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BU CELOP App Form1

This document is an application form for the Center for English Language & Orientation Programs (CELOP) at Boston University. It requests personal information from the applicant such as name, date of birth, country of origin, contact details, and program of interest. Additionally, it asks for emergency contact details, dependent information if applicable, financial sponsorship details, and a checklist of required documents to submit with the application, including a valid passport, financial certification, and bank statement showing sufficient funds.

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Erika Cedillo
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79 views5 pages

BU CELOP App Form1

This document is an application form for the Center for English Language & Orientation Programs (CELOP) at Boston University. It requests personal information from the applicant such as name, date of birth, country of origin, contact details, and program of interest. Additionally, it asks for emergency contact details, dependent information if applicable, financial sponsorship details, and a checklist of required documents to submit with the application, including a valid passport, financial certification, and bank statement showing sufficient funds.

Uploaded by

Erika Cedillo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

Application form to begin the application process at

the Center for English Language & Orientation


Programs (CELOP) of Boston University

1 - Student Personal Information

Family Name Erika Gabriela


(Surname/family name as shown on your passport)

Last Name Cedillo Alvarez


(Given name as shown on your passport)

Student Email [email protected]


(Student Email address)

Phone Number 0980190968

Date of Birth 06 / 03 / 1996


mm / dd / yyyy (Example: 3/22/1987)

Gender Female Male

Country of Birth Ecuador

Country of Citizenship Ecuador

Are you currently studying in the US with student Visa F-1?

NO YES (I will be a transfer student)

What is your U.S. immigration status?

International Permanent Resident US Citizen

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2 – Program Selection
You must select only one program. If you are planning to enroll in more than program, select
only the first program.

Program Program Length


Full-Time
Intensive English Program 12 weeks
Super Intensive English Program 12 weeks
Intensive English Program 6 weeks
Intensive English Program 4 weeks
English Plus Credit 16 weeks
Business English (Pre-MBA) 6 weeks
Legal English 6 weeks
Future Entrepreneurs 4 weeks
Part-Time
Part-Time English Program 12 weeks
15hrs/week 10hrs/week 5hrs/week
Part-Time English Program 6 weeks
Part-Time English Program 4 weeks

Year 2020
(Year of the program)

Quarter: Spring Summer Fall


(Some programs are not available all quarters)

Starting day / /
(First day of classes. Check the website for more details)

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3 – Emergency Contact Information
Your contact can be in the U.S. or in your home country

Contact
Name

Relationship
(i.e.: father, sister, friend, etc.)

Phone

E-mail

Address

City State

Country Postal Code

4 – Student Permanent Home Country Address

Address

City State

Country Postal Code

Phone

Do you want to receive the document I-20 at your Home Address mentioned above?

Yes No
If you answer is “Yes”, please continue with section 5. If you answer is “No” Please specify the mailing
address.

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Mailing address is different from Student permanent address:

Address

City State

Country Postal Code

Phone

5 – Dependent Information

Will a husband, wife, and/or child accompany you with a F-2 visa?
Yes No
If you answer is “Yes”, in addition to the application form you need to send the following information for
each one of your dependents. (name, country of birth, date of birth, country of citizenship and relationship
(wife, husband, son or daughter)

6 – Sponsor Information and Financial Certification (only for


International students)

Funding Type:
Personal Funds Family Funds

Government Sponsorship Third Party Sponsorship

Available Funds
$

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7 – Documents that you need to send in order to apply

In addition to this Application form you need to send the following documents to a
representative:
• A copy of a valid Passport (information page)

• A Financial Certification: bank letter or bank statement that shows that you or
your sponsor have at least the "Total Estimated Expenses" of the program.
o Check the amount for your program in the website.
o Must be written in English.
o Must be dated within 6 months of the start date of the program you are
applying for.
o Must show liquid (cash) funds in a checking or savings account.
o Must show funds that match or exceed the Total Estimated Expenses of
the program you are applying for.
o Must be signed by a bank official.

A representative will check that all your documents are correct. After that, we will send
you further information to complete the enrollment process. You can send the
documents to [email protected]

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