International Students

IELI Information

Application for Admission

Salutation:

Mr. Ms.

Date of Birth

Month: Day:
Year:

Family (Last) Name:

Given (First) Name:

Address Line 1:

Address Line 2:
(if necessary)

City:

State or Province:

Country:

Postal Code:

E-mail Address:

Home Phone:

FAX:

Country of Birth:

Country of Citizenship:

Native Language:

VISA Status:

	Requesting I-20 to enter the U.S. on an F-1 Student Visa
	Transferring I-20 from another school in the U.S.
	I-20 Not Necessary (e.g. resident alien, U.S. Citizen, etc.)

Housing Preference: Campus Residence Homestay Off Campus Apartment
No Housing Assistance Needed
(Students need to apply for housing well in advance of arrival. Failure to do so may force students to be wait listed.)

Where did you hear about Humboldt State University?
Friend/Family                    IELI Student  ;        Language Guide
IELI Website                    Language Website       Agency
Internet Search Engine       Other

Spring 2012	Class Dates	Tuition
	January 17 - March 8	$1,995 per session
	March 19 - May 10	$1,995 per session
Summer 2012	Class Dates	Tuition
	May 21 - July 12	$1,995 per session
Summer Intersession 2012	Class Dates	Tuition
	July 16 - August 10	$1,320 per session
Fall 2012	Class Dates	Tuition
	August 20 - October 11	$2,200 per session
	October 15 - December 13	$2,200 per session

Please Estimate your English Level:
Introductory - Do not speak or understand English.
Beginning - Can speak using short simple expressions and understand if somebody speaks slowly and simply.
Intermediate - I can communicate in everyday situations and understand much of what people say.
Fluent - I can communicate without problems in a wide variety of situations and understand almost all of what is being said.

Have you submitted an application to attend Humboldt State University?
I have submitted an application to Humboldt State University for graduate or undergraduate study.
I intend to submit an application to Humboldt State University for graduate or undergraduate study.

Contact Information

HSU Center for International Programs
Humboldt State University
1 Harpst Street.
Arcata, CA, 95521-8299 U.S.A.
Telephone: +1 (707) 826-4142
Fax: +1 (707) 826-3939
Email: international@humboldt.edu