You can print this application form from MS Internet Explorer. If you are not able to print this form, please send us an e-mail message at silc@uark.edu and we will mail or fax you an application form as soon as possible.
|
Please return this application with the following: 1. Non-refundable application fee of $100 US. Please enclose check or money order payable to "Spring International." Don't forget the new fee charged by SEVIS! 2. Statement of Financial Support: Please attach a bank statement, affidavit of support, or other documents demonstrating financial support. See "Financial Information" below. 3. A completed Housing Request Form. This is necessary so that we can make the arrangements for your living quarters. 4. A copy of the first page of your passport (with your name and date of birth). |
Please print or type your information very clearly:
1. Surname _________________________ Given Names _________________________
(Family name) (Personal names)
2. Home Address __________________________________________________________
__________________________________________________________________________
Telephone: ___________________________ Fax: ______________________________
E-mail address: __________________________________________________________
3. Address in U.S.A. (if applicable)______________________________________
__________________________________________________________________________
Telephone: ___________________________ Fax: ______________________________
4a. City of Birth: _______________________________________________________
4b. Country of Birth: ____________________________________________________
5. Country of Citizenship: _______________________________________________
6. Date of Birth: Month ______ Day ______ Year _______
7. Sex: [ ]Male [ ]Female
8. Are you married? [ ]Yes [ ]No
If married, will your spouse come with you? [ ]Yes [ ]No
9. Please estimate your level of English:
[ ]Beginner [ ]Elementary [ ]Intermediate [ ]Advanced
10. What is your housing preference?
[ ]Campus Residence Apartment [ ]Homestay with American Family
[ ]Smoker [ ]Non-Smoker
11. What TERM do you wish to begin studies (see the Calendar):
[ ]Fall I Term [ ]Fall Intersession Term [ ]Fall II Term
[ ]Spring I Term [ ]Spring II Term [ ]Summer Term
12. Do you have a friend or relative in the U.S.A.?
Name: ____________________________________________________________________
Address: _________________________________________________________________
__________________________________________________________________________
Telephone: ______________________________
STUDENT SIGNATURE:
I certify that I have read and do understand the information in this
application, and that the information I have given is true and correct.
Signature: _______________________________________ Date: _________________
Have you already applied to the University of Arkansas? __________________ How long do you plan to study at Spring International?____________________ Your source for financial support: [ ] Personal Funds [ ] Family Funds [ ] Sponsor [ ] Other: _______________ SPONSOR/GUARDIAN: I certify that the funds described will be available to the applicant during his/her study at Spring International. Name: ____________________________________________________________________ Relationship to applicant: _______________________________________________ Telephone: ______________________________ Address: _________________________________________________________________ __________________________________________________________________________ Signature of Sponsor/Guardian: _________________________ Date: ___________ |
|
Thank you for filling out this application form. Please return it to:
Before you buy your tickets, check out the Airport Arrival Information Page. |