All information should be written as it appears on your passport

Last Name (Family)*    First Name (Given)*

Middle Name                       Date of Birth*
                                                                                                          (example: March 12, 1982)

Street Address*         Apartment Number

City*    State    Country

 Postal Code*    Country of Citizenship*

City of Birth* Country of Birth*

Telephone Fax    E-mail

* Male       Female                      * Married   Single

I wish to begin CIES in the following session*: FA II, 2009 October 12 - December 4 SP I, 2010 January 4 - February 19 SP II, 2010 February 22 - April 16 SU I, 2010 April 26 - June 11 SU II, 2010 June 14 - July 23 FA I, 2010 August 23 - October 8 FA II, 2010 October 11 - December 3

I plan to attend CIES for:

1 session 2 sessions 3 sessions 4 sessions 5 sessions 6 sessions
I do not know at this time

Have you been Conditionally Admitted to Florida State University? Yes No

Are you transferring to CIES from another U.S. school? Yes No

My I-20 and other information should be sent to:
(Cost of Express Shipping is $35.00. You must supply a telephone number and e-mail to ship by express mail!)

Same name and address as above: (please check) or please send my I-20 and other information to the name and address below:

Last Name (Family)    First Name (Given)

Street Address         Apartment Number

City    State   Postal Code

Country Telephone    E-mail

* Required information

If you plan to bring your spouse and/or children, please complete the following section:

Spouse's Last Name *   Spouse's First Name *

Spouse's Middle Name         Spouse's Date of Birth*
                                                                                                          (example: March 12, 1982)

Spouse's City of Birth* Spouse's Country of Birth*

Child's Last Name *   Child's First Name *

Child's Middle Name         Child's Date of Birth*
                                                                                                          (example: March 12, 1982)

Child's City of Birth* Child's Country of Birth*

If you have additional children, please send an e-mail immediately after you submit this application with the additional information.

Fees:
Full-time students will pay the following tuition and fees:

Application Fee (non-refundable) ………………………………………..................... $ 75.00
(Send in by regular mail or call or e-mail to pay by credit card)

CIES Tuition per session..........……………………………………..................……. $1,950.00
(Includes all books, photocopies, and activity fees)

Summer II Tuition……………………….........………………………..................….. $1,650.00
(Includes all books, photocopies, and activity fees)

BOTH THE STUDENT APPLYING AND THE PERSON RESPONSIBLE FOR STUDENT FINANCIAL SUPPORT MUST READ AND MARK EITHER "YES" OR "NO" BELOW:

“I fully understand that the total tuition costs and living expenses for the student named on this application will be $6,600 (approximately) for one semester of study at CIES, Florida State University. I agree to be responsible for these expenses.”

Applicant I do not have a sponsor and I will pay my own expenses.

Name of Sponsor Relationship to student Father Mother Employer Friend Other   

Sponsor    Yes, I understand and agree    No, I do not agree

“I understand that admission to CIES does not constitute admission to Florida State University.”

Applicant    Yes, I understand    No, I do not understand

After you have submitted this application, please fax or mail the following to CIES.

1. $75.00 Application Fee paid with an international bank money order or U.S. bank check made payable to Florida State University. If you wish to use a credit card, please e-mail: pgary@admin.fsu.edu for more information.

2. Copy of high school or university diploma. This does not have to be translated!

3. Financial statement from the bank of the person responsible for your support. (CIES will accept a     bank statement or a letter from the financial institute showing at least $6,600 present in the
    bank account).

4. If you would like us to send your I-20 and documents by express mail, please include an extra     $35.00. You must supply a telephone number and e-mail to ship by express mail!

Please fax to 1-850-644-7417

-Or-

Mail to:
The Center for Intensive English Studies
Florida State University
918 Traditions Way
Tallahassee, Florida 32306-4170

Once we have received the Application Fee and all of the above documents we will send the I-20 and additional information to you.