Form 3 Application : Texas State Intensive English : Texas State University

Application #3: No I-20

Use application #3 if you hold one of the visa categories listed below. If requesting I-20, use #1.

Date of Entry

Date Stay Expires

Choose Your Program Date(s):

Check the boxes of the program(s) you are applying for.

Please note that the deadline for Applications for Spring 2010 has PASSED.

Full Program Dates

Summer 2010: June 3 to August 12

Fall 2010: August 25 to December 9

Half Program 1

Summer 2010: June 3 - July 7

Fall 2010: August 25 - October 13

Half Program 2

Summer 2010: July 12 - August 12

Fall 2010: October 14 - December 9

Personal information All information must be the same as the undergraduate or graduate application.

Last Name (Family Name) *

First Name *

Gender *

Male

Female

Date of Birth (mm/dd/yyyy) *

City of Birth *

Country of Birth *

Citizenship *

Native Language(s)

Mailing Address (in your home country) *

Email Address *

Telephone Number *

Texas State ID # (if known)

Emergency Contact:

Person's Name

Relationship to Student

Telephone Number

Email Address

Fax Number

Currently attending another school in the U.S.?

Yes

No

TOEFL Information:

Have you taken the TOEFL test? *

Yes

No

If 'Yes', Highest Toal Ccore Result

Listening

Structure (PBT only)

Reading

Writing (CBT or iBT)

Speaking (iBT only)

If yes, test date: (dd/mm/yyyy)

Housing & Meals:

On-campus: Spring or Fall (choose one). Note: Students over 20 years of age are not required to live in any on-campus housing. If you are over 20 years of age and would still like to live on campus, there are a limited number of unfurnished apartments available.

Off-campus

I will make my own housing arrangements and I am at least 20 years old.

Health Insurance:

Choose One *

Texas State's health insurance provider

Other

Application Review:
Application is processed when all documents are received.

Read and check boxes *

1) I have read and completed this form correctly and carefully.

2) I will mail or fax ((512)-245-3752) copies of my academic records.

3) I understand that I must have sufficient funds for all expenses during my stay in the U.S.

4) I will send the US $55.00 application fee. (If you wish to pay with by credit card, Contact TSIE).

5)

Yes, I would like to live on-campus. Reserve a space. I will send the housing deposit of US $100.00.

No, I prefer to make my own housing plans.

TSIE Policy:

Students initially entering the U.S. on a Texas State Intensive English (TSIE) program I-20 and holding a visa with the school name as Texas State University-San Marcos can report to TSIE up to 30 days prior to the program start date on their I-20. If a student arrives after the program start date (indicated on his/her I-20), he or she must report to TSIE within 15 days in order to remain in status. A student holding a TSIE I-20 and visa must attend one full semester (16 weeks for Fall or Spring, and 10 weeks for summer) before requesting to transfer to another school or program.

Policy Agreement *

Yes, I accept the 'TSIE Policy' mentioned above. If you do not accept, your application will be invalid.

By clicking the 'Submit Application' button, I confirm that the application information is correct and accurate.

Division of Academic Affairs

Texas State Intensive English

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Form 3 Application

Application #3: No I-20

Choose Your Program Date(s):