University Admission Services
Student Application

Please complete the form below with your complete information, including personal email address, permanent address, and full academic history. You can verify ELS higher education college and university partner information at https://www.universityguideonline.org/ or contact uasadmissions@els.edu with any questions.

APPLICATION TYPE

CONDITIONAL Admission - Meets academic requirements but will achieve English proficiency with ELS. Please click here to submit/apply for study at ELS. You can return to this UAS form at any time to submit your UAS information.

Admission *

PERSONAL INFORMATION

Per SEVIS requirements, hyphens are no longer permitted. Please use letters and spaces only.

Last name *

First name *

Middle name

Gender *

Email *

Permanent Home Address

Street Address *

City *

State / Province / Region

Country / Region *

Postal Code

Phone Number *

Phone Number Type *

Birthdate *

Country of Birth *

City of Birth *

Nationality *

Visa status in your country of study *

Passport Copy

Passport Number

Student Mailing Address

Is student mailing address the same as Permanent Home Address *

Mailing Street Address 2

Mailing City *

Mailing Postal Code

Mailing State / Region

Mailing Country *

DESIRED ACADEMIC PLAN

Please select the Institution(s) to which you wish to apply, then indicate the desired Degree and Major/Program. Please select only one degree per institution.

Would like to see detail for ?

Institution 1

Institution 1 Entry Term Date

Would like to see detail for ?

Institution 2

Institution 2 Entry Term Date

Would like to see detail for ?

Institution 3

Institution 3 Entry Term Date

ACADEMIC EXPERIENCE

Please list all your PREVIOUS EDUCATIONAL INSTITUTIONS has attended and provide copies of transcripts and degree/certificate copies for each institutuion listed. First-year undergraduate applicants should provide secondary school information, Transfer undergraduate applicants should provide secondary school and college/ university information, Graduate applicants should provide previous university information.

Degree Level *

School Name *

Date Attended From *

Date Attended To *

Major

GPA

Was Degree Earned *

Transcript / Certificate

Add More Academic Experience *

Degree Level 2 *

School Name 2 *

Date Attended From 2 *

Date Attended To 2 *

Major 2

GPA 2

Was Degree Earned 2 *

Transcript / Certificate

Please list any STANDARDIZED TESTS that you have taken or plans to take. A copy of your test scores must be provided with this application.

PERSONAL HISTORY

Please list your EMPLOYMENT EXPERIENCE. A copy of your resume should be provided with this application.

Employer

Job Title

Employed From Date

Employed To Date

Resume

Disciplinary Violation *

Have you ever been found responsible for a DISCIPLINARY VIOLATION at an educational institution you have attended?

Convictions *

Have you ever been convicted of misdemeanor, felony, or other crime?

ADDITIONAL FAMILY INFORMATION

Please list two (2) of your guardians or other close relatives.

Guardian 1 *

Guardian 2

EMERGENCY CONTACT

Please list the EMERGENCY CONTACT information for you.

Name of Emergency Contact *

Emergency Contact Relationship *

Emergency Contact Street Address *

Emergency Contact Street Address 2

Emergency Contact City *

Emergency Contact State / Region

Emergency Contact Postal Code

Emergency Contact Country *

Emergency Contact Phone *

Emergency Contact Email *

I hereby certify that all the information contained in this application is true and correct. I understand that ELS Educational Services and University Admission Services are relying on this certification to arrange my placement in an institution of higher learning in the United States.

I hereby authorize ELS University Admission Services to complete, sign, and submit on my behalf any and all documents and forms required to obtain acceptance to an institution of higher education and to receive direct notification of the results of said application. Additionally, I give permission to institutions of higher learning to release any and all pertinent information regarding my application and acceptance to ELS University Admission Services.

I understand that ELS University Admission Services and its affiliates have no liability to me whatsoever in connection with my enrollment in any institution of higher education, including but without limitation to, any claims for transportation, tuition, fees, and living expenses

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University Admission ServicesStudent Application

APPLICATION TYPE

PERSONAL INFORMATION

Permanent Home Address

Student Mailing Address

DESIRED ACADEMIC PLAN

ACADEMIC EXPERIENCE

PERSONAL HISTORY

ADDITIONAL FAMILY INFORMATION

EMERGENCY CONTACT

University Admission Services
Student Application