Intensive English Program Application

* denotes required information
Student Information
     
  :      
  :      
  :      
  :      
  :     Male   Female
 
  :     Month:   Day:   Year:   
  :      
  :      
 
Address in home country
     
  :      
  :      
  :      
  :      
  :      
  :      
  :     Yes   No
 
  :      
 
IF YOU ARE IN THE USA, enter your current USA address
     
  :      
  :      
  :      
  :      
  :      
  :      
 
I-20 International Mailing Address

A&M-Texarkana IEP will only mail the I-20 form and admissions documents to the address listed in the "I-20 Mailing Address" section below. All foreign students require a student visa to study in the United States. This address will be used to send you the letter of admission and I-20 form, required for the processing of the visa.

We will send you the acceptance letter, university and departure information, and your I-20 form to the following address. Please complete all the information in the section below.

  :      
  :      
  :    
(if applicable)     
 
  :      
  :      
  :      
  :      
 

Academic Information
     
 

*Select the date you wish to attend:

Please enter your current educational status.
*** Holding a high school diploma is required for admission to the A&M-Texarkana IEP.

Please choose the option that best describes your current a academic status.

Why do you want to study at the A&M-Texarkana Intensive English Program? Please select the option below that best reflects your future educational plans.

Is there anything else that you would like us to know about your application or your study plans?

Terms and Conditions:
By submitting this form to the IEP, the applicant is agreeing to the following terms and conditions:
Please click on the boxes below to select them and to indicate that you agree to the terms and conditions.

I certify that the information that I am submitting via this application (and my supporting documents) is correct. *

If I must cancel my registration I must notify the IEP 5 days before my session start date in writing at international.programs@tamut.edu. *

If I enter the United States using the Texas A&M University-Texarkana's I-20 form and then I fail to enroll at the IEP, my status will be notified to the proper immigration authorities immediately. *

***********************************************

Payment-related terms and refund information:

I am registering for this program and I am (and/or my sponsor is) responsible for paying all costs associated with the program. *

I understand that if I decide not to continue with the registration process, that is must cancel my registration, or fail to attend the A&M-Texarkana IEP, none of the fees paid will be reimbursed.*

I understand that if I fail to attend the Texas A&M University-Texarkana’s IEP, I must return my original I-20 form (or DS-2019 form) to the IEP. If I fail to do so, I will be subject to sanction. *

***********************************************

 I give the IEP permission to use photos and videos of me in marketing and promotional materials (in print and in electronic format on the Internet) in order to promote its programs and activities.

 I have read and understand these terms and conditions. *



 
State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); (2) you are entitled to receive and review that information; and (3) you are entitled to have the information corrected at no charge to you. For more information see our Privacy Statement.