Admissions Office 1000 El Camino Real Atherton, CA

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1 Admissions Office 1000 El Camino Real Atherton, CA Phone: Fax: The Intensive English Program (IEP) is an on-campus immersive English learning experience designed for students who need English language training before pursuing a Menlo College degree in business or psychology. The program is also open to nondegree seeking students. We do not offer beginning level classes. Students can be low-intermediate but should not be below level B1 (Common European Framework) or level 3 on a 6 level scale. There is no specific deadline to apply; however, the IEP can accept only a limited number of students for each session and will close admissions once the limit is reached. Please apply as early as possible. How to apply All international students must submit this application along with the following documents to Menlo College Certification of Finance Form A bank statement or letter on bank letterhead verifying $56,000 is on deposit in a current account Copy of your passport identification page $40 application fee Personal Essay (250 Words explaining your interests and why you want to study at Menlo College) Additionally, transfer students must submit: Copy of your current visa Copy of current I-20 Copy of your I-94 card or most recent entry stamp Note: As part of admission, a prospective student will be interviewed in-person or via Skype to allow the program Director to meet the student and get a sense of the student s current speaking and listening skills.

2 Program Term Please select your term of enrollment Fall 2014 Spring 2015 Personal Information Please print your name exactly as it appears on your passport Legal Name: Family Name: Given Name: Middle Name: Date of Birth: / / English Ability. My level is... early beginner basic beginner (studied for more than a year) low intermediate (basic conversation is possible) intermediate (basic conversation is fluent) high intermediate (can read and discuss novels) advanced (can fully participate in college level classes) Gender: Male Female Country of Birth: Country of Citizenship: Program Information I plan to apply to Menlo College I have already applied to Menlo College and am waiting for admission I have been admitted to Menlo College. Menlo College Student ID #: I have been admitted to another U.S. University. Name: ne of the above

3 Contact Information Permanent Home Country: Street Address: City, State: Postal Code: Country: Phone: Address in the U.S. (if applicable) Street Address: City, State: Postal Code: Country: Agent (if applicable) Name: Street Address: City State: Postal Code: Country: Phone:

4 Send I-20 to Street Address: City, State: Postal Code: Country: Visa Information Do you need a student visa? Are you an Immigrant or Refugee? Are you currently in the U.S.? If you are currently in the U.S., what kind of Visa do you hold? Are you transferring to the Intensive English Program from another institution in the United States? If yes, please provide your SEVIS number, and the name and contact information of your school. Sevis Number: Name of School: City: State: Phone:

5 If you are a non-degree seeking student where would you like to live while attending the IEP? Menlo College Residence Hall* Off-campus/Private arrangement (Student arranged) *Students conditionally admitted into Menlo College must live on campus. Non-degree seeking IEP students can live on campus subject to space availability. How did you hear about Menlo College? Menlo College Admissions Office Agent IEP student Online Other. Please specify: Student Certification and Electronic Signature Honor Statement I hereby certify that all information provided in my application is accurate and complete, and that I have attended no institutions other than those listed. Furthermore, I understand that transcripts become the property of Menlo College and will not be forwarded to other institutions or returned to me. I understand that admission to, or enrollment in, the College may be denied or revoked if any part of this information is found to be incomplete or inaccurate. Print Name: Signature of Applicant: Date:

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