Please be sure to fill in all of the required (red) parts;
otherwise, your application will not be accepted.

Calendar For which term are you applying?
Year

Personal Information First Name
Middle Name
Last Name(family)
Sex Male Female
Native Language
City of Birth
Country of Birth
Date of Birth (mm/dd/yyyy)
Country Issuing Passport
U. S. Permanent Resident Yes No
U. S. Citizen Yes No

Address in Your Country Number and Street Line 1
Line 2
City
State/Province
Country
Postal Code
Telephone
Fax

Address in the United States, if any: First Name
Last Name
Number and Street Line 1
Line 2
City
State
Zip Code
Telephone

Education Date of High School Graduation (mm/dd/yyyy)
After language training, which is the first level of education, if any, you plan to obtain in the United States?
If you will be continuing your studies after intensive English, in what subject do you plan to major?

VISA Information A student visa (F-1) or other acceptable classification is neccessary in order to study full time in this program. Will you enter the United States on a student visa (F-1)? Yes No
If no, what type of visa will you have?
Do you need an F-2 visa for your spouse and/or children? Yes No

If yes, please fill out the following:

Spouse First Name
Middle Name
Last Name
Sex Male Female
Date of Birth (mm/dd/yyyy)

First Child First Name
Middle Name
Last Name
Date of Birth (mm/dd/yyyy)
Sex Male Female

Second Child First Name
Middle Name
Last Name
Date of Birth (mm/dd/yyyy)
Sex Male Female

Third Child First Name
Middle Name
Last Name
Date of Birth (mm/dd/yyyy)
Sex Male Female

Fourth Child First Name
Middle Name
Last Name
Date of Birth (mm/dd/yyyy)
Sex Male Female

Already in the US only What type of visa do you currently have?
Are you changing to F-1 Visa? Yes No
Are you transferring from another school in the United States? Yes No
If yes, please enter the school name
Transfer students must submit: a) a SEVIS transfer form including verification from their current school showing that they have maintained their immigration status and are eligible to transfer. b) a copy of their I-20 form from their current school.

Other Information Have you applied to the University of Houston? Yes No
Where did you hear of this Web site?
Comments
What is (are) your email address(es)? Email 1
Email 2