MLI started in 2002. Since then, - Language Course

WESTWOOD10880 Wilshire Blvd., #122Los Angeles, CA 90024E-mail: [email protected]: 310-887-0777

www.mliesl.edu

HOLYWOOD7080 Hollywood Blvd., #314Hollywood, CA 90028E-mail: [email protected]: 323-870-7102Language Institute

MLI started in 2002. Since then,

we have educated thousands of

students from over 50 countries.

Our main campus is located in the

heart of Westwood, the home of

UCLA. In the beginning we offered

ESL and TOEFL® programs only, but

since then we’ve added Business

English, Conversation, TOEIC®,

GRE®/GMAT® and IELTS.

Mentor Language Institute offers

English as a Second Language

(ESL), English for Academic

Purposes (EAP), and English for

Specific Purpose (ESP) instruction

that meets the needs of students

and empowers them with a lasting

ability to use English successfully

in their academic, professional and

personal pursuits.

Book at worldwide lowest price at:

https://www.languagecourse.net/discount-ryugaku/gakko-mentor-language-institute-hollywood-los-angeles.php3

+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


Westwood is a vibrant, unique neighborhood located on the west side of Los Angeles. Westwood is famous for being the home of UCLA. It is a very fun and popular area for students since there are a lot of university students and many shops, restaurants and safe places to hang out. The students at our Westwood campus tend to pursue higher education at colleges, universities or graduate schools after attending MLI. That’s why our test preparation program is so popular and is offered in the morning, afternoon and evening!

Hollywood is well known as the heart of the entertainment industry. The Oscars take place at the Dolby theater just 4 minutes from our Hollywood campus, which is located at Hollywood & Highland. It takes only 5 minutes to walk to/from the Hollywood/Highland subway station. Many events such as movie premiers or opening ceremonies are also hosted here. Our Hollywood students tend to be interested in aspects of the entertainment such as dance, music, acting, filming, yoga and so on.

MORNINGBEG.

Track 15 days/wk

BEG.Track 2

5 days/wk

INT.Track 1

5 days/wk

INT.Track 2

5 days/wk

H. INT.Track 1

5 days/wk

H. INT.Track 2

5 days/wk

ADV.Track 1

5 days/wk

ADV.Track 2

5 days/wkTOEFL® 5 days/wk

IELTS®4 days/wk

9:00 am

9:50 am

9:00 am

10:00 am

9:00 am

10:00 am

10:00 am

10:50 am

10:15 am

11:15 am

10:10 am

11:05 am

11:00 am

11:50 am

11:30 am

12:30 pm

11:15 am

12:10 pm

12:00 pm

12:50 pm

12:20 pm

1:15 pm

LUNCH BREAK

AFTERNOONCONV.

INT.4 days/wk

CONV.ADV.

4 days/wk

GRE®/GMAT®

5 days/wk

1:00 pm

2:00 pm

1:50 pm

2:50 pm

1:30 pm

2:30 pm

2:10 pm

3:05 pm

3:00 pm

4:00 pm

2:40 pm

3:35 pm

3:15 pm

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5:10 pm

3:45 pm

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BUSINESS + TOEIC®5 days/wk

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M,W,F T,Th

TOEFL®4 days/wk

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GRE/GMAT

GRE/GMAT

GRE/GMAT

M,W,F T,Th


1:50 pm

2:50 pm

3:00 pm

4:00 pm

4:10 pm

5:10 pm

GRE®/GMAT®

5 days/wk

MORNING BEG.5 days/wk

INT.Track 1

5 days/wk

INT.Track 2

5 days/wk

HIGHINT.

5 days/wk

ADV.Track 1

5 days/wk

8:30 am

9:20 am

9:30 am

10:20 am

10:30 am

11:20 am

11:30 am

12:20 pm

LUNCH BREAK

AFTERNOONCONV.

INT.5 days/wk

CONV.ADV.

5 days/wk

1:00 pm

2:00 pm

1:00 pm

2:00 pm

2:10 pm

3:10 pm

2:10 pm

3:10 pm

3:20 pm

4:20 pm

3:20 pm

4:20 pm

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M,W,F T,Th


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12:20 pm

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+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


MORNINGBEG.

Track 15 days/wk

BEG.Track 2

5 days/wk

INT.Track 1

5 days/wk

INT.Track 2

5 days/wk

H. INT.Track 1

5 days/wk

H. INT.Track 2

5 days/wk

ADV.Track 1

5 days/wk

ADV.Track 2

5 days/wkTOEFL® 5 days/wk

IELTS®4 days/wk

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9:00 am

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12:30 pm

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12:10 pm

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12:50 pm

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1:15 pm

LUNCH BREAK

AFTERNOONCONV.

