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English Language Institute INTERNATIONAL STUDENT ADMISSIONS APPLICATION University of Houston-Downtown ELI - International Student Admissions 1 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!

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Page 1: English Language Institute - University of … · English Language Institute (ELI) International Student Admissions Application. University of Houston-Downtown . ELI . ... If I cannot

English

Language

Institute

INTERNATIONAL STUDENT ADMISSIONS APPLICATION

University of Houston-Downtown

ELI - International Student Admissions

1 Main Street, Suite 411SHouston, TX 77002

www.uhd.edu Email:

[email protected]

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!

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English Language Institute (ELI)

International Student Admissions Application

University of Houston-Downtown

ELI International Admissions

One Main Street, Suite 411S Houston, TX 77002-1001

Phone: (713) [email protected]

$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 sponsor’s 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

[email protected]

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 Student’s Affidavit of Support

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

Houston, TX 77002-1001

Phone: (713) [email protected]

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

Sponsor’s 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 Admissions

One Main Street, Suite 411S Houston, TX 77002-1001

Phone: (713) [email protected]

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 Admissions

One Main Street, Suite 411S Houston, TX 77002-1001

Phone: (713) [email protected]

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-Downtown.

If you want someone to have access to your application information, please complete the following:

I, , give (Name of Student) (Name of Person)

permission to request information about my application and/or admission to the University of Houston- Downtown. The named person must present picture identification when requesting information in person or, if

requesting information by telephone, must be able to provide my full name, date of birth and complete address.

Signature of Student Date