Intensive English Program (IEP) Application

Full-time Study

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Intensive English Program
St John's University
St. John Hall, Rm. B-3A
(718) 990-6845

Personal Information:
Family Name: ___________________________

First Name: _____________________________

Country of Birth: _________________________

Date of Birth ___  /___  /___

[_] Male      [_] Female

Mailing Address:  ________________________

City: _________________ State: ___________

Zip Code: _____________ Country: _________

Tel #:  _________________________________

Fax #:  ________________________________

E-Mail:  ________________________________

When do you plan to enroll?
Check off all terms you plan to attend. Tuition and fees are subject to change.

Please check one:
[_] applying for a student visa
Please complete the Certificate of Eligibility for F-1 Status (Form I-20)
You need to attach evidence of your financial support.

For more information on F-1 Student Status, please contact the International Student Services Office (718) 990-6083 or by e-mail: ISS@stjohns.edu.

[_] an F-1 transfer student.
[_] a U.S. citizen.
[_] a permanent resident.
[_] other. Please explain ____________________________________

What is the highest level of education you have completed?
________ High School
________ College
________ Other

An IEP placement test is required of all applicants. Call the IEP at (718) 990-6845 for an appointment. You must bring a picture identification card to the test.

Please answer the following questions about your English skills:

1) Have you studied English? 
[_] Yes [_] No
If yes, where did you study?
High School _______________________________
How many years? _________
How many hours of class a week? _______

University _______________________________
How many years? _________
How many hours of class a week? _______

2) Have you ever taken the TOEFL?
[_] Yes [_] No
If yes, when did you take the TOEFL ___________________
What was your score? __________________

3) What class do you think you should be in?
[_] Beginner [_] Intermediate [_] Advanced

Please rate your English ability. Please check the box which best describes your ability.

1) In English
[_] Excellent [_] Average [_] Poor [_] Not at all

2) My reading ability is
[_] Excellent [_] Average [_] Poor [_] Not at all

3) My writing ability is
[_] Excellent [_] Average [_] Poor [_] Not at all

4) My listening ability is
[_] Excellent [_] Average [_] Poor [_] Not at all

5) I can talk about my family
[_] Excellent [_] Average [_] Poor [_] Not at all

6) I can talk about my hobbies/interests and why I like them
[_] Excellent [_] Average [_] Poor [_] Not at all

7) I can talk about world news and explain my opinion
[_] Excellent [_] Average [_] Poor [_] Not at all

8) I can talk about the similarities and differences between my parents’ generation and my generation
[_] Excellent [_] Average [_] Poor [_] Not at all

What are your plans after you complete the Intensive English Program? (Please check one.)

Signature: ____________________________________

Date:  _________________________________

Please return this application with a certified check or money order for $50 payable to St. John's University. The application fee is non-refundable.

Mail to:
Intensive English Program
St. John's University
St. John Hall, Rm. B-3A
8000 Utopia Parkway
Queens, New York 11439