AMERICAN LANGUAGE ACADEMY
Online Program Application
Student Information
First Name
Middle Name
Last Name
Gender
...
Male
Female
Other
Online Program
Applying Status
...
New Student
Transfer Student
Readmit Student
Program/ Course of Study
...
Intensive English Program
English For Academic Purpose
Intensive Chinese Program
English Camp & Tours
ALA American Pathway Program
F-1 visa students must be enrolled in the Intensive English Program on campus.
Contact Information
Street
City
State/Province
Zip/Postcode
Country
Email
Study Plan
Highest Level of Education
...
8th Grade - 12th Grade
Associate Degree
High School or Equivalent
Bachelor's Degree
Graduate or Professional Degree
Other
Planned Length of Study
...
1-3 months
3-6 months
6-12 months
More than 12 months
What do you plan to do after you study at ALA?
...
Attend University/College
Return To Home Country
Travel Within US or Abroad
Other
Where did you first hear about ALA?
...
Friend
Agent
ALA Website
ALA Student
Internet
University/College
Recruiter
Other
Do you have any physical disability or health problems that will require special assistance?
Yes
No
Not Selected
Documents Required
Photocopy of Passport (in color)
Agreement
I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application results in my disqualification.
I confirm that I have read, that I understand, and that I agree with terms and conditions of the Enrollment Agreement.
App Submission Date
