Intensive English Communication Program
Online Application Form

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.