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Application

* 1. Name EXACTLY AS IT APPEARS ON YOUR PASSPORT:

* 2. E-mail address:

* 5. Gender:

* 7. Permanent address (the address where you live):

8. Address where we will send your I-20:
(overseas applicants only, if different from permanent address)

9. Contact relative or friend in the U.S. (if any):

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* 12. First term housing preference:

* 13. How did you find out about the English Language Program?

* 14. Have you had English language training at other schools?
(check all that apply)

* 15. Current immigration status:

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TELL US ABOUT YOUR PLANS
If you are planning to attend a college or university following your English language training, including Radford, please respond to questions 16-19.

* 16. Why are you learning English as a second language?

17. What are your college or university plans?

18. If not Radford University, what school are you planning to attend?
(if unsure, enter "undecided")

19. What major do you wish to pursue?
(examples: Bachelor of Science in Biology, Masters in Sociology, etc.)

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F-1 TRANSFER DETAILS
Please complete the following section (questions 15-18) only if you are currently an F-1 student and will be transfering from another school.

20. Name of the institution you are transfering from:

21. Institution type:

22. Transfer institution contact information:

23. U.S. address where we will send your transfer I-20:

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NEW STUDENT VISA APPLICANTS AND F-1 TRANSFERS
Please complete the following section (questions 19-24) if your spouse and/or children will accompany you to the United States.

24. Spouse:

25. Dependent child #1:

26. Dependent child #2:

27. Dependent child #3:

28. Dependent child #4:

29. Dependent child #5:

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