CESL Application

Student Information

Family Name

First Name

Middle Name

Gender

Date of Birth

Country of Birth

City of Birth

Country of Citizenship

Immigration Status

Student Contact Information

(NOTE: Agents must use the student's home address and email address. Failure to do so will result in the rejection of this application. You may enter the agency's email address in the "Agents" section below. Communication will be sent to you.)

Student Address In Home Country

Country

Street

City

Region

Postal Code

Phone Number Format
International phone numbers use E.164 formatting. E.164 numbers are formatted [+] [country code] [subscriber number including area code] and can have a maximum of fifteen digits. See below example.

E.164 Format and Phone Numbers
E.164 Format	Country Code	Country	Phone Number
+14155552671	1	BR	4155552671
+442071838750s	44	GB	2071838750
+551155256325	55	BR	1155256325

Student Phone Number

Student Email Address

Visa Information

Are you already in the U.S.?

Please indicate your current Visa Type

Transfer Information

Are you applying to transfer to CESL from another school in the U.S.?

School where you are currently enrolled

Submit transfer documents - see Terms and Conditions.

Dependent Information

Will your spouse or children accompany you?

You need to submit the dependent information below. You must also send CESL a copy of your spouse and/or child's passport and proof of relationship (marriage certificate for a spouse or birth certificate for children; translated into English). You must also show that you have additional funds in your bank account to cover the expenses for your dependents (an additional $1,000 per adult and $500 per child, per term).

DeleteDependent _ID_
Relationship Type Date of Birth Date of Birth Gender Family Name: First Name: Country of Birth City of Birth Country of Citizenship

Add Dependent

Agent/Partner Institution Information

Is someone helping you complete the CESL application process?

Agency/Partner Institution

Agent/Partner Institution Counselor Name

Agent/Partner Institution Counselor Email Address

Application Dates

Terms and Deadlines
Deadline to Apply:	Available Terms:	8-week Class Time Range:
December 1st	Spring Term 1	January - March
February 1st	Spring Term 2	March - May
Only open to special groups	Special Group Term	Intersession: 3 weeks in May
May 1st	Summer Term	June - August
July 1st	Fall Term 1	August - October
September 1st	Fall Term 2	October - December

For specific dates for each term, please visit the Schedule.

Please select the term when you wish to start attending CESL classes.

Education Plans

What are your plans after completing CESL?

What is your major or professional field?

My Dawg Tag number is:

Where Did You Hear About CESL

How did you learn about our CESL program?

Website/Media Details

Name of person/organization who referred you:

Financial Statement

Southern Illinois University Carbondale is required by the United States Department of Homeland Security to assure that all applicants are able to pay for tuition and fees and living expenses while studying at the Center for English as Second Language. The below section is to certify that the sponsor listed will be fully responsible for all expenses of the student during their studies at CESL. You will need to submit either a bank letter or a sponsorship letter from the sponsor during the application process.

Relationship of Sponsor to Student:

Name of Sponsor

Complete Address of Sponsor

Sponsor Phone

Sponsor Email/Website

Today's Date

Signature

I confirm the information submitted via this application is correct and that I am registering for this program. I understand that I am responsible for meeting all costs associated with the program. I have read the CESL conditions.

Name