ESL Online Application

**Important note: Before we can process your application and send your I-20, we must have these four items:

1. A completed ESL Application form (found below).

2. A $50.00 non-refundable application fee, payable online by clicking here.  If you would like your I-20 send DHL (express mail) please include an additional $55.00 DHL fee (also payable online) with your application fee. Otherwise your I-20 will be sent airmail.

3. A Financial Declaration signed by the person responsible for your educational expenses (see below).

4. A supporting bank statement in the name of the person who signed the Financial Declaration.

If you are uncomfortable sending personal information over the Internet, the following forms will help speed up your application process. Please print these forms (pdf format) and send by mail to:

GONZAGA UNIVERSITY
English Language Center
502 E. Boone, AD 88
Spokane, WA 99258-0088 USA

OR FAX to: (509) 313-5814

Downloadable Forms
ESL Application - pdf        Financial Declaration - pdf

Online Application:
PROGRAM DATES: Please mark the session you wish to enter.
STUDENTS MAY BEGIN IN ANY SESSION
Summer
2009		 Session 1:
Session 2:		 May 14 - June 26
July 1 - August 14
Fall
2009 		Session 1:
Session 2:		 August 31 - October 16
October 20 - December 17
Spring
2010 		Session 1:
Session 2:		 January 11 - March 5
March 15 - May 6
Last Name/Surname (exactly as shown on your passport):
First Name/Given Name (exactly as shown on your passport):
Middle Name (exactly as shown on your passport):
Street and Number:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
E-Mail Address (required):
Date of Birth: / /
Month / Day     / Year
Gender: Male      Female
Visa Information
Country of Birth:
Country of Citizenship:
Type of Visa Expected: F-1 Student
B-2 Visitor
Other:
Will any family members come with you?    Yes      No
If yes, relation: Spouse
Children
Other:
High School
Secondary School (High School) you attended:
City:
State/Province:
Country:
Graduation Date: M:    Y:
Have you ever taken the TOEFL?    No      Yes
If yes, score:     Date (mm/yy):
Please list the name of the last university, college, or English program that you may have attended. Please also list the dates attended and any degrees earned:
School you attended:
City:
State/Province:
Country:
Dates Attended: From:       To:
Degree(s) Earned:
How did you hear of Gonzaga?
Please specify here how you received information about Gonzaga University and the English Language Center.
Select:
Specify:
Housing
Do you wish to apply for on-campus housing in a dormitory residence hall? If yes, please complete the 2007/2008 Housing Application and send it in with a $200 deposit as soon as possible. Please contact the Housing Office for more information: housing@gonzaga.edu
Yes      No
Academic Programs
Do you want to apply to a regular academic program at Gonzaga University?
Yes      No
Academic Level: Undergraduate      Graduate
Major:
Financial Declaration
Costs below are for the 2009-2010 fiscal year and are subject to annual change. All changes will be shown on any I-20 forms issued.

TUITION per Session		 = $2,615.00
ROOM & BOARD per Session = $1,805.00
*INSURANCE per Session = $196.00 (students 23 and under)
BOOKS & FEES per Session = $272.00
TOTAL per Session = $4,888.00

*Students over the age of 23 must pay more for Gonzaga medical insurance. Please contact the ELC for more information.
This section MUST be completed by ALL applicants.
I understand the above costs. I have enough funds available to me to pay these expenses at the beginning of each session. I understand that these costs may change annually and I agree to pay any increases. All of the information given in this application form is true to the best of my knowledge. By typing in my name in the given box I am authorizing this forms authenticity as if it were my actual signature.
Applicant's Name:
Date:
If this form is being completed by someone other than the applicant, that person must complete the following section.
I understand the terms of this application and accept full financial responsibility for this student. All of the information given in this application is true to the best of my knowledge and I am acting for the applicant with his or her approval. If I am a U.S. citizen, I understand that additional documentation may be required. By completing the information below I am authorizing this form's authenticity as if it were my actual signature.
Name of Person Preparing Form:
Date:
Relation to Applicant:
Street and Number:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone: