University of Oregon    AEI

 

AEI Application Part 1

Instructions:
Please complete this form and then click the "submit" button below.
Part 2 will appear after you click the submit button. See Part 2 now.

 

Questions? Need help with this application form? Please email us: Web Contact Form.

Note: * = Required information.

Contact Information
Please type name EXACTLY as shown on your passport.
Family Name: *
First Name: *
Middle Name: *
Sex: Male   Female
Email Address: *
Phone number: *
FAX number: *
Current Mailing Address
Current Mailing Address: *
*
City: *
State or Province: *
Country: *
Postal Code: *
Permanent Address (in your home country)
Permanent Address: *
*
City: *
State or Province: *
Country: *
Postal Code: *
How did you find out about us? *
a friend or family member
an advisor or counseling agent
Study USA web site
a Web search on my own
Other:
Registration Information
Term: When do you want to begin to study at the AEI?
Winter 2010 (January 4 - March 12, 2010) deadline: October 23, 2009**
Spring 2010 (March 29 - June 4, 2010) deadline: January 15, 2010**
Summer 2010 (June 21 - August 27, 2010) deadline: April 09, 2010**


**For extended deadlines, contact AEI by phone (541) 346-3945, FAX (541) 346-3917, or Web Contact Form.

Have you ever applied to the AEI before? Yes   No
If YES: When?
How long do you plan to attend the AEI? 1 term       (One term = 3 months)
2 terms
3 terms
One year or more
Personal Information
Date of Birth: * Month   Day   Year
Country of Citizenship: *
Country of Birth: *
City of Birth: *
Are you currently in the United States? * Yes   No
Visa Type: * If you are in the United States now, what type of visa do you have?
(Click to change answer.)

If you have a Visa type that is not in the list above, please tell us what type.
Other Visa Type:
Marital Status: * Single   Married
Will spouse accompany you? Yes   No
If yes, please give us information for your spouse:

Spouse Family Name:
First Name:
Middle Name:
Sex:
Spouse Date of Birth:
Birth Country:
Citizenship:
Will children accompany you? Yes   No
If yes, please list them below:
Children coming with you:
Family Name First Name Middle Name Sex Birthdate Birth Country Citizenship
Education Information
Name of School: List the most recent school you have attended (high school or higher education):
Location of School:
Graduation Date:
Degree: Highest degree completed:
(Click to change answer.)
Transfer Student Information

Name of School:
If you are transferring from another school in the United States, what is the name of that school?
Length of enrollment:
Location:
I-94 Number:
SEVIS Number:
Financial Statement
Instructions: Indicate source(s) of your funds and the amount of money. Send required documentation with Part 2 of the application.
Personal or Family Funds Yes   No
Amount of money guaranteed:
Documentation Required: Bank statement, signed by a bank official, stating exact amount of funds available.
Guarantor Yes   No
Amount of money guaranteed:
Documentation Required: Bank statement, signed by a bank official, stating exact amount of funds available. Signature of the guarantor on Part 2 of the application form.
Scholarship Yes   No
Amount of money guaranteed:
Documentation Required: Copy of Scholarship or fellowship award letter, a government authorized letter of support.
Other Yes   No
Amount of money guaranteed:
Documentation Required: Document, such as a loan agreement, signed by a responsible official, stating exact amount of funds available.


Application Fee
How would you like to pay the application fee? Due: 110 US Dollars
(Click to change.)

Note: ONLY Visa and MasterCard credit cards accepted.

To pay by mail: please send payment (check or international money order) with Part 2 of the application via air mail to:

American English Institute
5212 University of Oregon
Eugene, OR USA 97403-5212

 

Submit Application
Submitting Form: Click button to submit application:

After you submit Part 1, Part 2 will appear. Print out Part 2, complete and send to AEI by air mail.