Application

Student Information

Name *

First

Middle

Last

Gender *

Male
Female

Date of birth *

Email *

Email

Confirm Email

Phone number *

Country of Citizenship *

Country of Birth *

Native language *

City of Birth *

Address in the USA

Address Line 1

Address Line 2

City

State

Zip Code

Foreign Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Program of study *

If you need F-1 visa, you have to select full-time/intensive

Do you need F-1 visa? *

Yes
No

Do you already have F-1 visa? *

Yes, I wish to transfer
No

Do you currently have B1/B2 visa? *

Yes, I wish to change my status
No

English language experience *

Objective of Study:

Why would you like to study English in the United States? Please write at least 2 sentences.

Expected start date at Austin ESL School *

Your first day at Austin ESL School

Desired end date at Austin ESL School *

Your last day at Austin ESL School

Emergency Contact in the United States

Emergency Contact Name

First

Last

Relationship to you *

U.S. Phone Number

Email Address

U.S. Address

Address Line 1

Address Line 2

City

State

Zip Code

Dependent Information

Dependents will be your spouse and/or unmarried minor children who are under 21 years old.

Do you have any dependents traveling with you to the U.S.? *

yes
no

How many dependents will be traveling with you to the U.S.? *

Dependent's name *

First

Middle

Last

Dependent's gender *

male
female

Dependent's date of birth *

Dependent's nationality *

Dependent's City of Birth

Dependent's relationship to you

Additional dependent(s) information (Please include birthdate, birthplace for each dependent)

If you have any additional dependents traveling to the USA with you, please provide their information in the box above. Include their full name, gender, date of birth, nationality, and relationship to you.

Referral

How did you hear about Austin ESL School? *

If you were referred to Austin ESL School by a family member or a friend, fill in their name below:

First

Last

Terms and Conditions

Terms and Conditions *

I have read and agree to the terms and conditions listed below

PAYMENT POLICY

It is the student's responsibility to ensure all required fees and tuition payments are made in a timely manner.
Tuition payments (initial and subsequent Periods of Financial Obligation or Enrollment Periods) are due and payable on or before the first day of class. You are expected to attend continuously for the contracted period of enrollment. No tuition credit is given for days missed for any reason. Any special circumstances will require written pre-approval from the Director.
The Registration Fee ( $100) is nonrefundable.
F-1 letter Shipping Fee is nonrefundable.
Transfer deposit and change of status / reinstatement fees are non refundable.
The SEVIS Fee payment and SEVIS processing fee are nonrefundable.
Textbooks and material fees are nonrefundable.
There is a late fee of $10 for any balance outstanding by the end of the first day of class.
There is a $35 fee for any check returned by the bank.

REFUND POLICY

You may withdraw from the program through 50% of your period of financial obligation and receive a prorated refund for the unused portion of the tuition.
After you study for more than 50% of your period of financial obligation, no refund is available.
Prorated refunds are calculated by the day based on your last day of attendance. The prorated daily refund rate is the total amount you paid for the period of financial obligation divided by the number of class days within the period of financial obligation.

For example: If you enrolled and paid for 10 weeks of study, you could withdraw and receive a prorated refund through the 5 weeks of study. After you attended more than 50% of your financial obligation, there would be no refund available

Refunds can only be paid to the person or company from whom the funds originated and in the form of the original payment. Agency students:should you shorten your period of enrollment or period of financial obligation, please also contact your agency.
If the school cancels or discontinues a course or educational program in which you are enrolled before your start date, the school will make a full refund of all charges paid for that program. If the school cancels or discontinues a course or educational program in which you are enrolled after your start date, the school will make a full refund of all unused charges paid for that program.
Refunds will be paid within 45 calendar days of the date of determination or last date of attendance.

WITHDRAWAL FROM THE PROGRAM

You may withdraw from the program at any time. The refund policy below will be used to calculate your refund based on your last date of attendance.
Failure to comply with school policies such as attendance or academic progress can result in automatic withdrawal. If it becomes necessary for the school to automatically withdraw you from our program, the refund policy below will be used to calculate your refund based on your last date of attendance.
Withdrawal request should be done in written. You can do this by mail, hand delivery, or email. The written notice of cancellation, if sent by mail, is effective when deposited in the mail properly addressed with postage prepaid.

Upload or email your documetations

Please send us your documents in the following ways: You can choose files to upload. 1). Click "UPLOAD" to choose files to upload. 2). You can email the files to info@austinESL.com

Upload Your Passport *

Click or drag a file to this area to upload.

Upload a copy of the identification page of your passport

Copy of current visa (if applicable)

Click or drag a file to this area to upload.

Upload a copy of your current U.S. visa

Bank account statement (Required for new F1 visa applicants only)

Click or drag files to this area to upload. You can upload up to 3 files.

Upload your recent bank account statement showing your name, date within the past 6 months, and a balance in excess of $12,600 USD (6 month program) plus additional $2,000 USD for each dependent. If the bank account statement is in another person's name (your sponsor), you must also upload a letter from your sponsor (see below).

A sponsor letter (if applicable)

Click or drag a file to this area to upload.

Upload a letter from your sponsor including sponsor's name as it appears on the bank account statement, your (student's) name, and the sponsor's agreement to cover all tuition fees, study materials, health insurance, housing, food, and any other personal expenses throughout the duration of your stay in the U.S.A.
For your convenience, you can download the sponsor form by clicking Sponsor Form , fill the form out, sign and upload the form.

Payment Method *

Zelle to aces4kidsinfo@gmail.com with your name
I will pay in person
Send me an invoice

Application Fee

Price: $100.00

I-20 shipping fee *

Total *

$0.00

Comment or Message

Today's date *