TESOL Certificate Application

Personal Information
Name*
First Last
Please upload photo of yourself.*
Max. file size: 50 MB.
Current address*
Street Address City State Postal Code Country
Permanent address (if different from above)
Street Address City State Postal Code Country
Phone (primary)*
Phone (secondary)
Email*
Date of Birth*
Month
Day
Year
Gender
- Male
- Female
- Non-binary
Country of Birth*
Citizenship*
Native Language*
Occupation
How did you hear about ILI?

Course Selection
Which course are you applying for?*
- World Learning SIT TESOL Certificate
- Best Practices in TESOL (for non-native English speakers)
Choose the date you wish to attend the World Learning SIT TESOL Certificate course.*
MM slash DD slash YYYY
Choose the date you wish to attend the Best Practices in TESOL course.
MM slash DD slash YYYY
Do you want to receive graduate credit?*
Five Graduate Credits are available through the World Learning SIT TESOL Certificate for an additional fee. For more information please contact Erik Tancorov at the SIT Graduate Institute by email: erik.tancorov@worldlearning.org or phone: (202) 464-6579.
- Yes
- No

Essay Question
Please write a 400-500 word essay on the following topic:*
John McClelland, Harvard Psychologist, has stated that the three ingredients to successful learning are: wanting to learn, knowing how to learn, and having a chance to learn. Discuss this in an essay using personal examples from your own learning (not limited to language learning).

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
SEVIS Fee
F-1 students must pay a $350 SEVIS fee before going to the U.S. Embassy or Consulate for their visa interview. ILI offers the service of paying the SEVIS fee, which is charged with your application. You can also choose to pay the SEVIS fee yourself at www.FMJfee.com. You can pay the fee by credit card using the online form I-901.
- Please charge me $350 and pay my SEVIS fee on my behalf.
- I will pay my SEVIS fee myself.
You must provide the following documents in order for us to send a Form I-20. You can scan and upload them below.
Upload one of the following as proof of financial support.*
a. A letter or statement from your bank showing at least $5,250 available to cover your expenses, tuition and fees

b. A notarized letter of support from your sponsor along with the sponsor’s bank statement or bank letter showing at least $5,250
Max. file size: 50 MB.
Upload a copy of your passport that includes name and date of birth.*

Max. file size: 50 MB.
Mailing Method
- Please send my Form I-20 by Express Mail for an additional fee of $75.
- Please send my Form I-20 by regular mail for no additional cost.
Upload a copy of your transfer form completed by your previous school.*
Max. file size: 50 MB.

What is your insurance coverage going to be?*
- I will purchase medical insurance through ILI.
- I have my own medical insurance and will provide ILI with proof of insurance upon arrival.
Insurance
Which insurance plan do you choose?
- Plan A
- Plan B

Transportation When You Arrive
ILI can arrange a car to get you from Bradley International Airport, Hartford, CT (for a fee of $60) or from Logan International Airport in Boston, MA (for a fee of $260).
Please arrange for a car to meet me at the airport and take me to my home-stay.
- Bradley International, Hartford, CT
- Logan International, Boston, MA
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:
- Airport
- Airline
- Flight Number
- Arrival Date
- Arrival Time

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.
Cancellation and Refund Policy*
Please read ILI's cancellation and refund policy. Do you understand and agree to this policy?
- Yes
- No
Non-refundable Fee:*
A $300 non-refundable deposit is due with this application. The tuition balance payment of $2200 is due prior to the start of the course. (If you are applying for housing or an I-20, additional fees will apply) Do you understand and agree to these fees?
- Yes
- No
Payment
Payment Options
- Credit Card
- Check (make payable to ILI)
Did you purchase a WRSI Shop 30 coupon?*
- Yes
- No
Please enter your coupon number*
Coupon Codes

If you purchased a single $100 coupon, enter COUPON1

If you purchased 2 coupons ($200), enter COUPON2
Coupon*
Non-refundable application fee ($300) due with application
Balance payment of $2200 will be due prior to course start date.
Total
$0.00
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 fees and refund policy, and that I have read and accept ILI's privacy policy.
Signature*
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Personal Information

School	Dates	Degree/Diploma