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* Last Name:
* First Name:
Middle Name:
* Gender:
* Date of birth:
* Country of Birth:
City of Birth:
* Country of Citizenship:
Native Language:
* Email: It is required!
* Verify email: It is required!

Choose Your Program, Length of Study and Payment Plan...
* When do you want to start your classes?
* Program Length:
Payment Plan:

* 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 #):
US state:
US postal code:
US telephone:

For students currently (all F-1 students)

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

Where did you find out about Bell School?
Coupon Code: (If you have a coupon code please enter it here)
What is the level of your English?
In what language would you prefer to communicate with the school's admissions office staff?
Why do you need to learn English?

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.