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error_reporting(E_ALL); UNM: CELAC -- Application Form

CENTER FOR ENGLISH LANGUAGE AND AMERICAN CULTURE

Application Form

Personal Information

IMPORTANT! USE ENGLISH CHARACTERS ONLY.
Enter all biographical information (name, gender, birthdate) exactly as listed on your PASSPORT!

1. NAME(S)


* 2. GENDER
Female Male


* 3. DATE OF BIRTH:

* 4. COUNTRY OF BIRTH:

* 5.COUNTRY OF CITIZENSHIP:

* 6.COUNTRY OF LEGAL PERMANENT RESIDENCE:


7. 9-DIGIT UNM ID (if available)

8. PERMANENT ADDRESS IN HOME COUNTRY:




* 9. CONTACT INFORMATION:

Application Form

* 1. I AM APPLYING FOR:
CELAC Admission


* 2. THIS APPLICATION IS FOR THE CELAC SEMESTER BEGINNING IN (PLEASE INDICATE YEAR HOW MANY SEMESTERS): CELAC will issue an I-20 for the time indicated below:

Fall (16 weeks)
Spring (16 weeks)
Summer (8 weeks)
Summer (4 weeks -- June only)
One year


* 3. YOU WILL BE
Full-time student (4 classes)
Part-time (for non F-1 visa holders)

* How many classes are you going to take?


* 4. CHECK IF YOU WOULD LIKE US TO SEND BACK ALL ORIGINAL SCHOOL DOCUMENTS:


* 5. HOW DID YOU HEAR ABOUT CELAC:
Family or Friend
Internet Advertising
Internet Search
Magazine Advertisement
CELAC Website
Agent
Recruitment Fair
Other


* 6. FOR HOUSING INFORMATION:
Send Dormitory Information
I Will Arrange My Own Housing

Immigration Status Information

* 1. ARE YOU A U.S. PERMANENT RESIDENT OR CITIZEN?
Yes
No


* 2.WILL YOU BE ACCOMPANIED BY A SPOUSE AND/OR CHILD/REN?

No
Yes

Will you need child care during your studies? (Child care is not guaranteed and you may be responsible to pay an additional fee)

Yes
No

* List dependents who will be applying for F-2 Visa and traveling with you. Include a copy of passport photo page for each dependent.

1. Spouse/Child Name as in Passport:
* 2. Date of Birth:
* 3. Country of Birth:
* 4.Country of Citizenship:
* 5. Gender
Female
Male
* 6. Relationship
* 7. Please, include a copy of passport photo page this dependent

Do You Want to Add Another Dependent?

Yes No

1. Spouse/Child Name as in Passport:
* 2. Date of Birth:
* 3. Country of Birth:
* 4.Country of Citizenship:
* 5. Gender
Female
Male
* 6. Relationship
* 7. Please, include a copy of passport photo page this dependent

Do You Want to Add Another Dependent?

Yes No

1. Spouse/Child Name as in Passport:
* 2. Date of Birth:
* 3. Country of Birth:
* 4.Country of Citizenship:
* 5. Gender
Female
Male
* 6. Relationship
* 7. Please, include a copy of passport photo page this dependent


* 3. ARE YOU CURRENTLY IN THE U.S.?
Yes
* What is Your Current Immigration status:
No

* 4. ARE YOU TRANSFERRING FROM ANOTHER SCHOOL IN THE U.S.?
Yes
*University Name:

* University Phone:
* Current US Address:

* Please enclose:
Copy of your current I-20


F-1 visa from your passport
No

Education

* 1. I have a high school diploma:
Yes
No

* 2. I have taken
of English

* 3. My knowledge of English is:
Low-Intermediate
Intermediate
Advanced
TOEFL or IELTS Score (if applicable):

* 4. Do you plan to study at UNM after completing CELAC?
Yes
*Please, select the degree level you want to pursue:
Undergraduate program
Graduate program
Do not know

* Please, select area of studies you are interested in:

No

* 5. Do you plan to study at another university in the U.S. after completing CELAC?
Yes
No

Documents

* Please enclose:

Copy of your passport
Copy of your original or certified copy of High School or College transcripts AND certified English translations (if original transcripts are not in English OR Spanish) IN ONE DOCUMENT
Pay $50 non-refundable application fee, print receipt of payment (pay on-line by credit card from CELAC website, or by U.S. bank personal check, or international money order made payable to "University of New Mexico"), and attach copy here
Copy of your original or certified copy of High School or College diploma AND certified English translations (if original diploma are not in English OR Spanish) IN ONE DOCUMENT

Writing Sample

*Writing Sample - for placement purposes only

Choose ONE of the following topics and write an essay of approximately 150 words. The use of dictionaries is not permitted. You have 30 minutes to complete your composition.

Option 1.
Describe someone in your family who is special to you and explain how and why that person is special.
Option 2.
Some people seem to learn a second language more easily than other people. What are the reasons for this? What are the characteristics of very good language learners?

To increase application security, following caracters
< > / { } ( ) + % & @ \ =
are not allowed and will be deleted from your response

Statement of Student

* I certify that all the information given in this application is complete and accurate to the best of my knowledge.