International Admission Application
This application must be accompanied by a $30.00 application fee, payable to Eastern Illinois University.
Please complete the application then Print
U.S. Social Security Number (if you have one): - - 

Name (family, first, middle)print or type only: 
   
Date of Birth (month, day, year):                        Male Female 

Permanent Address:

Mailing Address: must be physical address, no "PO Boxes":
 

Telephone number:                                            Fax number: 

E-mail : 

Name of Parent or Legal Guardian (for applicants under 18): 

Address: 

Country of Present Citizenship: 

Country of Birth:

Which best describes you? (Choose one)

Hispanic/Latino

non-Hispanic/Latino

Which of these best describes your background? (Choose one or more)

American Indian/Alaska Native

Asian

Black/African American

Native Hawaiian/other Pacific Islander

White

Applying to begin: Fall Spring  Year 

Specify level for which you are applying (select one only):
 
UNDERGRADUATE
GRADUATE
First time university student Masters
Transfer Specialist
Academic Major
Academic Program

List all secondary schools you have attended and dates of attendance. List present or most recent school first.
Name of School
City/Country
From
To
Diploma
Date Received / Expected

List all post-secondary schools (colleges and universities) you have attended beginning with present or most recent school first.
Name of School
City/Country
From
To
Diploma
Date Received / Expected
Current visa type (if you are already in the U.S.): F-1 visa J-1 visa Other: 
Admission to Eastern Illinois University does not guarantee university housing or issuance of immigration form. A completed and approved financial affidavit must be on file before Form I-20 can be issued. A non-refundable fee of US $30.00, payable to Eastern Illinois University, must accompany this application form. I understand that withholding information requested on this application or giving false information may make me ineligible for admission to the university or subject to dismissal. I certify that the information provided on the application is correct and complete.

 Signature:____________________________________ Date: ________________
 
Return to:
Graduate School and International Programs
600 Lincoln Avenue
Charleston, IL 61920-3099