| Please
enter all of the requested information below.
Fields indicated in bold red are required,
but all of the fields are important to the application process.
|
| Family
name |
|
| Given
name |
Middle name
|
U.S.
Social Security no.
(if any) |
|
|
| I
wish to begin my IECP studies: |
Semester
Year
|
| Gender:
|
male
female |
| Marital
status: |
single
married |
| City
of birth |
|
| Country
of birth |
|
| Country
of legal residence |
|
| Country
of citizenship |
|
| Date
of birth |
Day
Month
Year
|
| Age
|
|
|
| E-mail
|
|
|
Foreign Address
|
|
| Number
and street |
|
| City
|
|
| Province
or state |
|
| Country
|
|
| Postal
code |
|
|
| Telephone
|
|
| Country
code |
|
| City
code number |
|
| Fax
|
|
| Country
code |
|
| City
code number |
|
|
| How
did you learn about IECP? |
|
| You
plan to live: |
on campus
off campus |
| Your
highest level of education |
|
What
are your plans after completing the IECP?
|
|
|
If you have taken a TOEFL test, please indicate:
|
Date
Score
|
| Please
indicate your current knowledge of English:
Speaking:
good
fair
poor
none
Listening:
good
fair
poor
none
Reading:
good
fair
poor
none
Writing:
good
fair
poor
none
|
|
Sponsor's
name
(if sponsored) |
|
| Address
|
|
| Telephone
|
|
|
-
- I
certify that the information above is correct, that I am aware
of the costs of the IECP, and I understand that tuition payment
is due when I arrive and register. (Checking this box serves
the same certification purpose as signing and dating a printed
version of this application form.)
I further understand that, to complete this application, I need
to send:
- a
$75 check, made out to The Pennsylvania State University,
for the application fee,
- a
bank statement that shows I have the funds to support twelve
months of studying and living at Penn State,
- a
letter from my parents or sponsor (individual or governmental)
saying that they guarantee my financial support (not necessary
if I am supporting myself).
Your
electronic application is valid for thirty days only. If
the application fee and other documents are not received within
thirty days, your application will be canceled.
|