Community Engagement Program Application

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APPLICATION FORM FOR COMMUNITY ENGAGEMENT &
U.S. CULTURE IMMERSION PROGRAMS

Student Information

(Applicants must be at least 18 years of age)

Gender *
Student Contact Information

(Please provide your address in your home country)

Application Type and Dates
Please choose the 2022 dates and type of program you are applying for: Community Engagement: May 16 – June 3 (3 weeks) Cultural Immersion: January 10 – February 4  (4 weeks)  Cultural Immersion: March 14 – April 8  (4 weeks)  Cultural Immersion: June 13 – July 8  (4 weeks)  Cultural Immersion: August 22 – September 16  (4 weeks)  Cultural Immersion: October 19 – November 15  (4 weeks) Community Engagement: Customized Dates  Cultural Immersion: Customized Dates 
Visa Information (if applicable)
Which type of visa are you planning to use to participate in this program? B visitor’s visa (already have it) B visitor’s visa (need to apply for it) Visa Waiver      List of qualifying countries:  http://www.esta.us/visa_waiver_countries.html Other       Please indicate visa type:

English Level

Applicants must have at least a 400 TOEIC, 4.0 IELTS, 30 iBT, B1 level on the CEFR scale, or equivalent.

Questions or Comments
How Did You Hear About this Program?
How did you hear about us?

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