Intensive English Program US Citizen/Permanent Resident Application
Thank you for your interest in the Rice University Intensive English Program. Your application will be reviewed within 3 to 5 business days and you will be notified by email regarding the admissions decision. If you are accepted, you will receive instructions by email on how to pay a deposit of $500 in order to complete the application process. The remaining balance of your tuition must be paid by the
placement test date
for the session in which you are enrolling. An invoice will be sent to you by email.
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Intensive English Program US Citizen/Permanent Resident Application
Are you a US Citizen or a US Permanent Resident
*
US Citizen
US Permanent Resident
Required Document for US Citizens:
(applications submitted without the document listed below will not be processed)
Transcript
*
Required Document for US Permanent Residents:
(applications submitted without the document listed below will not be processed)
Transcript
*
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Intensive English Program US Citizen/Permanent Resident Application
Please select the session when you would like to begin your study
*
January 4 - March 1, 2022
March 2 - April 27, 2022
April 28 - June 23, 2022
June 24 - August 22, 2022
August 25 - October 20, 2022
October 20 - December 16, 2022
Program Information
How many sessions do you plan to study?
*
1
2
3
4
5
6
Educational Background
Name of the Institution (list the most recent institution)
*
Did you graduate from this institution?
*
Yes
No
Date of Graduation
*
-
Month
-
Day
Year
Date
Degree
*
High School Diploma
Associate Degree
Bachelor
Master
Doctoral Degree
Other
Please indicate your major reason for enrolling in the Rice University Intensive English Program
*
I want to complete an associate
I want to complete a bachelor
I want to complete a master
I want to complete a doctoral degree program.
I want to study English for non-academic reasons such as for general communication, professional or language training purposes.
Other
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Intensive English Program US Citizen/Permanent Resident Application
Personal Information
First Name
*
Middle Name
Last Name (Family Name)
*
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Country of Birth
*
City of Birth
Country of Citizenship
*
Email
*
Telephone
*
US Address
US Address
*
City
*
State
*
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP Code
*
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Intensive English Program US Citizen/Permanent Resident Application
Emergency Contact Information
Emergency Contact First Name
*
Last Name
*
Relationship
*
Telephone
*
Email
*
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Intensive English Program US Citizen/Permanent Resident Application
Referral
How did you hear about the Rice University Intensive English Program?
*
Please Select
Apply ESL
Bing
Continuing Studies Catalog
Dave’s ESL Café
ESL Brochure
Google
Social Media
Study USA
Yahoo!
YouTube
Other
Other: How did you hear about the Rice University Intensive English Program?
*
Social Media Usage
Which types of social media do you use?
*
Facebook
Instagram
Twitter
SnapChat
Other
I do not use social media
Which other social media do you use?
*
Refund Policy
• The $100 testing and registration fee is non-refundable.
• New students canceling by 4 p.m. on the last business day before classes begin will receive a refund of $400 from the $500 deposit. (See session calendar at
esl.rice.edu
)
• Returning students canceling after the re-enrollment deadline and by 4 p.m. on the last business day before classes begin will be charged a $50 cancellation fee.
• Students withdrawing after 4 p.m. on the last business day before classes begin and before 4 p.m. on the tenth day of class will receive a refund of one-third of their tuition. There is no refund for any students withdrawing after the tenth day of class.
• All refund requests must be submitted in writing to
esl@rice.edu
.
• Refunds will be processed as credits to the accounts from which they were paid and may not appear as a credit until the following statement. Refunds for enrollments paid by check can take up to four weeks to be processed. There is a $30 charge for any check returned for insufficient funds.
I have read and understand the refund policy.
First Name
*
Middle Name
Last Name (Family Name)
*
Today's Date
*
-
Month
-
Day
Year
Date Picker Icon
Submit
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