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Non F-1 Student Application

Part-time students only (those not studying under an F-1 student visa). If you want to study under F-1 student visa, please use this application form.

**Exception--F-1 students registering for Summer classes should still use this form.

Choose your citizenship/resident or type of visa. If other visa besides B or J, choose other and add letter and number of visa (e.g. L-2, E-1). If you do not have residency or a visa, choose other.
Format: (xxx) xxx-xxxx Please provide a number where you can be reached during daytime business hours.
Course Selection: Summer 2016, June - August
Select one or more courses listed below for Summer 2016. Course fee covers the cost of course and any materials; no separate textbook purchase is required.
June 8: Registration ends at 4 p.m. June 9: Proficiency test, 10 a.m. McReynolds #203
Course Selection: Fall 2016 Term 1, August- October
Select one or more courses listed below for Fall Term 1. Students will be placed into levels after placement test on August 16.
August 15: New Student Registration August 16: Placement Test August 17: Continuing Student Registration August 19: New Student Orientation August 22: First Day of Classes
Course Selection: Fall 2016 Term 2, October - December
Select one or more courses listed below for Fall Term 2. Students will be placed into levels after placement test on October 14.
October 13: New Student Registration October 14: Placement Test October 17: Continuing Student Registration October 18: New Student Orientation October 19: First Day of Classes
Payment & Registration
After submitting this online application, please contact the ESL Institute office to make your payment and arrange for a registration appointment, if needed. Payment is due in full at the time of registration - instructors cannot take payments in the class. Call (931) 221-6270 or email esl@apsu.edu . If you would like to speak in person with ESL staff, please make an appointment so we can ensure someone is available to meet with you.
If delivering your payment, please come to the McReynolds building, room #118 on APSU's main campus. If mailing a check, send to: ESL Institute, APSU Box 4678, Clarksville, TN 37044. You may pay by credit card by calling (931) 221-7816 (Monday - Friday, 8 a.m. - 4:30 p.m.) REFUND POLICY: Please review the refund policy found at http://www.apsu.edu/esl/refund-policy-esl-classes.