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    International Student Application
    (Students who are on or who require an F1 Visa)

    *  required fields Application Instructions
    Download Application

    Personal Information
     
    * Last name 
    * First (given) name
      Middle name
      Name you wish to be called at school
    * Date of birth  
    * Sex Male Female
     

    Contact Information Inside United States
     
      Street 1
      Street 2
      City
      State
      Postal/Zip Code
      Phone
      Other phone
      Fax
     

    Contact Information Outside United States
     
    * Street 1
      Street 2
    * City
      Postal/Zip Code
    * Country
    * Phone
      Country of birth
    * Country of citizenship
     
     
    * E-mail
      Other e-mail
     

    Overseas Document Delivery Address
     
      (Complete below only if different from address outside the United State given above.)

      Street 1
      Street 2
      City
      Postal/Zip Code
      Country
      Phone
     

    Emergency Contact
     
    * Emergency contact name
    * Emergency contact phone
    * May we use this contact for non-emergencies?YesNo
     

    Attendance Plan
    * Intended start date
    * Planned end date
    * Initial course
    * Course times MorningsPM/Evenings
     

    Financial Information
     
      Estimated number of months (See attendance plan above)
      Financial Information is required only for a period of 12 months or less.
    (This is not an attendance limit.)
    Estimated Expenses
      Tuition (includes books) $
      Application Fee $
      Subtotal (tuition and fee) $
      Living expenses $
      Expenses of dependents $
      Other $
      Specify "Other"
      Grand Total Expenses $
    Means of Support
      Student's personal funds $
      Funds from another source $
      Specify "another source", including type
      Grand Total Means $
     

    Entrance Category (Please check one)
     
      Initial Entry (coming from home country)
      Transfer Student
           Name of school transferring from
           Date completed or will complete studies
      Change of Status
      Reinstatement
     

    F-2 Dependents
      Please list dependents if they will require an AEI-issued I-20 (F-2 visa)
    (Use exact name as in passport)
     
    Dependent 1 2 3
    Last Name
    First Name
    Relationship
    Date of Birth
    Citizenship
     

    Goals and Academic Requirements
      Please answer the following questions:
     
    What are your short and long term goals?
     
     
    Are you willing to do your part in order to succeed at the Atlanta English Institute? (Your part includes arriving on time, attending all classes, completing assigned homework, and participating fully in class.)
    Yes
     

    Other
    * How did you find out about the Atlanta English Institute?
      Referral. Please specify
      Newspaper. Which newspaper?
      Internet. Please specify
      Other. Please specify
      Native Language
     

    Certification
    * I certify that the information on this application is true. In addition, I have read, understood and agree to AEI's policies.
      Yes
     

    Comments/Other
     
       
     
     
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