Application for Enrollment
English Language Institute (ELI) at Eastern Washington University (EWU)
Name __________________________________________________________Male ______ Female ______
            Family Name           First Name          Middle Name
 
Birth Date ____/ ____/ ____ Country of Birth _________________ Country of Citizenship ______________
Permanent
Address:		 ____________________________________ Mailing
Address		 __________________________________
____________________________________ (if different): __________________________________
____________________________________ __________________________________
____________________________________ __________________________________

Phone:

 _________________ Fax: _______________

Message Phone:

 _______________ Fax: ____________

E-Mail:

 __________________

E-Mail

 _________________
Name of Father or Legal Guardian ____________________________________ Are you married? Yes___ No___
 
Date (Term) you wish to enter the English Language Institute_________ Number of terms you wish to study ___
Did you learn about the ELI
from a friend or relative? _________________or agency? (name) _______________________________
or journal/magazine? (name)____________________ or Internet web site? (name)___________________
 
Have you applied for regular undergraduate student status at EWU? Yes ____ No ____   If yes, when? ________
(Admission to the English Language Institute does not constitute admission to EWU's credit programs. However, applicants for undergraduate admission who are academically admissable, with the exception of their English language proficiency, may obtain conditional admission to EWU undergraduate studies.)
 
How many years have you studied English? __________Where? _________________________________
Have you taken the TOEFL?  Yes _____ No _____    Score __________    When? ___________________
 

The estimated cost of attending the ELI is an average of $3,798.00 per term ($1,266.00) per month). If you are an international student, U.S. law requires you to provide documentary evidence of support. Please check the source of your funds below.
Personal funds   ___ Funds from family  ___ Funds from other source (specify):________________

Please attach a financial guarantee letter from your bank, parent or sponsoring agency confirming that you do have at least $4,208.00 per term available to you for each term you will study in the ELI (maximum $16,830.00 for four terms).
Please sign here:  ___________________________________________Date________________
Admissions Requirements and Application Procedures    

To be admitted to the ELI, students must have completed at least three years of English language study in their home countries and must be at least 17 years of age and a high school graduate. Applications and required documents should be received by the ELI office sixty (60) days before the start of the term.  The following need to be included:

  • the completed application form 
  • evidence of financial support (original bank statement, sponsor's letter, scholarship award letter, letter of financial support from the family, etc.) 
  • a $50.00 non-refundable application fee 
  • Students requesting dormitory accomodations must include an additional $200.00 deposit 
  • a photograph 
  • a copy of high school diploma 

If you are accepted for admission, your I-20 (Certificate of Eligibility) will be sent to you by express mail

Payment of tuition must be made thirty (30) days before the start of the term unless special arrangements are made with the director.

ELI/EWU accepts Visa and MasterCard payments for all fees and tuition. If you wish to pay by credt card, please include a signed statement which includes:
· type of card (Visa/MasterCard)
· account holder's name
· account number
· expiration date

If students are applying for admission to EWU as undergraduates at the same time they are applying to the ELI, they should observe the deadlines listed on the international student application.

Students who intend to apply to EWU for undergraduate programs after they arrive in the States must bring transcripts in English in sealed envelopes from their secondary schools and/or universities at home. It is advised to bring two copies.
Applications should be sent to: 
Ms. Mary Brooks, Director
English Language Institute
Eastern Washington University
350 Patterson Hall
Cheney, Washington  99004-2429
Phone:  1-509-359-6003
FAX:    1-509-359-7855
E-mail:  mbrooks@mail.ewu.edu

Credit Card Payment Information

Visa__Mastercard__Account Holder's Name______________Acount Number__________________

Expiration Date______________ Amount to be Charged____________________

Session Dates
Term Year Begins Ends Instructional Fees Estimated Misc. Fees
Summer 2006 June 26 August 18 $2,500.00 $200.00
Fall 2006 September 19 December 8 $2,800.00 $200.00
Winter 2007 January 8 March 23 $2,800.00 $200.00
Spring 2007 April 2 June 15 $2,800.00 $200.00

Instructional fees cover all costs related to in-class and out-of-class instruction.  This may include admission to museums, plays, etc., as well as providing students with the opportunity to experience American food.
Miscellaneous fees cover costs related to computer/language lab access, basic health coverage, and estimated textbook costs.

