IEP Application F1

1. About You

Family Name (Surname) *

Please enter the name exactly as shown on passport.

Given Name *

Middle Name

Country of birth *

City of birth *

VERY IMPORTANT: please type the city where you were born.

Country of citizenship *

Birthday *

Format: Month/Day/Year

Please repeat your birthday month: *

Sex *

Male
Female

Marital Status *

Single
Married

2. Your Contact Information

It is VERY important that we have a correct address for your HOME and for MAIL. Please include a complete home address. If you receive mail at a different address, include that address below.

Home Country, Residence Address *

City *

Postal or ZIP Code *

Country *

State *

Mailing address (if different than residence address)

If you receive mail at a DIFFERENT address than your home, please include the address here.

Telephone *

Please include your complete phone number, including country code.

Email address *

STOP: it is very important that we have an email address for the student. Using the email address of another person will cause problems later. Include an email address ONLY if it belongs to the applicant.

Enter Email Confirm Email

In case of emergency, the person we should contact:

Name of emergency contact *

Relationship to you *

Country of emergency contact *

Telephone of emergency contact *

Email address of emergency contact *

How did you learn about Boise State University’s Intensive English Program? *

Catalog or English program guide book
Friend or family member
Internet
Company or business
Student fair
US embassy, consulate, or other government office

3. Session Information

How long do you plan to study at the IEP?

4 weeks
8 weeks (one session)
16 weeks (two sessions)
24 weeks (three sessions)
32 weeks (four sessions)
40 weeks (five sessions)

Which year do you plan to attend? Select year: *

Choose an 8-week session:

If you plan to begin with an 8-week session, choose below:

Summer Session
Fall Session A
Fall Session B
Spring Session A
Spring Session B
I prefer a 4-week session

Or: choose a 4-week session:

Select a 4-week session if you need a shorter session or an atypical start date. Only choose a 4-week session if you are NOT beginning with an 8-week session.

Campus housing *

Are you interested in living on campus? Campus housing is extremely limited, but we can often arrange housing when we have early notice.

I want to live on campus
I do not want campus housing

English test score

Do you have a score from the TOEFL, IELTS, TOEIC, or other test? Write the test name and score below.

University

Do you attend university? What is the name of your university?

4. Transfer Information

Are you are transferring from another school or program in the U.S.? *

Yes
No

School name *

School address *

5. Financial Support

Please indicate who is responsible for your tuition and living expenses during your study in the U.S.: *

Personal, family or other individual funds
Sponsor (government, agency, company, other)

Name of account holder *

Relationship to You *

Bank name *

Phone *

Address *

Name of sponsor *

Organization *

Address *

Phone *

6. Dependent Information

Do you have dependents? *

Yes
No

Name of dependent(s) *

You must list first name, last name, and relationship to applicant. A copy of each dependent’s passport will be required.

Uploads *

Please upload a PDF copy of your passport main page. Also upload copies for any dependents.

Drop files here or

Max. file size: 10 MB.

Uploads *

Please upload a PDF copy of your financial document(s).

Drop files here or

Max. file size: 10 MB.

Uploads *

Please upload a PDF copy of your writing task.

Drop files here or

Max. file size: 10 MB.