Your name (required)
Your email (required)
Sex: Male Female
Permanent address
City
State:
Postal Code:
Country
Date of Birth / /
Program(s) you wish to attend ESL Associates Bachelors Masters Vocational
Your previous education
High School Some College Bachelors Degree Masters Degree
Which Colleges or Universities do you wish to attend?
Desired Major
Desired Starting Term Spring 2011 Summer 2011 Fall 2011 Winter 2012
List highest scores, if applicable TOEFL IELTS GRE GMAT None? Yes
What is your High School Grade Point Average?
Maximum yearly budget in the US. $20,000-25,000 $25,000-30,000 $30,000-35,000 $35,000-40,000 Above $40,000
Sources of Financial Support Family Other Relations Sponsor Funds
Accommodations On Campus Off Campus Homestay
Do you have a USIEC adviser? Yes No
If you answered "yes", what is your adviser's name?