IELI Application

Personal Information

Family/Last Name *

As written on passport.

First/Given Name *

As written on passport.

Middle Name

Birth Date *

As written on passport.

Month

Day

Year

City of Birth *

Country of Birth *

Country of Citzenship *

Gender *

Male

Female

Email Address *

Phone Number *

Please include your country code, area code, and phone number.

Permanent HOME Country Address

(required for I-20 processing; no P.O. Box)

Country *

Number and Street *

Town or City *

State or Province *

Zip/Postal Code *

Mailing Address

(if different from your home address)

Number and Street *

Town or City *

State or Province *

Country *

Zip/Postal Code *

What is your visa status? *

I’m outside the United States (US) and need an F1 student visa.

I’m already in the US on an F1 visa and want to transfer to IELI.

I am a visiting scholar and have/need a J-1 visa.

I’m a permanent resident.

I'm a U.S. citizen.

I’m in the US on another visa

Current School Information

Name of School *

City *

State *

Type of classes you are taking *

You will need to submit copies of all of your final transcripts from your current English Program as well as a letter talking about your attendance record and conduct in class to us.

If you are in the US on another Visa, which type is it?

When would you like to study at IELI?

Year *

Term *

Have you ever applied to IELI or UNT before? *

YES

What is your ID number?

(ex. 110XXXXX or 111XXXXX)?

Will you be funded by your government or university? *

YES

Do you have a representative or agency helping you with your application? *

Agency/Representative Information

School or Agency Name *

Representative or Agent Name *

Representative or Agent Email *

What is your representative's information?

We need the Representative's Name, Relationship to you, and Phone number

If you are married, are you planning to bring your spouse and/or children with you? *

Dependent Information (Spouse and Children)
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender
Last Name	First Name	Date of Birth	Country of Birth	Country of Citizenship	Relationship	Gender

If you have more than 5 dependents, please contact us at ieli@unt.edu.

How did you learn about IELI?

I certify that the information provided on this application is complete and correct to the best of my knowledge.

Applicant Name *

International Affairs

You are here

Current School Information

I certify that the information provided on this application is complete and correct to the best of my knowledge.