Student Application


Students are expected to have a basic vocabulary, understand very simple oral language, and be able to write simple sentences in English. Students without basic English skills will not be admitted into regular classes. Students who have successfully completed at least one year of English as part of their school studies or one course at a language institute or have other English experience typically satisfy the basic knowledge requirement. Students who are not sure if they meet this minimum requirement should submit a short sample of their writing with their application.

After submitting this application, you will be contacted and asked to supply the following documents and payments:


I. Required Information


You must fill out all the information in Section I to submit this application. If you omit any required information, your application will not be submitted.

Family Name
First Name
E-Mail AddressRetype E-Mail

Address (residence):
Do not leave any box blank. If there is no State or Province or no Postal Code, type "none" in the box.
PO Box or Street Number
City
State or Province
Postal Code
Country


If your mailing address is different from your residence, type your complete mailing address.
Mailing Address:

Telephone Number:
Country of Birth:
Country of Citizenship:

Date of Birth
Your date of birth must be the same as on your passport.
Day: Month: Year:

Gender:

Marital Status: If married, will your family accompany you?
If yes, complete Part III below.

Expected start of INTERLINK studies:
Month: of Year:

Please select the center you wish to attend:


II. Additional Information


Please answer all questions below as accurately as possible to facilitate the application process.

Fax Number:
How many weeks

What do you plan to do after you study at INTERLINK?

Where did you first hear about INTERLINK?

Emergency contact
Name
Address
Telephone


Highest educational level you have completed:

Your field of study (major):
Standardized English test:
Score:
Date: Month / Day / Year


Rank your English ability:
SpeakingListeningReadingWriting


Have you studied in the US before?
If yes, name of program:
Address of program:


Rank housing options in order of your preference:
First ChoiceSecond ChoiceThird Choice


Do you have any physical disability or health problems that will require special assistance?
If yes, please explain:

Who will finance your education in the US?
If other, please explain:

Do you wish to receive your admission materials via express mail?
The charge for this service is a non-refundable $65.


III. Family Members

You only need to complete section III if family members will be accompanying you to the United States.
Please answer all questions below as accurately as possible to facilitate the application process.
Information must be exactly as it appears on passports.


Spouse:
Full Name:
Date of Birth: Day: Month: Year:
Country of Birth:
Country of Citizenship:

Children/Dependents:
Full Name:
Date of Birth: Day: Month: Year:
Gender:
Country of Birth:
Country of Citizenship:

Full Name:
Date of Birth: Day: Month: Year:
Gender:
Country of Birth:
Country of Citizenship:


IV. Complete Application



AGREEMENT TERMS
I understand the terms of my admission and agree to abide by the rules of the Center and of the University. I, and / or my sponsor, will be fully responsible for the cost of my studies while at INTERLINK. Further, I authorize release of my credentials and of my medical records for medical and insurance purposes; I also authorize treatment of any illness or injury by qualified health personnel during my attendance at INTERLINK.

I AGREE:
Yes
No
Form will not be sent without agreement to terms
Please click the Submit button ONLY ONCE.