The University of Texas at San Antonio. Intensive English Program
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1 The University of Texas at San Antonio Intensive English Program 2016 Contact: Blanca Pokorney One UTSA Circle MS San Antonio, TX Phone: Fax: Webpage: Facebook: Mission Statement for the Intensive English Program The mission of the University of Texas at San Antonio (UTSA) Intensive English Program is to provide academic ESL instruction and cultural orientation for English language learners who are interested in pursuing degrees at UTSA or other U.S Institutions. Our goal is to prepare students to succeed in undergraduate and graduate level courses by acquiring English proficiency. The IEP will achieve its mission by teaching English for academic purposes, familiarizing students with U.S culture, and promoting intercultural awareness.
2 The Intensive English Program Calendar Application Calendar 2016 Dates are approximate and subject to change. Please contact us for the exact deadlines at Spring hours of instruction (20 hours of study per week) Overseas Applications due: November 15, 2015 or until filled Orientation: January 4, 2016 First Day of Class: January 11, 2016 Last Day of Class: April 27, 2016 End of Semester Celebration: April 28, 2016 (Students are strongly encouraged to attend this special event) Summer hours of instruction (28 hours of study per week) Overseas Applications due: April 2, 2016 or until filled Orientation: May 2016 First day of Class: May 31, 2016 Last Day of Class: August 11, 2016 End of Semester Celebration: August 12, 2016 (Students are strongly encouraged to attend this special event) Fall hours of instruction (20 hours of study per week) Overseas Applications due: July 1, 2016 or until filled Orientation: August 15, 2016 First Day of Class: August 23, 2016 Last Day of Class: December 6, 2016 End of Semester Celebration: December 7, 2016 (Students are strongly encouraged to attend this special event) NOTE: DATES ARE SUBJECT TO CHANGE, PLEASE CONTACT to confirm these dates.
3 Intensive English Program Program Description: The Intensive English Program is designed for those who would like to study English for academic purposes. This program is a rigorous English program for students who want to study academic English. Students may apply for more than one semester at a time. During the fall and spring semesters, classes are conducted 20 hours per week. During the summer semester, classes are conducted 28 hours per week. Instruction focuses on the areas of Reading/Vocabulary, Writing/Grammar, Oral Communication, and TOEFL preparation. Upon arrival to the program, students may be placed in any of the 6 levels of English study currently offered based on results of a placement test: Foundation, Beginner, High Beginner, Intermediate, High Intermediate, and Advanced. Classes are average-sized (approximately 15 students), held on both the main campus and downtown campus in the morning and afternoon, and are conducted by experienced instructors who hold M.A. degrees in Teaching English as a Second Language. Students will receive evaluations of their progress at mid-term and at the end of the semester. These evaluations are based upon class participation, homework, quizzes, tests, reports, and effort. Attendance is mandatory for enrolled students, as per the University of Texas at San Antonio and the Department of Homeland Security regulations. Requirements for the IEP are: Must be 17 years old by the first day of class Must submit a photocopy of current passport and visa (if applicable) Must be a high school graduate or equivalent Must submit a bank statement showing that you have at least $11, to pay educational expenses per semester of study Approximate Costs per Semester (Prices are Subject to Change) Tuition and Fees TOTAL TO STUDY Tuition $3, Application fee $45.00 One Semester (Fall) $11, Testing $50.00 Two semesters $22, (Fall and Spring) University Fees: $ Three Semesters (Fall, Spring and Summer) $31, Total $3, Other Mandatory Expenses Mandatory Health Insurance Fall 2016 $ Mandatory Health Insurance Spring & Summer 2017 $1, *Please note that students who enroll in the Spring semesters will automatically be charged health insurance for Spring and Summer. Books $ Living Expenses One Year (Summer, Fall, and Spring) $9, One semester (Fall or Spring) $3, Summer $2, Meal plan One semester (Fall or Spring) $1, Summer $1, Miscellaneous Personal Expenses $1,000.00
4 Intensive English Language Program Application Please type or print clearly. Semester of Application: Please indicate the academic semester you wish to study. Fall 2016 Spring 2017 Summer 2017 A. Personal Information Name: Last (family) First Middle Country of Birth City of Birth Citizenship Native language // // Date of Birth (month, day, year) Gender: Male Female How did you hear about our program? Education Agency, please provide name: Friend TV or Video Magazine Other, please specify: Mailing Address: Number & Street Apt. # City Province/State Country Zip Code Phone Number Fax Number Student s Address (mandatory) Home Country Address: Number & Street Apt. # City Province/State Country Zip Code Phone Number Fax Number Student s Address (Mandatory)
5 United States Address: Number & Street Apt. # City Province/State Country Zip Code Phone Number Fax Number Student s Address Emergency Contact: Person s Name Relationship to You Phone/Fax Number address B. Educational Information High School Name Address Graduation Date University Address Major Graduation Date Have you taken the TOEFL exam? YES Score NO C. Immigration Information Please check visa type while studying: F1 F2 A1 A2 J1 J2 OTHER Are you an American citizen? YES NO Are you currently in the U.S. on a visa? YES NO If yes, what type? If you are currently attending (or have previously attended) a school in the U.S., what is the name and address of the school, which issued your I-20 or IAP 66? Name of School (in the United States) Address City State Country Zip Code
6 D. Financial Guarantee Enrollment in the Intensive English Program requires that you have sufficient funds to cover your educational and living expenses during your studies. At the time of registration, all tuition and fees must be paid in full with U.S. cash, bank draft, or traveler s checks. Applicants Statement: (Applicants must sign this.) I certify that I have sufficient funds available for tuition, fees, living expenses, and personal expenses while studying in the Intensive English Program at the University of Texas at San Antonio. I understand that payment in full for tuition and fees will be due at the time of registration. I certify that all statements made in this application are true and complete to the best of my knowledge. I also understand that any false statements or omissions in this application will result in my admission being rejected. Applicant s Signature Date E. Dependent s Information: Note: You must provide information about any dependents you plan to bring on the F-2 visa along with a copy of their passport and current visa (if any). 1. Spouse s Information Last Name (family) First Middle Country of Birth Native language Citizenship // // Date of Birth (month, day, year) Gender: Male Female Is your spouse an American citizen? YES NO Is s/he currently in the U.S. on a visa? YES NO If yes, what type?
7 2. Child s Information (1) Last (family) First Middle Country of Birth Native language Citizenship // // Date of Birth (month, day, year) Gender: Male Female Is your child an American citizen? YES NO Is s/he currently in the U.S. on a visa? YES NO If yes, what type? 2. Child s Information (2) Last (family) First Middle Country of Birth Native language Citizenship // // Date of Birth (month, day, year) Gender: Male Female Is your child an American citizen? YES NO Is s/he currently in the U.S. on a visa? YES NO If yes, what type?
8 Refunds for Withdrawals Withdrawing is the formal discontinuance of a student s enrollment from the program and involves the student dropping all of the classes. Depending on the time of the withdrawal, a student may be entitled to a refund of some part of the tuition and fees. Refunds of tuition and fees paid by a sponsor, donor, or scholarship will be refunded to the source rather than directly to the student who has withdrawn. Students who are academically withdrawn for receiving a grade point average below a 3.0 for Excessive absences or violating university rules will not be issued a refund. Semester Regular (Fall or Spring) Semester or Summer term of 10 weeks or longer Time of Withdrawing Prior to the first class day During the first 5 class days During the second 5 class days During the third 5 class days During the fourth 5 class days After the fourth 5 class days Amount of Refund of Tuition and Returnable Fees and Charges* 100% of applicable tuition and returnable fees and charges 80% of applicable tuition and returnable fees and charges 70% of applicable tuition and returnable fees and charges 50% of applicable tuition and returnable fees and charges 25% of applicable tuition and returnable fees and charges No refund of tuition, fees, or charges
9 University of Texas at San Antonio - International Student Services Affidavit of Financial Support for the Intensive English Program *You must submit this completed form AND your financial support documentation for the issuance of a Form I-20.* By law all international students seeking the F-1 visa are required to show sufficient funds to cover expenses for the planned length of study and for any dependents that will stay with them in the United States. Barring unforeseen circumstances, these funds must be available throughout the course of student s studies. In order to meet this requirement, all F-1 students must submit the following documents: 1) Completed Affidavit of Financial Support with all appropriate signatures. 2) Proof of financial support (see categories and requirements below). ESTIMATE OF EXPENSES Please refer to page 3 of the application for the Approximate Costs per Semester. Student fees may vary depending on the length of their individual program of study (one semester vs. three semesters). Living expenses are estimated based on shared on-campus housing including a meal plan. All international F & J visa students are required to have health insurance. To learn more about health insurance, please go to our website: DEPENDENTS If you are married and plan to bring your spouse and/or unmarried child(ren) under the age of 21 years with you on the F-2 visa, you must provide additional financial support and proof of relationship for issuance of an F-2 dependent I-20 form. Add $5,000 for your spouse and $3,000 for EACH child for a year. You must also submit a Request for F2 Dependent I-20: Follow the instructions listed on the form and submit the form and supporting documentation with other required documents. STUDENT INFORMATION: Please print legibly. NAME AS LISTED IN YOUR PASSPORT: (Family/Surname )*If no last name, please state N/A. (First name) (Middle name) STUDENT DATE OF BIRTH (mm/dd/yyyy): GENDER: MALE FEMALE If you are already in the U.S., INDICATE YOUR CURRENT VISA TYPE: (Please attach a copy of your current visa documents) MARITAL STATUS: MARRIED SINGLE If married, will your spouse/children accompany you on F-2 visa? Yes No (If yes, submit an Application to request SEVIS F-2 Visa Certificate of Eligibility : FINANCIAL