International Student Admission Application A $50 NON-REFUNDABLE money order MUST ACCOMPANY THIS APPLICATION. Please print or type. Incomplete applications will not be processed. 1. When do you plan to begin your studies? Fall 20 Spring 20 Telephone: 01 270 809 6274 E-mail: msu.intl.ap@murraystate.edu www.murraystate.edu/iis Mailing Address: International Admissions 183 Woods Hall Murray, Kentucky 42071 USA 2. Last name First name Middle name 3. E-mail Phone Number 4. International Address: 5. Mailing Address: Street Address City Region / State and Postal Code Country Street Address City Region / State and Postal Code Country 6. Date of Birth Country of Birth Country of Citizenship Sex: Female Male Month / Day / Year 7. Are you currently in the United States? No Yes If so, which university are you attending? 8. If you do not have a visa, which visa will you be applying for? F-1 J-1 9. Degree Objective (mark only one): Master s (Graduate) Bachelor s (Undergraduate) Non- Degree Seeking (Exchange) 10. Which subject or major do you wish to study at Murray State? 11. Have you previously applied to Murray State? No Yes If yes, when? Did you study at Murray State? No Yes 12. Have you taken the TOEFL or IELTS test? No Yes If yes, what is the score? 13. Please read the language requirements on page 2 of this application. Please note that certain graduate programs have higher language requirements. If you have not met the minimum language requirements for your degree program and major, you may use this section to apply for conditional admission through our English as a Second Language Program. I wish to apply to Murray State s ESL Program in addition to a degree program (conditional admission) No Yes When do you wish to enter the ESL Program? January March June August October The application fee for conditional admission is $100 ($50 university application + $50 ESL application). 14. List all secondary schools and universities that you have attended: Name of School City and Country Degree received (if any) Start Date Finish Date 15. How did you learn about Murray State University? Agent Student Please specify the name: 16. Sign and date the application I understand that withholding information or giving false information or documents will make me ineligible for admission and subject to administrative withdrawal. I certify that the information given in this application is correct and complete, as are all supporting documents. I have read and I am responsible for meeting the admission requirements. Student s Signature www.murraystate.edu/iis Date
Admission Status based on Minimum English Language Proficiency Requirements For more information regarding language proficiency requirements, please email: msu.intl@murraystate.edu Test without condition with AEP 1 condition with ESL 2 condition Paper-based TOEFL 527 or more 500 523 497 or below Internet-based TOEFL (ibt) 71 minimum on Academic Test with no band less than 16 61 70 on Academic Test or any band score of 13 15 60 or below on Academic Test or any band score of 12 or less IELTS 6.0 minimum on Academic Test with no band less than 5.0 5.5 on Academic Test with any band score of 4.5 or 5.0 5.0 or below on Academic Test or any band score below 4.5 No TOEFL or IELTS scores Graduate Students: Many graduate academic programs set standards for English proficiency requirements that are higher than the minimums listed above. Students must meet the specific language requirement of their respective program as listed in the current academic bulletin. Certain graduate programs do not offer conditional admission through the ESL program or the AEP program. Please email msu.intl@murraystate.edu for specific requirements. Changing Admission Type: Admitted students wishing to change admission status (ESL to AEP or University, AEP to University) must submit language scores by August 1 (Fall Semester) or December 1 (Spring Semester). 1 AEP = Academic English Program - For a complete description, visit: www.murraystate.edu/libraries/iis/aep.sflb 2 ESL = English as a Second Language Program
International Student Tuition Fees 2015-2016 Academic year Undergraduate (Bachelor s) Graduate (Master s) Tuition and Fees 1 $15,712 Tuition and Fees 1 $18,444 Room 2 $ 4,804 Room 2 $ 4,804 Meal Plan $ 3,402 Meal Plan $ 3,402 Books and Supplies $ 1,000 Books and Supplies $ 1,000 Personal Expenses 3 $ 2,000 Personal Expenses 3 $ 2,000 TOTAL 4 (per year) $26,918 TOTAL 4 (per year) $29,650 1. Tuition fees include the Global Outreach Scholarship which is valued at $5,000 per year for undergraduate students and $6,000 per year for graduate students. The Global Outreach Scholarship is awarded automatically upon admission and is renewable for every year of study. Undergraduate Students: based on 18 credit hours per semester (36 per year) Graduate Students: based on 9 credit hours per semester (18 per year) $1,358 for each additional hour 2. Room (dormitory) fees vary. For details: www.murraystate.edu/campus/housing/housingrates.aspx 3. Personal Expenses include the estimated cost of medical insurance and general spending money. 4. Estimate for one academic year. All fees are subject to change.
Statement of Financial Support Name of Applicant Applicant s Mailing Address: Will you be funded from a private source? (parents, relative, friend) Yes No If yes, please write the name and address of your sponsor: Amount in US Dollars that will be provided for each year of study: 1st Year: 2nd Year: 3rd Year: 4th Year: A certified bank statement including the amount of funds available must be included with this form. Sponsor s Signature Do you have a scholarship from the government, an organization, or educational institution in your home country? Yes No If yes, please write the name and address of your sponsor: Amount in US Dollars that will be provided for each year of study: 1st Year: 2nd Year: 3rd Year: 4th Year: A copy of your scholarship, fellowship or grant award letter signed by an official of your sponsoring agency must be included with this form. I hereby certify that I have the necessary funds to cover all of my university fees and living expenses for the full duration of my studies at Murray State University. Applicant s Signature
Release of Information Declaration Please print all items except signature I, (Student s Full Name) born on (Date of Birth), herby declare that (Name of individual or agency) (Address) (E-mail) is authorized to inquire about and have access to information about my application to Murray State University. I hereby authorize Murray State University to discuss my application and admission status with the above named individual until further written and signed authorization from me. In addition, I request that you send all correspondence about my application to both the above named individual and me to further expedite my application process. Signature of Student Date (mm/dd/yyyy) STATEMENT OF EQUAL OPPORTUNITY Murray State University endorses the intent of all federal and state laws created to prohibit discrimination. Murray State University does not discriminate on the basis of race, color, national origin, gender, sexual orientation, religion, age, veteran status, or disability in employment, admissions, or the provision of services and provides, upon request, reasonable accommodation including auxiliary aids and services necessary to afford individuals with disabilities equal access to participate in all programs and activities. For more information, contact the Director of Equal Opportunity, Murray State University, 103 Wells Hall, Murray, KY 42071-3318. 270.809.3155 (voice), 270.809.3361 (TDD).