Skip to content

Close X
Languages
TESOL
About
Blog
Contact
Volunteer with ILI
Search for:
Donate

Languages
TESOL
About
Blog
Contact
Volunteer with ILI
Donate

Search for:

Menu

Home / Application Form: IEP

Application Form: IEP

Thank you for applying to the Intensive English Program. Once your form is submitted we will contact you to confirm your acceptance.

Intensive English Program Application

Step 1 of 6

16%

Personal Information
Name*
First (Given) Last (Family)
Pronouns
For example: She/her, He/him, They/them
Gender*
- Male
- Female
- Non-binary
Country and City of Birth*
Nationality*
Date of Birth*
Month
Day
Year
Native Language*
Address: Home Country
Address: Home Country*
Street Address City Postal Code Country
Telephone
Email*
Emergency Contact Name
Emergency Contact Country Code/Telephone
Emergency Contact Email
Address: U.S.
If you are currently living in the U.S., please provide your address.
U.S. Address
Street Address City State Postal Code
Telephone
Email
Emergency Contact Name
Emergency Contact Telephone
Emergency Contact Email
How did you hear about ILI?*

Starting Date
For how many months do you plan to study? (Tuition is $1500 per month)*
What date do you plan to start your classes?*
MM slash DD slash YYYY
What date to you plan to finish your classes?*
MM slash DD slash YYYY
English Level Self-Assessment
Self-Assessment*
Please select your level from the options below. ILI staff will confirm your level on the first day of the program through a grammar test, a speaking interview, and a writing sample.

Beginner and A1 Elementary classes are not available without a minimum enrollment of 4 students.

Fewer than 4 students at this level receive 10 hours of semi-private tutorials as well as afternoon classroom and Open-Book instruction.

If there are 3 students at this level, the weekly price is $350. If there are 2 students at this level, the weekly price is $450. If there is one student at this level, the weekly price is $550.
- Beginner: I have no understanding of English and cannot ask or answer basic questions.
- A1 Elementary: I can understand and use basic vocabulary and short phrases in everyday situations.
- A2 Upper Elementary: I can engage in simple conversations and write sentences about familiar topics. (TOEFL iBT = 0-40 / IELTS = 2-3)
- B1 Intermediate: I can communicate effectively in most social, work, and school situations with some errors and some limitations. I can write and speak using most common grammatical structures and some academic and professional language, with some errors. (TOEFL iBT = 40-70 / IELTS = 3-4.5)
- B2 Upper Intermediate: I can easily communicate about familiar and unexpected topics in most situations using complex grammatical structures and appropriate academic and professional language. I can read books, write essays, and converse with independence. (TOEFL iBT = 70-95 / IELTS 4.5-6.5)
- C1 Advanced: I can speak, read, write and listen in collaboration with native speakers in most professional and academic situations with few grammatical errors and without strain. I can use a wide range of idioms and expressions. (TOEFL iBT 95-120 / IELTS 6.5-8.0)
Writing Sample
Please write a short paragraph about yourself in English.*
What do you do? Why do you want to come to the U.S.? What will you do in the future? If you can use the past tense, describe something from your past.

The total writing sample should be between 75-100 words. If you are choosing a home-stay option, your host will receive a copy of your writing sample. Please include as much information about yourself as possible.

F-1 Student Visa Request
Will you need a Form I-20 to apply for an F-1 student visa?*
- Yes
- No
Are you a transfer student?*
- Yes
- No
You must provide the following documents in order for us to send a Form I-20. You can scan and upload them below.
Upload a copy of your passport that includes name and date of birth.

Accepted file types: jpg, pdf, png, jpeg, Max. file size: 50 MB.
Upload proof of financial ability
A bank letter or statement showing enough money is available to cover your tuition and living expenses (for a one month program, show $3100; for each additional month you plan to study, add $2600 to the total.
Accepted file types: jpg, pdf, png, Max. file size: 50 MB.
If the bank statement is not your own, please upload a sponsor letter of support.

