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Email Address (* required)

Confirm Email Address (* required)

Personal Information

First Name (Given Name) (* required)

Write your first name as it is on your passport.

Middle Name

If you have a middle name, write it as it is on your passport.

Last Name (Family Name/Surname) (* required)

Write your last name as it is on your passport.

Will your documents arrive under any other name? (* required)

Do you have a different, preferred name? (* required)

Student's email address (* required)

We will send information about orientation to THIS EMAIL ADDRESS. Make sure this is an email address that belongs to the student.

Date of Birth (* required)

Legal Gender (* required)

Gender Identity

Country of Birth (* required)

Country of Citizenship (* required)

State of Birth (* required)

City of Birth (* required)

Native Language (* required)

Contact Information

DO NOT write a U.S. address here if you will study with an F-1 or other visa. Write your family's address in your home country.

Line 1 (number and street) (* required)

Line 2 (apartment or neighborhood)

City (* required)

Country (* required)

State or Province (* required)

Postal code (* required)

If your country does not use postal codes, enter 000.

Phone Number (* required)

CURRENT ADDRESS: Enter the address where you are staying now.

Line 1 (number and street) (* required)

Line 2 (apartment or neighborhood)

City (* required)

Country (* required)

State or Province (* required)

Postal code (* required)

If your country does not use postal codes, enter 000.

Will you study at PIE with F-1 visa status? (* required)

Where should we mail your I-20? (* required)

Please indicate your fill-in choice for: Where should we mail your I-20?

How did you hear about the Program for Intensive English (PIE)? (* required)

Study Plans

Highest Education Level Completed (* required)

Choose the session you want to BEGIN at PIE. (* required)

How many sessions do you plan to study in the PIE? (* required)

Do you plan to go to university in the U.S.? (* required)

Have you studied on an F-1 visa at another English Program or school in the U.S.? (* required)

Immigration Information

Are you in the U.S. right now? (* required)

What immigration status will you have at PIE? (* required)

Please indicate your fill-in choice for: What immigration status will you have at PIE?

Do you plan to study at PIE with F-1 visa status? (* required)

According to the U.S. Department of Homeland Security, students applying to study with an F-1 student visa must show they have the financial resources to pay for their education, housing, food, and other living expenses. If you do not have a scholarship from your government, you must provide information about who will provide financial resources for your study. It can be you, a family member, or a friend. It can be more than one person.

Who will pay for your classes at PIE? (* required)

Please indicate your fill-in choice for: Who will pay for your classes at PIE?

Sponsor Form

If a family member or friend will pay for your studies, download and complete the Sponsor Form

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For EACH SESSION you plan to study, you must show the following amount of financial resources: $5,846 per session plus $1,185 additional resources for each dependent (spouse or child) who will come with you on an F-2 visa.

Proof of Financial Resources (* required)

Attach the FINANCIAL GUARANTEE from your government (SACM) or a LETTER from a BANK. These documents must be be LESS THAN 3 MONTHS OLD.

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Passport (* required)

Upload a scan or picture of your passport ID page. Make sure everything on the page is visible and legible. If you are a U.S. citizen or permanent resident, you may upload another form of photo ID.

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Do you plan to bring family members (dependents) with you on an F-2 visa? (* required)

How many dependents will you bring with you? (* required)

Dependent 1 Full Name (* required)

Dependent 1 Relationship (* required)

Dependent 1 Country of Birth (* required)

Dependent 1 Passport (* required)

Upload a scan or picture of your dependent's passport ID page. Make sure everything on the page is visible and legible.

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Dependent 2 Full Name (* required)

Dependent 2 Relationship (* required)

Dependent 2 Country of Birth (* required)

Dependent 2 Passport (* required)

Upload a scan or picture of your dependent's passport ID page. Make sure everything on the page is visible and legible.

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Dependent 3 Full Name (* required)

Dependent 3 Relationship (* required)

Dependent 3 Country of Birth (* required)

Dependent 3 Passport (* required)

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Dependent 4 Full Name (* required)

Dependent 4 Relationship (* required)

Dependent 4 Country of Birth (* required)

Dependent 4 Passport (* required)

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Dependent 5 Full Name (* required)

Dependent 5 Relationship (* required)

Dependent 1 Country of Birth (* required)

Dependent 5 Passport (* required)

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Affirmation Statements and Electronic Signature

PIE and IUPUI are committed to a safe learning environment. For this reason, we ask you to answer the following questions.

Academic disciplinary action (* required)

Have you been subject to formal disciplinary action or diversion program (including for example, but not limited to, suspension or expulsion) for academic or non-academic reasons at any high school, post-secondary institution, college or university?

Criminal history background (* required)

Have you ever been arrested or convicted of a crime (or a foreign legal equivalent) that has not been expunged by a court? Also select “Yes” if you have currently pending criminal charges (or the foreign legal equivalent) against you.

I affirm that all information entered in this application is true, and I understand I am applying to study at the Program for Intensive English at IUPUI (PIE). Admission to the PIE does not guarantee admission to Indiana University or its degree programs. I understand that additional documentation may be required before my application is considered complete.

Refund Policy: Application fee payments are not refundable. By submitting this application, the applicant understands and agrees.

Electronic Signature (* required)

Type your FULL NAME (First, Middle, Last)

Today's Date (* required)

Additional Confirmation Email Recipients
Please provide email addresses for which you'd like to be included in your confirmation email. Separate each email address with a semicolon. (ex. jane.doe@yahoo.com; john.doe@gmail.com)

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Your Email Address

Personal Information

Contact Information

Study Plans

Immigration Information

Affirmation Statements and Electronic Signature

Additional Confirmation Email Recipients