YSU ESL Application Form

Personal Information

Other Last Name(s) or Surname(s), if any, that may appear on transcripts, documents, scores, etc.
Gender *
What will your immigration status be? *

Study Plans

Please check on option below you are applying for

Undergraduate or Graduate Status or ESL *
Term *
Module *

Please Check http://www.ysu.edu/english-language-institute/program for term and module info.

Please check one option below you are applying for *
Where do you plan on living?
Are you transferring to YSU ESL Program from another school in the US?

Current Mailing Address

Complete these lines as you would address an envelope to be mailed to yourself. If your address changes, please notify the Office of International Admissions at intadm@ysu.edu. If you are in the United States, you must list your U.S. address and number.

Permanent Foreign Home Address

Is your current mailing address the same as your address outside of the US? *
Are you referred by an agent?
High School Information
Please type the name and address of your high school.
If you have not graduated yet, please select your anticipated graduation date.
College Information
If you have attended a non-credit bearing ESL program in other colleges/universities, please select "No"
Please type the name and address of the latest college you have attended.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.