INT.4 days/wk

CONV.ADV.

4 days/wk

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5 days/wk

1:00 pm

2:00 pm

1:50 pm

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DISCUSSION

TOEICBUSINESS

WRITINGGRAMMAR

TOEFLIELTS

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CMAR

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READING

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TOEFLIELTS

GRE/GMAT

GRE/GMAT

GRE/GMAT

M,W,F T,Th

TOEFL®4 days/wk

LISTENINGSPEAKING

READING

GRAMMAR

CMAR

IDIOMS

DISCUSSION

TOEICBUSINESS

WRITINGGRAMMAR

TOEFLIELTS

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READING

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READING

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READING

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CMAR

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DISCUSSION

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READING

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READING

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READING

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TOEFLIELTS

GRE/GMAT

GRE/GMAT

GRE/GMAT

M,W,F T,Th


1:50 pm

2:50 pm

3:00 pm

4:00 pm

4:10 pm

5:10 pm

GRE®/GMAT®

5 days/wk

MORNING BEG.5 days/wk

INT.Track 1

5 days/wk

INT.Track 2

5 days/wk

HIGHINT.

5 days/wk

ADV.Track 1

5 days/wk

8:30 am

9:20 am

9:30 am

10:20 am

10:30 am

11:20 am

11:30 am

12:20 pm

LUNCH BREAK

AFTERNOONCONV.

INT.5 days/wk

CONV.ADV.

5 days/wk

1:00 pm

2:00 pm

1:00 pm

2:00 pm

2:10 pm

3:10 pm

2:10 pm

3:10 pm

3:20 pm

4:20 pm

3:20 pm

4:20 pm

LISTENINGSPEAKING

READING

GRAMMAR

CMAR

IDIOMS

DISCUSSION

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READING

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TOEFLIELTS

M,W,F T,Th


TOEFL®5 days/wk

8:50 am

9:50 am

10:05 am

11:05 am

11:20 am

12:20 pm

LISTENINGSPEAKING

READING

GRAMMAR

CMAR

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2019 SCHEDULE* Teachers’ rotation is subject to change.** The schedule is subject to change.*** The class is opened based on the number of the enrollment.

ESL/ ConversationPrograms

Test PreparationPrograms

Westwood

Hollywood

4 days/wk:Monday through Thursday

5 days/wk:Monday through Friday



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


SCHOOL PRICES 2019

Option or Program 1wk-4wks 5wks -12wks 13wks-24wks 25wks-36wks

ESL+ CMAR$321 $265 $255 $243 $237

TOEFL® + TIP

ex) ESL + CMAR for 24 wks: $255/wk x 24wks = $6,120

Option Program 1wk-4wks 5wks -12wks 13wks-24wks 25wks-36wks

ESL+ TOEFL®

$432 $352 $320 $307 $296

ESL+ Business CommunicationESL+ Business English plus TOEIC®

TOEICESL+ Conversation

ESL+ GRE®/ GMAT®

TOEFL+ Business CommunicationTOEFL+ Business plus TOEIC®

TOEFL+ GRE®/ GMAT®

TOEFL+ Conversation

Program Price per week

1wk-4wks 5wks -12wks 13wks-24wks 25wks-36wks 37wks +

ESL

$270 $220 $200 $192 $185

TOEFL®

IELTSTM

GRE®/GMAT®

Business Communication

Business English plus TOEIC®

Conversation

ex) ESL Program for 12 wks: $220/wk x 12wks = $2,640

Price per week

Price per week

37wks +

37wks +

NON F1 Students

Program Starting DatesProgram Starting Dates

F1 Students

January:February:March:April:May:June:July:August:September:October:November:December:

070404012824221916151209

29

January:February:March:April:May:June:July:August:September:October:November:December:

141111863153742

2219181513108129211816

282525222017152623282523

29

30

Jan. 1st, 21st, Feb. 18th, May 27th, July 4th, Sept. 2nd, Oct. 14th, Nov. 11th, 28th, 29th

Dec. 24th, 25th, 26th, 27th,28th, 29th, 30th, 31st, Jan.1st

National holidays Christmas Winter Break

INITIAL FEE (ONE-TIME ONLY)$150: Processing Fee (Non refundable)$100: FedEx Shipping Fee (I-20)$200: SEVIS Fee**Only for students who want us to make the SEVIS payment.



