Forma de matriculación

Please write it down exactly as you have it typed in your international passport.
* - INDICATES REQUIRED FIELDS. TYPE USING ENGLISH LETTERS.

* Last Name:
* First Name:
Middle Name:
* Gender:
* Date of birth:
* Country of Birth:
City of Birth:
* Country of Citizenship:
Native Language:
* Are you currently in the USA?:
If yes, which visa do you hold?:


For students currently in the USA

Are you planning to apply for change/reinstatement of your status?:
Are you transferring from another U.S. school to our school?:
Transfer ESL school name:
Transfer ESL school location:
Does your spouse accompany you?:
Your spouse's name: (if she/he travels with you)
Do your children accompany you?
Your children's names: (if they travel with you)
Your USA address
Street (incl. building and apartment #):
City:
US state:
US postal code:
US telephone:
Skype:



For students currently outside the USA

Do you need to apply for F-1 student visa?
Current address
Street (incl. building and apartment #):
City:
Region:
Postal code:
Country:
Telephone:
Skype:


* Email: It is required!

Where did you find out about Bell School?
Coupon Code: (Do you have a promotional code or discount coupon?)
What is the level of your english?
* When do you want to start your classes?

Choose Your Program, Length of Study and Payment Plan...
Program:
* Program Length:
Payment Plan:(Minimum one session must be paid in advance!)

Do you need to be picked at the airport?
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.

If you can not submit your application, check that all required fields (marked "*") have been filled.