Tuesday, February 9th

1535 McDonald Avenue,
Brooklyn, NY 11230, USA
tel.: 718-998-6060
fax.: 718-998-0602
Email: info@bellschool.org

SEARCH:

Register Online

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Write in English only!

(Please write it down exactly as you have it typed in your international passport)

Last Name:

First Name:

Middle Name:

Gender:

Male

Female

Date of birth:

Country of Birth:

City of Birth:

Country of Citizenship:

Native Language:

Are you currently in the USA?

Yes

If yes, which visa do you hold?

For students currently in the USA

Are you planning to apply for change/reinstatement of your status?

Yes

Are you transferring from another U.S. school to our school?

Yes

Transfer ESL school name:
Transfer ESL school location:

Does your spouse accompany you?

Yes

Your spouse's name (if she/he travels with you):

Do your children accompany you?

Yes

Your children's names (if they travel with you):

	Your USA address
Street:
City:
State:
Zip Code:
Telephone:

For students currently outside the USA

Do you need to apply for F-1 student visa?

Yes

	Your foreign address (in your home country)
Street:
City:
Province:
Zip Code:
Country:
Telephone:

E-mail:

It is required!

Where did you find out about Bell Language School?
What is the level of your English fluency?
When do you want to start your classes?

Choose Your Program, Length of Study and Payment Plan...:

Program:

Do you need to be picked at the airport?

Yes

Airport Pick-up is $75. Please inform the school at least a week before your arrival.

The above information is correct, and I am aware that the issuance of the I-20 form by Bell Language School, admission to the school's programs and continued attendance in the school are subject to payment of all fees and tuition.

I have read and agree with Bell Language School's schedule of rates, costs, conditions and refund policy.

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