Accepted file types: jpg, pdf, png, Max. file size: 50 MB.

Home-Stay Request
If you request a home-stay, you will be charged a non-refundable home-stay search fee of $125 with your application.
Home-Stay Preference*
- No, I do not wish to have ILI arrange a home-stay for me.
- Yes, please arrange a home-stay for me during my studies at ILI ($125 non-refundable fee).
I will stay with:
My U.S. address is:
Street Address City State ZIP
Home Stay Needs
A non-refundable home-stay search fee of $125 will be charged with your application.
How many months would you like your home-stay?*
Arrival Date*
MM slash DD slash YYYY
Departure Date*
MM slash DD slash YYYY
Home-stay Preferences*
- I prefer a home-stay with meals included. ($290 per week)
- I prefer a home-stay without meals. ($165 per week)
Do you smoke?*
ILI cannot guarantee accommodations for those who smoke.
- Yes
- No
If you have any allergies, please list them below.
Can you live in a home with pets?*
- Cats are ok.
- Dogs are ok.
- No pets, please.
Can you live in a home with young children?*
- Yes
- No
Can you ride a bike?*
- Yes
- No
Will you have a car?*
- Yes
- No
Special Requests
If you have any other requests related to home-stay, please list them below.

Do you need transportation when you arrive?
If you need transportation from the airport, ILI can arrange a car to get you from Bradley International Airport, Hartford, CT (for a fee of $65) or from Logan International Airport in Boston, MA (for a fee of $200).
Yes, I need transportation. Please arrange for a car to meet me at the airport and take me to my home-stay.
- Bradley International, Hartford, CT ($85)
- Logan International, Boston, MA ($200)
If you want ILI to arrange transportation from the airport, you must give the following information to ILI at least two weeks prior to your arrival:
- Departure Airport
- Arrival Airport
- Airline
- Flight Number
- Arrival Date
- Arrival Time
Student Health Insurance
What is your insurance coverage going to be?*
Health insurance is mandatory. You can choose to purchase your own, or you may purchase insurance through International Student Insurance ($65 per month) through ILI. The premium will be added to your final invoice.
- I will purchase medical insurance through ILI ($65 per month)
- I have my own medical insurance and will provide ILI with proof of insurance upon arrival.

Please read the following:
If you have questions about the fees and policies, or if you need them translated into another language, please contact macey@ili.edu before submitting your application.
Non-refundable Fees*
The registration fee and homestay search fee are NOT refundable. Please read the full list of Intensive English Program non-refundable fees and tuition costs. Do you understand and agree to these fees?
- Yes
- No
Cancellation and Refund Policy*
Please read ILI’s cancellation and refund policy. Do you understand and agree to this policy?
- Yes
- No
Payment of Non-Refundable Application Fees
Tuition ($1500 per month) and homestay and insurance fees (if applicable) are due on the first day of each monthly session. One-time $150 materials fee is due on the first day of the program.
Non-refundable registration fee
Total
$0.00
Payment Options*
- Credit Card
- Check (make payable to ILI)
- Wire Transfer
Please contact macey@ili.edu for bank account details.
Credit Card
Card Details
Cardholder Name
Submission
Comments
Please enter any special comments you may have.
By entering my name below, I confirm that I understand all the information in this application, including the fees and refund policy , and that I have read and accept ILI’s privacy policy.
CAPTCHA
Signature*
Comments
This field is for validation purposes and should be left unchanged.

Δ

Language Programs
About
Volunteer with ILI
Join our Team
Register for a class
Agents
Donate to ILI’s IMPACT Fund
Support & Accreditations
TESOL
FAQ
Policies
Host an International Student
Contact
Blog
Sitemap
Sign up for our newsletter

International Language Institute of Massachusetts 25 New South Street, Northampton, MA 01060, USA (413) 586-7569

Website by Disquiet Dog.