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CENTRAL WASHINGTON UNIVERSITY APPLICATION FOR ADMISSION TO THE UNIVERSITY ESL PROGRAM

**Please check ALL terms in which you want to attend:

_____ Fall 2008 (September 23 – December 12) _____ Winter 2009 (January 6 – March 20) _____ Spring 2009 (March 31 – June 12) _____ Summer 2009 (June 23 – Aug. 21)

How did you learn about our program?

PERSONAL INFORMATION:

Family Name Date of Birth ______/______/______Month Day Year First Name Gender _____ Female _____ Male Middle Name

ADDRESS (in home country): MAILING ADDRESS for I-20 if different than home country address:

Address Address

City Province/Territory City Province/Territory

Postal Code Country Postal Code Country

TELEPHONE NO. TELEPHONE NO.

FAX NUMBER LOCAL HOUSING CONTACT (for students not living on campus) Who will you live with? E-MAIL Address: Phone:

COUNTRY OF BIRTH COUNTRY OF CITIZENSHIP

EVIDENCE OF ELIGIBILITY FOR THE PROGRAM:

You must send a document to show that you completed high school or studied after high school at a college or university. (If you are over 18 and did not complete high school OR if you are still in high school, you must send a letter of explanation.)

Do you have a 4-year university degree? _____ Yes _____ No (CWU Admissions wants to know.)

For Students transferring from another language program or school in the US: Name of the language program/school you are now attending:

Mailing address:

Central Washington University offers Conditional Admission (see other side). Please sign and date this application, and return it with your non-refundable processing fee to: UESL Program Central Washington University Ellensburg, WA 98926-7562

SIGNATURE DATE CONDITIONAL UNDERGRADUATE ADMISSION FOR INTERNATIONAL STUDENTS AT CENTRAL WASHINGTON UNIVERSITY

Without the TOEFL score, you can apply for conditional undergraduate admission and UESL admission. Then, enter the UESL Program and receive our program recommendation for full undergraduate admission. You can receive the UESL I-20 right away; the letter of conditional admission takes about 4 weeks.

For UESL admission, we need the UESL application, $45 application fee, bank statement, copy of passport information, and an educational document. Copies of documents are OK. To live on campus, please send the Housing Application + $200 deposit BEFORE you arrive. http://www.cwu.edu/~esl/admissions.html

To receive conditional undergraduate admission, we need all of the CWU undergraduate application materials: original transcripts in a sealed envelope showing at least a 2.5 grade point average; undergraduate application with $50; a bank statement and Confidential Financial Statement. http://www.cwu.edu/~cwuadmis/international.html

Send ALL materials to the UESL Office.

You may pay by check or by sending MASTERCARD or VISA information using the Credit Card Authorization Form on the UESL Admissions page.

CREDIT CARD AUTHORIZATION FORM

Name of Student:

I authorize Central Washington University to debit my credit card as follows:

Name of Credit Card Holder:

( ) MasterCard ( ) Visa

Credit Card Number:

Expiration Date:

Charges: ( ) $45 UESL Application Fee ( ) $200 Housing Deposit ( ) $50 CWU Application Fee ( ) Express Mail Fee (varies) ( ) Other

Total Amount of Charge:

Credit Card Holder’s Signature Date