Intensive English Program Application

Section I: Personal Information (as appears on passport)

First Name

Preferred First Name

Middle Name

Last Name

Gender

Female

Male

Marital Status

Single

Married

Birthdate

City of Birth

Country of Birth

Citizenship

Native Language

Passport Number

Passport Expiration Date

Section II: Contact Information

Permanent Address in Home Country

Country

Street

City

Region

Postal Code

Mailing Address in US (if any)

Country

Street

City

Region

Postal Code

Email Address

Phone Number

Emergency Contact Name

Emergency Contact Email

Emergency Contact Phone

Section III: Academic Information

Which IEP semester are you applying for?

Have you applied for a degree program at SMU?

Which level of study did you apply for? (or will you apply for)

Which academic school and program did you apply to? (or will you apply to)

Admission Status

Expected Term to Start Academic Program

Section IV: Academic Background

Have you graduated from high school?

School Name

Year of Graduation

What is your current English level?

Have you taken any English proficiency tests (TOEFL/IELTS or any other) within the past year?

Please upload a copy of the score report

Which test?

If Other, please specify

TOEFL Test Date

TOEFL Total Score

TOEFL Reading Score

TOEFL Listening Score

TOEFL Writing Score

TOEFL Speaking Score

IELTS Test Date

IELTS Band Score

IELTS Listening Score

IELTS Reading Score

IELTS Writing Score

IELTS Speaking Score

Duolingo Test Date

Duolingo Score

Duolingo Literacy Score

Duolingo Conversation Score

Duolingo Comprehension Score

Duolingo Production Score

Section V: Visa/Immigration Information

Are you currently in the US?

What is your immigration status?

Are you currently studying in another ESL program in the US and transferring to SMU?

Yes

School and Program Name

Location (City & State)

Current Semester Completion Date (M/D/Y)

Do you need to request an I20 (Certificate of Eligibility) for a F-1 Student Visa?

Will your spouse or children accompany you? If yes, please provide each and every dependents' information below.

DeleteDependent _ID_
Dependent Information
Full Name Gender City & Country of Birth Date of Birth Date of Birth Relationship

Add Dependent

Section VI: Financial Information

Who will be financially responsible for the expenses during your IEP study?

Self-sustained

Family support

Scholarship

Other

Family Support Relation

Scholarship Source

Other, please specify

Section VII: Required Documents

The following documents are required to complete your application for the Intensive English Program at SMU. You may upload the documents below or send them to iep@smu.edu.

Passport(s) (should include dependent passports as well)
Copy of a financial document (bank statement or financial guarantee document)
International Student Financial Statement
Copy of current US Visa (if you already have one)
Copy of English proficiency test scores (upload in Academic Background section above)

Upload a copy of your passport here. If dependents are coming with you, please include a copy of each dependent passport in the same file.

Upload a financial verification document here.

Upload the International Student Financial Statement here.

If you already have a US Visa, upload a copy here.

Section VIII: Application Fee

Click here to pay the $75 application fee.

Disclosures

Southern Methodist University will not discriminate in any employment practice, education program, or educational activity on the basis of race, color, religion, national origin, sex, age, disability, or veteran status. SMU’s commitment to equal opportunity includes nondiscrimination on the basis of sexual orientation. The Director of Affirmative Action has been designated to handle inquiries regarding the nondiscrimination policies and may be contacted at Southern Methodist University, Dallas, TX 75275

Certification

By submitting this application, you are acknowledging the following statement:
“I certify that the information I have provided in this application is complete and accurate, and I accept all terms and conditions stated therein.”

Full Name

Date of Application

Intensive English Program Application

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