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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