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


January 2019

SUN MON TUE WED THU FRI SAT

31 1 2 3 4 5

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

April 2019


1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

July 2019


1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

October 2019


1 2 3 4 5

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

August 2019


1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

November 2019


1 2

3 4 5 6 7 8 9

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

May 2019


1 2 3 4

5 6 7 8 9 10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30 31

June 2019


1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 29

30

September 2019


1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30

December 2019


1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

January 2020


1 2 3 4

5 6 7 8 9 10 11

February 2019


1 2

3 4 5 6 7 8 9

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28

March 2019


1 2

3 4 5 6 7 8 9

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

31

SUMMER 2019

FALL 2019

WINTER 2019HOLIDAYS:01/01 - New Year’s Day01/21 - Martin Luther King Jr. Day02/18 - President’s Day

HOLIDAYS:05/27 - Memorial Day

HOLIDAYS:07/04 - Independence Day09/02 - Labor Day

10/14 - Columbus Day11/11 - Veterans Day11/28 - Thanksgiving11/29 - Day after Thanksgiving

SPRING 2019

No school due to national HolydaysProgram start dates

Last day of the Term (no classes + End-of-term Party)

HOLIDAYS:

2019

01/01 - New Year’s DayHOLIDAYS:

SCHOOL CALENDAR

12/24/19 - 01/01/20

CHRISTMAS WINTER BREAK

School Break



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


PLACEMENT FEEA cancellation $300/$270 fee will be charged if a student cancels the housing request less than 14 days before the occupancy date.SECURITY DEPOSIT If there is no damage in a student’s room and property. The student will receive a full security deposit refund. The cost of any damage will be deducted from the security deposit. The student must submit the “Refund Request Form” in order to receive a refund.AIRPORT PICKUP Guaranteed airport pickup from 8AM to 8PM (depending on fl ight arrival time). Accommodation check-in time from 9AM to 9PM. Guaranteed pickup time (from accommodation) between 7AM to 7PM. All students need to check-out from the accommodation before 12PM. We cannot guarantee airport pickup at any other time. Please contact USSS before booking your fl ight for other possible pickup times. There is a $35 early/late pickup fee (if possible). All students who request our housing service MUST use our airport pick

up service If our airport pick up service is NOT requested, $30 will be added to the placement fee.OUR AIRPORT PICKUP SERVICE INCLUDES:• Meeting students at Los Angeles International Airport.• Taking students to their accommodation and showing them how to commute to and from the school.• Explain the housing rules and agreement before they move into their accommodation.• Please note that we will NOT be able to provide these services if a student arrives after 6:00pm OUR AIRPORT DROP OFF SERVICE INCLUDES:• Picking students up from their accommodation.• Helping students check in.RENT*The housing agreement is a periodic rental agreement. There is no refund or cancellation of the rental agreement after moving into housing.**If you request a Homestay shared room, you MUST apply with another person.



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


BOOKING PROCESS: 1. F-1 STUDENTS

1. Fill out the pre-enrollment application form.2. E-mail ([email protected]) or fax (1-310-593-2499) the application form with the following documents:• A copy of your passport (photo page)• A copy of your or your family’s bank statement. The minimum balance needs to be over $15,600 and issued within 3 months of application submission.• A housing application form, if you need housing such as a home stay or dormitory from U.S. Student Services Inc.• A copy of your transcript or latest diploma from high school or higher education.

3. Our admissions office will e-mail you.4. Please make the initial payment or full payment using the credit card form attached.5. As soon as the initial or full payment is confirmed, we will issue an I-20, an acceptance letter and a I-901 (SEVIS fee receipt if requested) and FedEx them to you. We will also inform you of the FedEx tracking number.6. Please apply for a student VISA at the U.S. Embassy in your country.7. Once you book your flight, please send the following information:• Arrival date• Arrival time• Airline company• Flight number

8. We will send final confirmation which has information about MLI’s new student orientation.

2. NON F-1 STUDENTS1. Fill out the pre-enrollment application form.2. E-mail ([email protected]) or fax (1-310-593-2499) the application form with the following documents:• A housing application form, if you need housing such as a home stay or dormitory form U.S. Student Services Inc.3. Our admissions office will e-mail you.4. Please make the initial payment or full payment using the credit card form attached.5. As soon as the initial or full payment is confirmed, we will

send you an acceptance letter.6. Once you book your flight, please send the following information:• Arrival date• Arrival time• Airline company• Flight number

7. We will send final confirmation which has information about MLI’s new student orientation.

3. TRANSFER STUDENTS1. Fill out the pre-enrollment application form.2. E-mail ([email protected]) or fax (1-310-593-2499) the application form with the following documents:• A copy of passport (photo page)• A copy of your student visa• A copy of your I-94• A copy of your current I-20• Signed transfer form• A copy of your or your family’s bank statement. The minimum balance needs to be over $4,000 and issued within 3 months of application submission.• A housing application form, if you need housing such as with a home stay or dormitory form U.S. Student Services, Inc.• A copy of your transcript or latest diploma from high school or higher education.

