Arabic Chinese English French German Japanese Korean Portuguese Russian Spanish Turkish Thai Application Process Required Documents Checklist Sponsor Form Application Application Rochester Institute of Technology English Language Center Application Please print this form, sign, and send it to: Rochester Institute of Technology English Language Center 28A Lomb Memorial Drive Rochester, NY 14623, U.S.A. Date: Month Day Year Family Name: Given Name:   Home Address:         Are you currently in the U.S? Yes No   If yes, what kind of visa do you have? F-1 B J         Birthdate: Month Day Year Gender: Male Female Country of Birth: City of Birth: Country of Citizenship: TOEFL Score: Date Taken: Month Day Year Home Phone Number: Cell Phone Number: E-mail address: Student's signature: Please indicate your present knowledge of English. Speaking Good Fair Poor Reading Good Fair Poor Writing Good Fair Poor I am interested in applying for: Fall Winter (11 weeks) Winter (7 weeks) Spring Summer (11 weeks) Summer (7 weeks) I will need a dormitory room. Yes No If yes: I smoke. I do not smoke. I do not need a dormitory room. I will be living with a friend or relative in Rochester. Please pick me up at the airport. I have enclosed $75 for this service. I will tell you when my flight will arrive in Rochester. My family is coming with me; I would like an RIT apartment. Please pay the U.S. government-required $100 SEVIS Fee and send me the receipt. I have enclosed $100. We cannot process your application for the I-20 form until we receive the original signed application and sponsor forms, all supporting documents and a check for the required fees. Please send my I-20 by express mail service. I will send a check for U.S. $35 to cover the cost of express mail. Name of a friend or relative in the U.S. whom we can contact Name: Address: Address: Telephone: Send originals, supportive documents and required fees by mail to the English Language Center. Thank you. RIT will admit and hire men and women; veterans; persons with disabilities; and individuals of any race, creed, religion, color, national or ethnic origin, sexual orientation, age, or marital status in compliance with all appropriate legislation. RIT home top Back to ELC Home Page Student Affairs Rochester Institute of Technology One Lomb Memorial Drive, Rochester, NY 14623 585-475-6684 jbcelc@rit.edu Copyright © 2003 Rochester Institute of Technology. All rights reserved.