Global First Year Application

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ONLINE APPLICATION: V1
Global First Year Application
PERSONAL DETAILS
SELECT YOUR ROUTE TO FIU
Name must appear exactly as shown in applicant’s passport.
Global First Year – 3 Semester Program
Title:
Gender:
Global First Year – 2 Semester Program
Family name:
Pre-Sessional English (ELI) (for progression into the Global First Year)
Given names:
INTENDED MAJOR
Preferred name:
Write in major:
Date of birth (DD/MM/YYYY):
Country of birth:
INTENDED START DATE
Country of citizenship:
Indicate year and semester you wish to start.
City of birth:
Year:
January (Spring)
May (Summer)
August (Fall)
Passport number:
EDUCATION DETAILS
Passport date of expiry:
English Proficiency
CONTACT DETAILS
IELTS band (total) score:
Permanent, non-U.S. home address (mandatory):
Date taken or scheduled (DD/MM/YY):
Address:
IELTS section scores:
City:
TOEFL total score:
Region:
Date taken or scheduled (DD/MM/YY):
State:
TOEFL subtest scores:
Province:
Native language:
Years of English study:
Postal code:
Have you taken another English-language exam?
Yes
No
If yes, please provide copies of results with application.
Country:
Applicant’s mailing address in the USA (if applicable):
Form I-20
Do you have a Form I-20 from another institution in the United States?
City:
State:
Postal code:
Yes
No
Expired
Mobile telephone:
If yes or expired please provide a copy with your application materials.
Home telephone:
Education History
Applicant’s personal email (mandatory):
Name and address of secondary school attended:
Recruiter or agent name (if applicable):
City of secondary school:
Recruiter’s email:
Country of secondary school:
Recruiter’s address:
From (DD/MM/YY):
To (DD/MM/YY):
Address:
Anticipated date of secondary school graduation:
City:
Region:
Have you attended additional secondary schools?
Yes
No
If yes, please provide transcripts with application.
State:
Language of instruction:
Province:
Postal code:
Name and address of post-secondary school attended:
Country:
City of post-secondary school:
EMERGENCY CONTACT
Country of post-secondary school:
Name:
Relationship:
From (DD/MM/YY):
To (DD/MM/YY):
Address:
Anticipated date of graduation/transfer:
Language of instruction:
Home telephone:
Mobile telephone:
Have you attended additional post-secondary schools?
Yes
No
If yes, please provide transcripts with application.
Email:
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