International Student Admission Application
Please complete the application then Print.This application must be accompanied by a $30.00 application fee,
payable to Eastern Illinois University.

U.S. Social Security Number (if you have one):  -  - 

Name: First Middle Family

Date of Birth (month, day, year):                        Male  Female 

Permanent Foreign Address:

Address Line 1:
Line 2
City
State Zip Code
Country

United States Mailing Address (if inside the US):

Address Line 1:
Line 2
City
State Zip Code
Country

Telephone number:          Fax number:  E-mail : 

Name of Parent or Legal Guardian (for applicants under 18): 
Address: 
Country of Present Citizenship:  Country of Birth:

(Optional) 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/non-Hispanic/Latino Hispanic/Latino

Applying to begin: Fall  Spring   Year: 20

Specify level for which you are applying (select one only):
UNDERGRADUATE
GRADUATE
New Undergraduate Student Masters
Transfer Student Specialist
  Transfer Student
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 Students and Scholors
600 Lincoln Avenue
Charleston, IL 61920-3099