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CESL ONLINE APPLICATION FORM

Please email cesl@siu.edu for a PDF version of this application.

Student Information

Are you applying to study online or in-person? * Online In-Person

Family Name * First Name * Middle Name

Date of Birth:

Month * Day * Year *

(CESL applicants must be at least 18 years of age or have completed secondary school)

Gender * Female Male

Country of Birth * City of Birth * Country of Citizenship *

Student Contact Information

(Student address in home country)

Street/House Address * City * Postal Code * State/Province/Prefecture * Country * Telephone * Student's Email *

( NOTE: Agents must use the student's home address and email address. Failure to do so will result in the rejection of this application. You may enter the agency's email address in the "Agents" section below. Communication will be sent to you.)

Visa Information

Are you already in the U.S.? * Yes No

If you are already in the U.S., please indicate your Visa Type F1 F2 J1 Permanent Resident US Citizen Other

Transfer

Are you applying to transfer to CESL from another school in the U.S.? * Yes No

If yes, type the name of school where you are currently enrolled

Submit transfer documents - see Terms and Conditions.

Dependents

Will your spouse or children accompany you? * Yes No

If yes, you need to submit the DEPENDENT COPY I-20 REQUEST FORM (The form to be used is available for download HERE) A passport copy must also be submitted for each dependent listed.

Agents

Are you being represented by a placement agency? * Yes No

If you answered "Yes", please enter the agent's information below. All admissions correspondence will be sent to the agent by email.

Company Name Name of Agent/Counselor Email Address

I-20 Mailing Instruction

CESL offers you the opportunity to receive your I-20 via DHL or FedEx through E-ShipGlobalReceiving your immigration documents by courier is at your expense and your credit card will be charged upon requesting the service. The DHL or FedEx Express mailing must be paid by credit card (VISA, MasterCard or Discover cards only).When you I-20 is ready CESL will send you directions to reach the website in order to register an activate your account at E-ShipGlobal. You may request a shipment either to your overseas address or to a U.S. contact address. If your documents will be sent to a U.S. contact, please include the name of the person at that address.

Application Dates

Please indicate which session(s) you plan to attend at CESL. *

*Select ALL sessions you wish to attend.

*ALL students MUST attend registration on the CHECK-IN date, followed by testing and orientation days before their first session.

TERM	APPLICATION DEADLINE	CHECK-IN DATE
222	February 1 , 2022	March 10, 2022
223	See "Community Engagement Program "
224	May 1 , 2022	June 9, 2022
225	July 1 , 2022	August 18, 2022
226	September 1 , 2022	October 17, 2022
231	December 1 , 2022	January 12, 2023

Education Plans

What are your plans after completing CESL?

1) I will apply to the following degree program at SIU: Bachelor Master PhD
Major:

2) Other: Return Home Transfer to a different university I already applied for conditional admission at SIU.
My DawgTag number is:

Where Did You Hear About CESL?

Friend or Relative:

Friend's Name:

Partner University:

Education Fair:

Social Media:

Printed media:

Website:

Other Websites:

Agent / Recruiter:

Education USA Advisor:

Signature By checking this box, I confirm the information submitted via this application is correct and that I am registering for this program. I understand that I am responsible for meeting all costs associated with the program. I have read the CESL conditions.

Type S@luki This is to prevent spam. *

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CESL ONLINE APPLICATION FORM