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English
International Student Application Form
Greg
2024-02-25T21:03:16-05:00
"
(Required)
" indicates required fields
Student Information
All information below must be exactly the same as it appears on your passport.
Your Name
(Required)
First Name
Middle Name
Family (Last) Name
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Prefer Not To Say
Email
(Required)
Phone
(Required)
Country of Birth
(Required)
County of Citizenship
(Required)
Native Language
(Required)
Full Permanent Address in your country
(Required)
Please include zipcode / postal code
Local USA Address (if known)
Please include zipcode
Emergency Contact Information
Emergency Contact Name
(Required)
Emergency Phone #
(Required)
Relationship
(Required)
Enrollment Information
Studying English should be linked to an academic, professional or personal objective. Please describe why you want to improve your English (be specific):
(Required)
Highest Level of Education Completed
(Required)
On a scale of 1 (Beginner) to 10 (Advanced), how would you rate your English?
(Required)
1 (Beginner)
2
3
4
5
6
7
8
9
10 (Advanced)
I am applying for
(Required)
Initial F1 Visa (from my country)
Transfer F1 (from another school)
Change of Status (from a B1/B2 visa)
Vacation
Are you applying with any dependents (F2):
(Required)
Yes
No
How Many Dependents?
If yes, $100 'F2' registration fee may apply
0
1
2
3
4
5
Included in this application is a copy of my passport and a recent bank letter from:
(Required)
My own bank account
My parent's or sponsor's account
If you have a sponsor, include the sponsor form and sponsor ID)
Period of Study
There are 4 terms per year. 1 term = 1 level
Vacation breaks are given between terms.
2024 'Initial' start options:
Jan. 15, April 8, July 15, Oct. 7
(For Transfers and Change of Status, start dates are flexible)
What date do you plan to start?
(Required)
Which terms will you study?
(Required)
Jan./Feb./Mar.
Apr./May/June
July/Aug./Sept.
Oct./Nov./Dec.
Select All
(Check all that apply)
Schedule / Payment Information
SBL will give you a ‘placement test’ before classes begin. Your schedule/level will be determined by your test and availability. Initial F1 Visa students please add $150 for Registrations Fees. No Fee for Transfers or Change of Status). Please SELECT 1 option below:
English Intensive - Hollywood, FL (Morning)
If you plan to attend our Hollywood location, please select your payment terms.
Morning: 9am-1:30pm (Mon/Tue/Wed/Thurs)
$499 monthly
$1350 1-term
Pre-pay total
English Intensive - Hollywood, FL (Evening)
If you plan to attend our Hollywood location, please select your payment terms.
Evening: 5:30pm-10pm (Mon/Tue/Wed/Thurs)
$499 monthly
$1350 1-term
Pre-pay total
English Intensive - Miami Beach, FL (Morning)
If you plan to attend our Miami Beach location, please select your payment terms.
Morning: 9am-1:30pm (Mon/Tue/Wed/Thurs)
Note: We do not have an evening option in Miami at this time
$499 monthly
$1350 1-term
Pre-pay total
Registration Fee
(Required)
$150 Registration Fee for Initial F1 Visa Students
Add $150 Register Fee for Initial Students (No Fee for Transfers or Change of Status)
Applicants Pledge
I understand the estimated costs of attending South Beach Languages. I have enough money available to pay for ongoing tuition, health insurance, meals, housing and personal expenses. I understand F1 students must attend a minimum of 18 hours per week and follow F1 visa regulations. I understand and agree to the refund policy. I authorize SBL to access my i-94 and electronic files. I certify all statements on this form are true.
(Required)
Refund Policy
Yes
Full Name
(Required)
Today's Date
(Required)
MM slash DD slash YYYY
Signature
(Required)
Name
This field is for validation purposes and should be left unchanged.
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