Please print and complete this application carefully so that we can better help you. 
It is very important that you spell your name correctly, especially if it has been 
translated into English.

Which term do you want to start? (Each term is 9 weeks.)

  ____ Spring 2011 (March 20 - May 20)
  ____ Summer 2011 (May 29 - July 29)
  ____ Fall I 2011 (August 07 - October 07)
  ____ Fall II 2011 (October 16 - December 16)
  ____ Winter 2012 (January 08 - March 09)
  ____ Spring 2012 (March 18 - May 18)

Program costs for each nine-week term:
   $1800 Tuition     $ 400 Campus fees
     (Orientation first Sunday of each term only; classes Monday through Friday.)

The program fees are required for all students and include instruction, activities, academic counseling, computer 
laboratory fees, medical insurance, and services of the campus health center. The student will have to pay 
for housing, food, and textbooks. All fees are subject to change without notice.

Please enter your name as it appears on your passport. 
If your name and birthdate are not correct, we will have to send you a new I-20 and your 
visa application process at the US Embassy will be delayed. 

Last (family) name(s): _____________________________________
First (given) name(s): _____________________________________
Sex: Male ___ Female ___
Date of Birth: ___Month ___Day _____Year (for example, December 13, 1980 = 12-13-1982)
Country of birth: _____________________________________
Country of citizenship: _____________________________________
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Email: ________________________________________

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Permanent Home Address:

Street:_________________________________
________________________________________
City: ________________________________________
Country: _____________________________________
Postal code: ___________________

Telephone: _________________________/(Telephone in USA)_______________
FAX: __________________________________________

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Mailing Address and Telephone (if different from permanent address)
    (include name of person receiving the package if not the student):
________________________________________
________________________________________
________________________________________
City: ________________________________________
Country (state if USA): _____________________________________
Postal code (ZIP): ___________________

Telephone: _________________________/(Telephone in USA)_______________
FAX: __________________________________________

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Do you want an I-20 from EPI? ____Yes ____No

If possible, please send a copy of the identity page of your passport and a 
recent passport-type photo.

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Have you completed secondary education? ____Yes ____No

Are you in the USA now? ____Yes ____No

What is your immigration status? __F1 __F2 __J1 __J2

__US Citizen __US Permanent Resident __Other (specify) ___________________

Are you currently a student in the USA? 
  __Yes (I want to transfer.*) __No (go to the next section)

*Please send a copy of your I-20, DS-2019, or other visa information.
If you are currently a student in the USA, please give the name and 
address of the school you are attending:

School name: _____________________________________
School address: _____________________________________
_____________________________________
School city: _____________________________________
School state: _____________________________________
School zip: _____________________________________
School telephone: ____________________ School fax: ______________________

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EPI will help you find housing. 

Where do you want to live? Please indicate your preference below:
 
___ EPI housing
    I would prefer (if available. There is no guarantee that your preference will be available):
     __ 2-person apartment (1 bedroom / 1 bath)
     __ 4-person apartment (2 bedrooms / 1 bath)
        When you move into EPI housing, you must pay the housing fee for the entire term.

___ Off-campus housing (costs vary)

___ Other: Please explain ______________________________________________

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How did you find out about EPI?

  __ internet __ former EPI student __ friend / family
  __ agency _____________________________________
  __ catalog / magazine _____________________________________
  __ study fair
  __ other (explain) _____________________________________

How many terms do you plan to attend EPI? 
  __ 1 __ 2 __ 3 __ 4 or more ( __ not sure)

What is your English ability? 
  __ 1 (=beginner) __ 2 __ 3 __ 4 __ 5 __ 6 (=very good)

If you have a TOEFL score, what is it? _____

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What will you do after you study in EPI?

  __ study at USC __ study at another university
  __ return to my country to study __ return to my country to work
  __ return to my job in SC __ return to my job in USA
  __ other (explain) _____________________________________ 

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Some students are required to have a letter from a university explaining 
that they can be admitted to that university after completing the EPI 
intensive program. This letter is called a Conditional Letter of Admission. 
Click the link for detailed instructions. Do not pay this fee unless you 
are sure you need a Conditional Letter of Admission.

Do you need a Conditional Letter of Admission to USC for undergraduate studies?
  __ Yes (There is a $50 non-refundable processing fee) __ No 
  
Send official school records or mark sheets with an English translation from your last school(s) attended.

(For a list of USC degrees, go to http://www.sc.edu/admissions/majors.php .)

You must complete and return this form (www.epi.sc.edu/conditional.pdf).

=-=

Do you need a Conditional Letter of Admission to USC for graduate studies?
  __ Yes (There is a $50 non-refundable processing fee) __ No 
  
Send official school records or mark sheets with an English translation from your last school(s) attended.

(For a list of USC degrees, go to http://gradschool.sc.edu/graduate_programs.asp .)

You must complete and return this form (www.epi.sc.edu/cagrad.pdf).

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PAYMENT: Application and processing fees are non-refundable.

After filling out this application, please send the 'financial certification' 
along with the:

  __ $125 (application fee) 

  __ $175 (application and conditional admission processing fees)

Tuition must be paid at Registration.
All fees are subject to change without notice.

How do you want to pay?

  __ Check or money order in US dollars (send to EPI [see below]
        - payable to the "University of South Carolina" )

EPI recommends that you send a check or money order in US dollars.
The University of South Carolina will add a service fee for credit card payments.
  __ Visa  __ Mastercard (USC does not accept American Express)

Credit Card Number: _________________________ Expiration Date: ____________

Signature of Cardholder: _______________________

You may fax or e-mail card information. Include your full name.

After you complete the application, send:

1. fees - payable to the University of South Carolina
2. financial statement (or sponsor letter)

You may fax the financial statement/sponsor letter. Please bring the original with you when you come to EPI. Include your full name.

3. copy of the identity page of your passport and a recent passport-type photo (if possible, not required)

4. copies of visa information (transfer students only)

[5. requirements for a Letter of Conditional Admissions - only if needed. Undergraduate only. Supporting documents may be sent separately.]

to:

English Programs for Internationals
University of South Carolina
207 Byrnes Building
901 Sumter St.
Columbia, South Carolina 29208

An I-20 will be sent on receipt of all needed information.

By submitting this application, I certify that all the information contained in the application is correct and true.