SUPPORT VERIFICATION: Check all that apply. STATEMENT OF YOUR RESOURCES: Indicate below the source of your funds. Government sponsor: Attach signed copy of letter from agency certifying sponsorship including dates. **If this letter from the government is provided, the sponsor s signature requested below is not necessary, but you must read and sign the Student s Statement section. Private Company Sponsor: Please submit 1) A statement on company letterhead verifying that the business will financially support the student, (The statement should include the student s name and the sponsor s signature and date), 2) a bank statement, 3) a bank letter showing name of sponsor as an account holder for the business. Loans: Approval letter must be on official letterhead and state the amount and conditions of the loan. Personal and/or family savings (salary/ income information is not acceptable): All documentation not in English must be submitted with an accompanying translation into English by a licensed translator. o Official bank letter: Financial statements must be on official bank letterhead with the name of the account holder, account number, type of currency, final balance in the account, and the date of issue. The letter must have been issued within the last 6 months; older letters will not be accepted. o Bank account statements: Bank statement must be official and contain the name of the account holder, account number, type of currency, final balance in the account. The 3 most recent bank statements must be submitted and cannot be older than 6 months. (Example: You are admitted in May; you should provide bank statements for February, March, and April). o Investment Accounts: Funding sources must be able to be easily withdrawn. Types of acceptable funding sources include stocks, and investment accounts. Property, life insurance, income, or retirement accounts are not acceptable sources of funding. **DOCUMENTS SUBMITTED IN A LANGUAGE OTHER THAN ENGLISH WILL NOT BE REVIEWED OR CONSIDERED**
10 ENDORSEMENT (This form cannot accept electronic signatures.) SPONSOR S STATEMENT: **Does not apply to government sponsored students. This is to certify that I have read the information given by the applicant on the UTSA Confirmation of Financial Resources (CFR) Form, that it is true and accurate, and that the funds are available and will be provided as specified: Sponsor's Signature: Date: Sponsor's Name (PRINT): Relationship of Sponsor to the Student: STUDENT S STATEMENT: I certify that the above information provided is correct and complete and that I shall not require additional financial assistance from the University of Texas at San Antonio (UTSA). If any of this information changes prior to my enrollment at UTSA or at any time during my enrollment at UTSA, I will immediately notify UTSA International Student Services. I understand that making false or fraudulent statements within the Confirmation of Financial Resources form and its attachments may result in disciplinary action and that UTSA will not bear any financial responsibilities arising from these circumstances. Also, I understand that any funding received from UTSA is subject to terms outlined in the offer/award letter and to availability of the resources, and that UTSA is not financially responsible for continuation of my study in case this funding becomes unavailable. Student s Signature: Date: Contact information: Office of International Programs International Student Services One UTSA Circle, Main Building San Antonio, TX Phone: (210) NewInternational@utsa.edu ACKNOWLEDGEMENT I give permission to UTSA S Intensive English Program to send information about my English language development to my sponsoring agency (if any) and to the proper UTSA S University officials if I apply for admission to a UTSA s academic program. I understand that I can be assigned to classes in the Main Campus or Downtown Campus. I understand that I can be assigned to classes in the morning and/or afternoon. I have read and understand the above statements. Student s Signature: Date: MAILING ADDRESS: Please mail all appropriate financial documents to the following address: The University of Texas at San Antonio Office of ESL Services One UTSA Circle, MS San Antonio, TX 78249
11 INTERNATIONAL STUDENT SERVICES ) Saudi Arabia Cultural Mission (SACM) Sponsorship Information If you are a government sponsored student and have not received your approved financial guarantee, you are required to complete this form and attach your conditional/initial financial guarantee. Once you receive your approved financial guarantee, you must submit it to our office. Student Name: Banner Last First SACM ID: Financial Guarantee Issue date: Scholarship Effective Date: Void Date: Student Acknowledgment I,, understand that F-1 visa students are required to demonstrate sufficient financial resources for the entire period of stay in the United States while pursuing their full course of study. I acknowledge that the letter of financial guarantee issued by the Saudi Arabia Cultural Mission does not show a full coverage for the entire period of my stay and that an extension of their sponsorship is not guaranteed until my academic standing is evaluated. In case of the denial of my request for an extension of their sponsorship I will provide alternative financial resources to the UTSA Office of International Programs in order to meet the F-1 visa requirements and maintain my F-1 visa status. Student Signature: Date: Office of International Programs/International Student Services - The University of Texas at San Antonio One UTSA Circle, Main Building San Antonio, TX Tel: 001 (210) Fax: 001 (210)
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