Register for Online Intensive English Personal InformationName* First (Given) Last (Family) Mailing Address* Street Address Address Line 2 City State Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Telephone*Please include country code.Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Native Language* How did you hear about ILI?* Family or Friend in the Area University Facebook Sign Internet Search Agent Class RegistrationChoose your course dates.*All courses are 4-weeks in length. You may register for multiple sessions. August 2-27, 2021 ($795) Sept. 7-Oct. 1, 2021 ($795) Oct. 4-29, 2021 ($795) English Level Self-AssessmentWhat is your approximate level of English?*NOTE: You are required to submit a test score from Duolingo ($49) before starting your program. You will receive a $50 tuition credit after scores are received. ILI levels are based on the Common European Framework of Reference for Languages (CEFR). 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) Payment$50 Non-refundable Registration Fee Due with this Application*After your Duolingo test score is received, a balance of $745 will be due before the start of your first session. Each 4-week session is $795. Total fees due for your program = $795 x number of sessions. Example: 2 sessions: $1590 3 sessions: $2385 Payments may be made monthly. You are not required to pay for multiple sessions in advance. Your credit card will be charged $50 today: Price: Total fees due today: $0.00 Credit CardCard Details Cardholder Name Please read the following:If you have questions about the fees and policies, or if you need them translated into another language, please contact firstname.lastname@example.org before submitting your application.Non-refundable Fees*Please read the full list of Semi-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 Technology Requirements*Please note that we use Zoom to conduct all of our live online classes. Students will need reliable internet connection, a camera and working audio on their computer, laptop, Chromebook, or tablet to participate. Students must also have a gmail address to be able to access Google Classroom. Do you understand and agree to this policy? Yes No CommentsPlease 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 the technology requirements.CAPTCHASignature* EmailThis field is for validation purposes and should be left unchanged.