Welcome To AEI

AEI Application Part 1

Children coming with you:

Family Name

First Name

Middle Name

Birth Country

Citizenship

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:

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.

American English Institute
107 Pacific Hall
5212 University of Oregon
Eugene, OR 97403-5212, USA
Fax: (541) 346-3917, Office: (541) 346-3945
Email: aei@uoregon.edu Email Contact Form