Fees are subject to change.  Please request a current fee schedule when applying to the Institute.

PLEASE COMPLETE THIS SECTION IF YOU PLAN TO LIVE IN A UNIVERSITY RESIDENCE HALL

Will you need a dormitory room and meals on campus?  Yes _____  No _____ 
If you check yes, please answer the questions in the box and enclose a $200.00 deposit for dormitory room.This deposit reserves a space in our residential living system. It is not a partial payment of room and board. We cannot reserve a room without a deposit. You will be required to sing a Housing and Dining Services Contract when you arrive at the university.

 EWU has six residence halls on campus and offers two different housing contract options and meal plan options for international students. The Office of Housing and Residential Life will assist you in making your living and dining arrangements.

CONTRACT OPTIONS
One-Quarter Plan: Student commits to live on campus only one quarter at a time.
Multi-Quarter Plan: Student commits to live on campus a minimum of two consecutive quarters (Fall and Winter or Winter and Spring.) Students who sign up for this plan are charged reduced rates.

MEAL PLAN OPTIONS
Standard Meal Plan: Provides enough "dining points" to buy approximately 12-14 meals per week. This plan works well for the student who is on campus most of the time and eats off campus only a couple of times each week.
Base Meal Plan: Provides enough "dining points" to buy approximately 10-12 meals per week. This plan works well for light eaters or students who for various reasons find themselves eating elsewhere for many of their meals.


HOUSING NEEDS

1.  Which housing plan do you wish to sign up for?
 _____ One-Quarter Plan _____ Multi Quarter Plan (includes discount). Only students who begin fall or winter term are eligible for this plan.

 To help you with your living arrangements, please answer the following questions:

2.  Do you want to share a room (double), or do you want a room by yourself (single)? NOTE: Single rooms are subject to availability and will result in increased room prices.

 ________Double
 _______Single

3.  Do you smoke?  No _____  Yes_____

4.  If you share a room (double), who would you like your roommate to be? Please answer the following question by listing your preferences as: (1) first choice, (2) second choice, and (3) last choice.

  • ______ An American roommate?
  • ______ A roommate from another country?
  • ______ A roommate from your country?

5.  To help us best match you with a roommate, please answer the following question by listing your preferences as: (1) Never True, (2) Seldom True, (3) Sometimes True, (4) Frequently True, (5) Nearly Always True.

  • ______ I intend to study after 11:00PM.
  • ______ I intend to have visitors after 11:00PM.
  • ______ I intend to be an early riser.
  • ______ I intend to be neat and orderly with the appearance of my room.

6.  Choose the type o music you usually listen to by circling your favorite type(s).
 Rock Country Jazz R&B
 Rap Alternative No Preference Other________

All first term students are automatically assigned to the Base Meal Plan. If this plan fails to meet your needs, you may contact Dining Services after your arrival to make any adjustments.


 Term

One Quarter (Base Meal) Plan

 Multi Quarter (Base Meal) Plan

 

Double Room

 Single Room

 Double Room

  Single Room

Activity Fee

Spring 2006
Summer 2006
Fall 2006
Winter 2007

$1791.00
$1328.00
$ 2056.00
$2016.00

$2299.00
$1728.00
$2456.00
$2416.00

$1560.00
$1328.00
$1738.00
$1698.00

$1982.00
$1728.00
$2138.00
$2098.00

$10.00
$10.00
$10.00
$10.00


 (Room and Board rates are estimates and must be approved by the EWU Board of Trustees.)

In the event this application is accepted by Eastern Washington University, I agree to pay room and board rates as they have been announced or as they may be adjusted. I agree to abide by Eastern Washington University Housing and Dining Service Contact and Regulations, a copy of which I will receive at the time of my arrival at the university. The university reserves the right to recover any costs and attorney fees incurred in enforcing the terms of this agreement.

Signature_________________________________________Date________________

http://eli.ewu.edu/classes/appfrm.html