Online Application If you prefer to fill out a paper application, you may download it here: HOFT Institute ESL | Paper Application Register for ESL Program HOFT Institute ESL Program ApplicationYour Family (Last) Name*Your Middle NameYour First Name*Choose your Program*Academic Core (18 hrs/week)University Fast Track Program (24 hrs/week)Intensive TOEFL (18 hrs/week)Intensive GRE (18 hrs/week)Single ClassUnknownDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleCountry of Birth*Country of Citizenship*Your Email (required)* Phone NumberLocal AddressForeign Address VISA INFORMATIONDo you require an I-20 from HOFT Institute?*YesNoAre you currently in the United States?*YesNoIf yes, what kind of visa do you have?Do you have any dependents?*YesNoIf yes, please complete the "DEPENDENT INFORMATION" section below.Are you transferring from another institution?*YesNoIf yes, please complete the information section below.School nameSchool city ADMISSION TERMDesired start date Desired end date Anticipated length of study at HOFT Institute*Unknown0 - 6 months6 - 12 months12 + months REFERRALHow did you hear about HOFT Institute? Print Ad Online Family/Friend Agent If you would like to expand on your referral, please do so below. DEPENDENT INFORMATION Dependent 1Family (Last) NameFirst NameDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleRelation to youCountry of birthDependent 2Family (Last) NameFirst NameDate of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleRelation to youCountry of birthAdditional Dependents EMERGENCY CONTACTFull Name*Relationship to Applicant*Contact Email*Contact Phone Number*Contact Address (Street Name, City, State/Province/Prefecture, Zip Code/Postal Code, Country)* PAYMENT INFORMATION United States customs and immigration services requires that students give evidence that they are able to pay all tuition, fees, and living expenses while studying in the US before a school issues a Form I-20. Ultimately it is the student’s responsibility to ensure all required fees and tuition payments are made in a timely manner. HOFT Institute does NOT accept personal checks for tuition payment. You must pay with a Debit/Credit Card, Cashier’s Check, Money Order, Wire Transfer, or Cash. ESL Refund Policy 1. The following fees are NON-REFUNDABLE (up to a maximum of $500): $100 application fee, $250 transfer deposit, $250 change of status / reinstatement fee, $55 course material fees for each course, $50 postage/shipping costs, and $100 payment plan fee. 2. Refunds are determined based on the student’s last day of attendance. 3. The first 4 weeks of tuition of a student’s first planned study period is not refundable. 4. After a student's first planned study period, a prorated refund is available until the midpoint of the planned study period. 5 .No refund is possible after 50% of the student’s planned study period has passed. 6. If no written or verbal notice of withdrawal is given, the student will be automatically withdrawn after an absence of a maximum of thirty (30) calendar days (not including any scheduled breaks of the institution, such as national holidays or breaks between semesters), and refunds will be given to the student or the student’s chosen representative. 7. All refunds will be made within forty-five (45) calendar days of the Date of Determination (the day the student says s/he is leaving the program or the day the school terminates or withdraws the student), and are prorated in whole-week units. CERTIFICATION Please sign your name, if you agree to the following statements - I have read and understand the payment information listed above. - I understand that HOFT Institute may require additional documents and/or fees prior to granting acceptance. - I understand that health insurance is not required, but highly recommended. - I certify that the information on this form is correct to the best of my knowledge. - I agree to comply with all rules and policies set forth by HOFT Institute. Please sign your name, if you agree to the statements* ADDITIONAL REQUIREMENTSIn order to complete your application, you must pay the $100 application fee.*Application Fee $100.00The following documents need to be emailed to email@example.com: Passport Identification Page (for you and any dependents) Copy of Current Visa (if applicable) Statement of Purpose A very brief statement written by the applicant explaining why he/she wants to study English in the United States. Proof of financial support Recent Bank Statement: The statement must clearly list the account holder’s name, date, type of account, bank name, and current balance. Sponsor Letter (if the student is not listed as the primary account holder on the bank statement provided): This letter must include the account holder’s name, their relationship to the applicant, the applicant’s name, and a statement acknowledging the sponsor agrees to cover the applicant’s tuition, fees, housing, food, textbooks, and personal expenses throughout the duration of his/her stay in the United States.