorized person to certify

    accuracy of this entry.

    Total (in U.S. Dollars)

    I hereby agree to abide by all rules and regulations of the University of Houston-Downtown if accepted as a

    student. I certify this information is true and correct. I understand that misrepresentation and/or omission of

    information will result in the denial of admission.

    Student Signature Date

    Month: Jan Feb Mar Apr May Jun Jul Aug Sept Dec

    Day: ____

    Year: ____

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    Emergency Contact Information Form

    University of Houston-Downtown ELI International AdmissionsOne Main Street, Suite 411S

    Houston, TX 77002-1001 Phone: (713) 221-8002

    ELI.InternationalAdmissions@uhd.edu

    Please complete this form.

    Emergency Contact Information

    Last name First name

    Relationship to Applicant

    Spouse Parent Agent Other

    Address Number/street/apt. City

    Country State Zip Code

    Telephone (Home) (Cell)

    Email Address

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    Applying for the English Language Institute

    When to Apply The priority Processing Deadline for admission to the English Language Institute (ELI) is two months before the start of the session. Students who apply after this deadline will be assessed a late application processing fee

    or, in some cases, be accepted for a future term.

    Application Requirements Admission to the ELI (which can be followed by academic study) is open to all non-native speakers who have completed their higher/secondary school education. Send these things to apply.

    1. ELI International student application completed and signed.

    2. An Affidavit of Support, completed and signed by the financial sponsor, sent by mail.3. Original letter from sponsor's bank indicating the sponsor's ability to pay for student expenses, sent by

    mail

    4. Admission fee of $60.00 ($100 late application fee) paid by credit card authorization form, or paid by

    cashier's check, money order, or personal check to the University of Houston-Downtown. Personal

    checks must be in U.S. dollars and imprinted with the account holder's name and address.

    5. Copy of passport pages that show student identification information and passport expiration date.

    Notification of Admission A decision about admission is made after the application is received. An email is sent to notify the student of missing items. A letter of acceptance and an I-20 form are sent when a student is admitted. The student uses the

    I-20 to obtain an F-1 student visa.

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    International Students Affidavit of Support

    University of Houston-Downtown ELI International AdmissionsOne Main Street, Suite 411S

    Houston, TX 77002-1001

    Phone: (713) 221-8002ELI.InternationalAdmissions@uhd.edu

    International students on a student visa must have a financial sponsor. This sponsor must assume full financial

    responsibility for the student's education, a minimum of $25,187.00 per year. (This amount is subject to change

    without notification.)

    This Affidavit of Support and an attached original bank letter attesting to a minimum of $25,187.00 on deposit

    must be completed and on file with the university prior to the release of the Form I-20 AB.

    Please print or type all information.

    Oath of Affirmation of Deponent

    I swear that the information provided in this Affidavit of Support is true and correct and that I will provide and assume

    full financial responsibility for the support of Student's Name

    for as long as the student attends the University of Houston-Downtown.

    I, , residing at Sponsor Last Name Sponsor First Name Sponsor Address

    City State Country Postal Code Telephone

    am a citizen of Sponsor country of citizenship

    Sponsors Signature Date

    Sponsors who are citizens or permanent residents of the United States must complete the following:

    I am a citizen through (choose one): D birth

    D parents/marriage

    D naturalization (certificate number):

    If you are a lawfully admitted Permanent Resident of the US (green card holder), please give your Alien

    Registration Number:

    Estimated expenses for one academic year at the University of Houston-Downtown:

    Tuition/Fees (Full-time study) $5,865.00 Room and board (12 months) 15,650.00

    Other* 3,672.00

    Total** 25,187.00 * Includes books, transportation, health insurance and incidental expenses.

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    ELI International Student Statement of Understanding

    University of Houston-Downtown

    ELI International AdmissionsOne Main Street, Suite 411S

    Houston, TX 77002-1001

    Phone: (713) 221-8002ELI.InternationalAdmissions@uhd.edu

    Please read the following statements carefully. You must agree to each statement before being

    considered for admission.

    I understand and agree that:

    1. I must make my own arrangements for housing.

    2. I must pay the required fee for medical/hospitalization.

    3. I have read and understood all admissions procedures. I understand that all documents and materials

    relating to my admission should be sent to the Office of International Admissions. I also understand that

    the $60 application fee is non-refundable and that my application will not be processed without the fee.

    4. I must give written permission to the University of Houston-Downtown for anyone other than myself to

    request information about the status of my application and/or admission.

    5. My original application, fee and materials are good for one year. After that year has passed, if I wish to

    update my application, I must re-apply and pay an additional $60 application fee.

    6. I accept immigration restrictions, which prohibit all off-campus employment and require completion of a

    full course of study (260 class hours) each fall and spring session.

    7. I must be in Houston on or before the date specified on the I-20 form. If I cannot arrive on time, I must

    ask to come in a later session.

    8. I must return the old I-20 form to the University of Houston-Downtown before a new I-20 can be issued

    and/or if I decide not to enroll at the University of Houston-Downtown.

    Signature of Applicant Date

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    ELI International Student

    Permission to Release Information

    University of Houston-Downtown

    ELI International AdmissionsOne Main Street, Suite 411S

    Houston, TX 77002-1001

    Phone: (713) 221-8002ELI.InternationalAdmissions@uhd.edu

    In order to protect your privacy, the Office of International Admissions requires that you name any

    person(s) who may ask for information about the status of your application and/or admission to the

    University of Houston-Downtow