Loyola University Chicago

English Language Learning Program

Loyola’s ESL program

ELLP Application

I am applying for:
Summer Option A: May 20, 2013 - August 8, 2013
Summer Option B: May 20, 2013 - June 27, 2013
Summer Option C: July 1, 2013 - August 8, 2013
Summer Pre-collegiate 3-week Program: June 29, 2013 - July 20, 2013
Fall 2013: August 26, 2013 - December 6, 2013
PERSONAL INFORMATION
Salutation
First Name
Middle Name
Surname
Suffix
Gender Female Male
Birth Date (mm/dd/yyyy)
HOME COUNTRY ADDRESS (ADDRESS FOR I-20) (required)
House/Building Number
Street 1
Street 2
City
State/Province
Zip/Postal Code
Country
Telephone
Cell Phone
 
E-mail Address
U.S. CONTACT INFORMATION (if any) (if different from above)
House/Building Number
Street 1
Street 2
City
State
Zip Code
Telephone
Cell Phone
EDUCATION HISTORY
High-School History
Will you have graduated from high school or received your GED before the semester you are applying for?
College History
Please list the names and degrees of all colleges and ESL programs you have attended.  
How long do you plan to study in the ESL Program?
ENGLISH LANGUAGE PROFICIENCY
What is your current English level?
What standard English test have you taken?
What was your score?
Explain why you want to study in the Loyola ESL Program and how it relates to your future degree goals. The writing must be your own, and should be approximately 1-2 paragraphs. MUST BE IN ENGLISH
CITIZENSHIP INFORMATION
Current Visa:
Country of Birth:
Country of Citizenship:
DIGITAL SIGNATURE
I agree to pay the tuition, fees or other charges which are assessed in accordance with Loyola's published financial policies. This application cannot be processed if information is withheld or misinformation is given, or if the applicant's digital signature is missing. Instead of my written signature, typing my first name and last name in the boxes below indicates that the information in my application is complete, factually correct, honestly presented, and that I have read the above statement.
First Name
Last Name