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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) ON YOUR PASSPORT

* 2. GENDER
Female Male

* 3. DATE OF BIRTH:

* 4.CITY OF BIRTH:


* 5. COUNTRY OF BIRTH:

* 6.COUNTRY OF CITIZENSHIP:

* 7.COUNTRY OF LEGAL PERMANENT RESIDENCE:

8. PERMANENT ADDRESS IN HOME COUNTRY:



* 9. CONTACT INFORMATION:


Immigration Status Information

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

* 2. WILL YOU BRING A SPOUSE OR CHILD WITH YOU?

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. City of Birth:
* 4. Country of Birth:
* 5.Country of Citizenship:
* 6. Gender
Female
Male
* 7. Relationship
* 8. 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. City of Birth:
* 4. Country of Birth:
* 5.Country of Citizenship:
* 6. Gender
Female
Male
* 7. Relationship
* 8. 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. City of Birth:
* 4. Country of Birth:
* 5.Country of Citizenship:
* 6. Gender
Female
Male
* 7. Relationship
* 8. 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 (PDF files less than 10 MB preferred):
Copy of your current I-20


F-1 visa from your passport
No

Application Form

* 1. I AM APPLYING FOR:
CELAC Admission
Conditional Admission with UNM

* 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) (August - December)
Spring (16 weeks) (January - May)
Summer (8 weeks) (June - July)
Summer (4 weeks -- July only)

CELAC Costs and Fees

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

* 5. FOR HOUSING INFORMATION:
On-Campus (Student Housing Information)
Off-Campus

Education

* 1. I have a high school diploma:
Yes
No
* 2. Are you a current university or college student?
Yes
No
* 3. Have you taken the English proficiency tests before? (Fill all that apply)
TOEFL Score:
IELTS Score:
Duolingo Score:
PTE Score:
* 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
Reminder: Please pay the CELAC application fee before submitting your application.

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.
What are the characteristics of a good teacher? Explain and give examples.
Option 2.
What are the differences between the ways boys and girls are raised in your society? Give examples and tell whether you agree or disagree with these practices.


Word Count: 0

Statement of Student

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