IEI Application

Instructions

IMPORTANT: ANSWER EACH QUESTION IN ORDER. DO NOT SKIP QUESTIONS.
Please do not use the same email address for more than one applicant.

Personal Information

Please select the statement that best describes you *

I am applying to take IEI classes on-campus, and DO require an F1 visa.

I am applying to take IEI classes on-campus, and DO NOT require an F1 visa.

I have been conditionally admitted to university study and I need to take IEI classes. I will need an F1 visa.

For more information about non-F1 student information for Intensive English for Internationals, visit the IEI website.

For more information about F1 student information for Intensive English for Internationals, visit the IEI website.

First Name

Middle Name

Last Name

Name as it appears on your passport

Birthdate

Email Address (Must be unique to each student)

Sex

Gender

Native Language

City of Birth

Country of Birth

Country of Citizenship

Are you a U.S. Permanent Resident, Asylee, Refugee, or Parolee?

Yes

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Alaskan Native

American Indian

Asian

Black or African American

Native Hawaiian or Pacific Islander

White or Caucasian

Are you currently in the US on a visa waiver?

Yes

What type of visa do you have?

Was your current F1 Visa issued by another College or University (not the University of Memphis)?

Yes

Please upload a signed Visitor Visa/Visa Waiver statement of understanding.

Are you currently living in the US as an Au Pair?

Yes

Do we have permission to talk to a representative from this organization about you and your classes?

Yes

Au Pair Organization

Au Pair Organization Phone Number

Please upload a signed J1 Au Pair Host family agreement.

Will you have a Saudi Arabian Cultural Mission (SACM) Scholarship?

Yes

Please upload your “For Admission Purposes Only” letter from SACM.

Address Information

Foreign Address

Country

Street

City

Region

Postal Code

Phone Number

For foreign phone numbers, Include your country code. Do not use +, spaces or extra marks.

Device Type (hidden)

Do you have a U.S. Address?

Yes

U.S. Address

Country

Street

City

Region

Postal Code

Address Validation (HIDDEN)

Emergency Contact Information

Relationship

First Name

Last Name

Email Address

Phone Number

For foreign phone numbers, Include your country code. Do not use +, spaces or extra marks.

Application Information

Have you previously applied to the University of Memphis or the UoM IEI program?

Yes

If known, please enter your UUID/UoM email address (ex. TTIGER) or UofM Student ID # (ex. U00001234).

UofM Email Address

UofM Student ID#

Device Type (hidden)

Highest Level of Education Completed:

Do you plan to study at UofM after your English study in IEI?

Yes

Are you currently a UofM student?

Yes

If yes, are you required by your department to take this course?

Yes

Department Name

Department Contact Name

Department Contact Email

What session do you plan to begin courses in IEI?

Which online courses do you plan to study?

English for Academic Purposes (EAP)

Pronunciation

Reading/Writing Skills

SPEAK Test Prep

Do you plan to study in our Daytime Intensive Program or our Evening/Saturday Community Classes?

Daytime Intensive Program

Evening Classes (Lambuth campus)

Evening Classes (Memphis campus)

Choose one or more classes:

Communication Skills

Grammar Skills

Module

Reading/Writing Skills

Choose one or more classes (F1 Applicants - HIDDEN)

Communication Skills

Grammar Skills

Module

Reading/Writing Skills

Choose one or more classes:

Communication Skills for Internationals 1

Communication Skills for Internationals 2

English Language Skills for Internationals

Upload a copy of your transcript, diploma, or degree certificate.

Please upload a picture of yourself.

Do you plan to live in UofM housing?

Yes

Please complete the UofM housing application for IEI students: https://memphis.co1.qualtrics.com/jfe/form/SV_0kAF1RGy8MOnjHE

Are you currently in the United States attending another university?

Yes

Are you applying to transfer-in to the Intensive English for Internationals program?

Yes

Please complete the Transfer-In application: https://apply.memphis.edu/manage/login?realm=&r=/register/?id=05febe1b-b111-4a43-a977-ad9ce8f644ad. You will not need to complete the regular I-20 application.

Signature

I hereby certify that the above information is correct and that I will abide by the regulations for students in the Intensive English for Internationals program at The University of Memphis.

In place of your signature, please type your full legal name:

Round

Round Always Create

Submitted

Generate PIN

Admit Type

Student Type

Residency

Curriculum