3. Our admissions office will e-mail you.4. Please make the initial payment or full payment using the credit card form attached.5. As soon as the initial or full payment is confirmed, we will issue a new I-20 and an acceptance letter. We will also send final confirmation which has information about MLI’s new student orientation.

ADMISSION POLICY



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


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Sept

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+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


2019



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


PRE-ENROLLMENT APPLICATION If you have any questions regarding this form, please email or call the center you are applying to.

Stu

den

t In

form

atio

n:

Please check your preferred campus:

Westwood Hollywood

Are you a transfer student? Yes No

Please select the date in 2019 you wish to start:

Family Name (Surname):

First (Given) Name: Middle Name:

Country of Birth: Date of Birth (month/day/year):

Country of Citizenship: Sex: Male Female

City/Province of Birth: Email Address:

Home Country Street Address:

City: State:

Postal Code: Country:

Phone: Mobile Phone:

How did you hear about MLI? Please indicate name and source (i.e. Internet, Google, Agent, etc.):

Class Schedule: Morning Afternoon Course Length: 12 Weeks 4 Weeks Other ________

Do you need an I-20? Yes No In addition to the fees below, all I-20 applications must be accompanied by a financial statement verifying your ability to meet expenses. (Estimated expenses per school year: $15,600.00 USD)

If “Yes,” please indicate how you would like us to deliver your I-20: Express Mail (check fee below) Pick up (by friend or relative in the U.S.)

Required Fees: Processing Fee* ($150) Optional Fees: SEVIS Fee** ($200) Express Mail* ($100) *non-refundable Total Fees: _________

**non-refundable; you may either pay this fee directly to SEVIS or Mentor Language Institute, who will pay it for you.

I have read and understood that this is a pre-enrollment application, that I must request a refund if I cancel (and that certain fees are non-refundable, as noted), and that my enrollment will not be completed until I ob-tain a visa (if required) and execute an enrollment agreement in person at an MLI campus. Signature:_________________________________ Date (month, day, year): ______/ ______/ 20______

Last Revised 8/15/18 Mentor Language Institute Pre-Enrollment Application

Page 2 of 2

ESL Test Preparation Programs

q ESL Program (20 hours per week) q TOEFL® Preparation Program (18 hours per week)

q IELTS™ Program (18 hours per week) q Business Plus TOEIC® Program (18 hours per week)

q Conversation Program (18 hours per week) q GRE ® / GMAT® (18 hours per week)

Program Combination Options q Option 2 (TOEFL® + TIP = 23 hours per week)

q Option 1 (ESL + CMAR = 25 hours per week) q Option 3 (2 Programs)

Jan 7th Feb 4th Mar 4th Apr 1st Apr 29th May 28th June 24th July 22nd Aug 19th Sep 16th Oct 15th Nov 12nd Dec 9th



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


��

Student Information: Last Name (Family name): _________________________ First (Given) Name:_________________________ Nationality:________________ Gender: Male Female Visa: F-1 Other Date of Birth: _______________(MM/DD/YYYY)

��

��

��

��

��

��

��

Arrival Information:

Arrival Date: _______________(MM/DD/YYYY) Arrival Time:______________ Airline:______________ Flight#:____________

Housing Options: (select campus and indicate the housing option)

Airport Pick-up $125 -All applicants must use our airport pickup service. Guaranteed pickup is 8AM to 8PM (flight arrival time) and/or accommodation check-in time is 9AM to 9PM.) A Airport Drop-off $125 - Guaranteed pickup time (accommodation) is 7AM to 7PM. The accommodation check-out time is 12PM. *Any other times are not guaranteed, U.S.S.S. may pickup from 8PM to 10PM with a $35 late pickup fee.) TAP Card $2 (Metro Bus Pass $25/7 days, $100/30 days) *If your accommodation is not in a Metro area, the fee will be refunded. 8888

Preferences for students choosing a Homestay Family (We will do our best to meet your preferences; however, we cannot guar-antee that we will meet all of them. For best results please submit this application at least 30 days before you plan to move in.):

seY :nerdlihc htiw ylimaf a referp I No Most important for me (Please choose one): Time to talk with the family. I want to be as close to the school as possible. ___________ :rehtO _________________

Other: If you have any handicaps (either mental or physical), you may list them here so that we can accommodate your needs. Please note: by listing any information here, you agree that we may share this information with third parties as we see fit.__________________ _________________________________________________________________________________________________________

