Intensive English Program Application (On Campus Classes Only) Intensive English Program Application (IEP) Program of InterestWhich program are you applying for?* General English College Preparatory Experience General English is great for beginner to advanced students who want to focus on communication, reading, and writing in all contexts. The College Preparatory Experience provides language courses and unique study courses that prepare students for academic success. This program is designed for High Intermediate/Advanced students.Are you interested in the UCAELI Pathway Program?* Yes No Not sure UCAELI students can enroll to 1-2 university courses for credit or they may choose to observe a university course. Course topics vary by semester. Students choose whether to transfer the credits and grades of the university courses once they become full-time university students. UCAELI and credit courses will take place at UConn's Main Campus, Storrs CT. Please check the "programs" tab on our website for more information!If selected YES, please indicate how many courses you would like to enroll for.* 1 2 None, for students who selected NO for Pathway Programs. Session Start DatePlease click on the session you would like to start our English Program?* Spring (January – May, 15 weeks) Summer I (May – June, 6 weeks) Summer II (July – August, 6 weeks) Fall (August – December, 15 weeks) Please check the "programs" tab on our website for exact session dates! Please click on any other sessions you would like to attend:* Spring (January – May, 15 weeks) Summer I (May – June, 6 weeks) Summer II (July – August, 6 weeks) Fall (August – December, 15 weeks) Not sure None Please check the "programs" tab on our website for exact session dates! Personal InformationName* First Middle Last Email* Contact Number* Date of Birth* Month Day Year Gender* Female Male Rather not say Country of Birth* Permanent AddressAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini 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BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you want your I-20 to be mailed to your permanent or mailing address?* Permanent Address Mailing Address Permanent and Mailing Address are the same. Are you traveling with family?* Yes No HousingAre you interested in on-campus housing?* Yes No Not sure Language Skills and StudyWhat is your native language?* How would you rate your overall English compentency?*BeginnerElementaryIntermediateHigh IntermediateAdvancedBilingualHave you studied at an English program before?* Yes No Where did you study English? Please enter name of institution. If you answered the previous question with "yes", please answer this question. Please Note: Students must be able to speak, read, write, and understand basic words and short sentences in English.Are you a student now?* Yes No Please click "yes" if enrolled as either a part-time or full-time student. Highest Education Level* High School Diploma/GED Some College Undergraduate Degree Associate's Degree Bachelor's Degree Master's Degree Ph.D. Other What is your degree in?* Please type in "N/A" if you do not have a degree. Are you a working professional (do you work now)?* Yes No What is your job title?* Please type in "N/A" if you are not currently employed. Do you currently have conditional admission to UConn or any other university in the U.S.?* Yes No What is the name of the school to which you have a conditional admission offer?* Please type in "N/A" if you did not receive conditional offer from UConn. Do you want to apply to UConn or another university in the U.S. in the future?* Yes No Not Sure Visa StatusAre you currently in the United States?* Yes No Do you currently have a visa?* Yes No Please choose the visa or U.S status that you currently have.* I do not have a visa. F1 F2 J1 J2 Permanent Resident U.S Citizen Other Description for "Other"? Are you transferring from another school?* Yes No If you answered "yes" for this question, please answer the next one. Please indicate which school you are transferring from.* Please type in "N/A" if you are not transferring from another school. Survey QuestionsHow did you first hear about UCAELI?* Advertisement Agent Fair Friend or relative Social Media UCAELI Website Other Description for "Other"? If "agent" was selected - please enter the name of the agency here. Name of Agent (Contact Person) Contact Email for Agent Discount CodeIf you have discount code, please include it here. Additional InformationComments or Questions?CAPTCHANameThis field is for validation purposes and should be left unchanged.