If you have any other requests or would like to provide any other information, please do so here:____________________________

��

By signing below, I hereby certify that the facts set forth above are complete and true to the best of my knowledge. I agree that my application will not be proc-essed until U.S.S.S. has received $270 from me for placement in a homestay or in a dormitory. [If a student rejects our airport pickup service, an additional $30 will be charged.] I agree that a cancellation fee of $270/$300 will be charged if I cancel the housing request less than 14 days before the occupancy date as listed above. I agree that a cancellation fee of $125 will be charged if I cancel the airport pickup service or change my flight less than 72 hours before the scheduled arrival time. If I postpone my arrival date from the date listed above, I understand that I will be charged a new placement fee or a rental fee. I also understand that I need to pay a maintenance fee and a security deposit on my arrival. The maintenance fee is non-refundable. The security deposit is refundable after moving out, as long as there is no damage to the room and property. A Refund Request Form must be filled out. This application is for the periodic rental agreement, and the period of my stay is specified above. I agree to move out on the date above. I have the option to extend my stay only if there is availability. I understand that if I am enrolled with Mentor Language Insti-tute and cancel my enrollment, my U.S.S.S. accommodation will be terminated. Termination will occur within the grace period. I understand that falsification of any information on this form will result in forfeiture of the placement fee without refund. I have read and agree to these terms. Print name:_________________________________ Signature:________________________________ Date:________________

Personal Information:

Smoker: Yes No

Note: No homestay families allow smoking; you must smoke outside.

Allergies: Do you have any allergies? Yes No If yes, please list:____________________________________

Emergency Contact Information:

Name: _______________________ Relationship: ___________ Telephone: __________________ E-mail: ___________________

Westwood Deposit $200

__Homestay (Private, 2 meals/day) $347/week, $1,260/4 weeks

__Dormitory (Private, No meals) $412/week, $1,360/4 weeks

__Dormitory (Shared-2, No meals) $294/week, $968/4 weeks

__Dormitory (Quad-4, No meals) $210/week, $736/4 weeks

*Dormitory Maintenance Fee $25/week, $100/4 weeks or more

Hollywood Deposit $200

__Homestay (Private, 2 meals/day) $347/week, $1,260/4 weeks

__Dormitory (Private, No meals) $412/week, $1,360/4 weeks

__Dormitory (Shared-2, No meals) $294/week, $968/4 weeks

__Dormitory (Quad-4, No meals) $210/week, $736/4 weeks

*Dormitory Maintenance Fee $25/week, $100/4 weeks or more

Move In Date:

_____/_____/______ mm/ dd /yyyy

Move Out Date:

_____/_____/_____ mm/ dd / yyyy

U.S. Support Services Inc. 6755 Hollywood Blvd., Suite 300 Los Angeles, CA 90028 USA Phone: 424-253-3169 Fax: 424 –203-6123 Email: [email protected]

USSS120216

Agent Name:

For office use only:

Application Received: _____/_____/_____ Program Start Date: _____/_____/_____

Package Options: Dance (Studio: )

(Number of Tickets: ) Yoga: _____ week(s) Music: _____ week(s) Surfing: _____ week(s) Scuba Diving: _____ week(s)

2018 HOUSING APPLICATION

PRIMETIME Reg u l a r

U.S. SUPPORT SERVICES INC.

U.S. SUPPORT SERVICES INC.

U.S. SUPPORT SERVICES INC. U.S. SUPPORT SERVICES INC.



U.S Support Services Inc.10880 Wilshire Blvd., Suite 122, Los Angeles, CA 90024 USAPhone: 424-253-3169FAX: 424-203-6123E-mail: [email protected]

2019 HOUSING APPLICATION

1

Student Information: Last Name (Family name): _________________________ First (Given) Name:_________________________ Nationality:________________ Gender: Male Female Visa: F-1 Other Date of Birth: _______________(MM/

3

2

4

5

7

8

6

Arrival Information:

Arrival Date: _______________(MM/DD/YYYY) Arrival Time:______________ Airline:______________ Flight#:____________

Housing Options: (select campus and indicate the housing option)

Airport Pick-up $130 -All applicants must use our airport pickup service. Guaranteed pickup is 8AM to 8PM (flight arrival time) and/or accommodation check-in time is 9AM to 9PM.) A Airport Drop-off $130 - Guaranteed pickup time (accommodation) is 7AM to 7PM. The accommodation check-out time is 12PM. *Any other times are not guaranteed, U.S.S.S. may pickup from 8PM to 10PM with a $35 late pickup fee.) TAP Card $2 (Metro Bus Pass $25/7 days, $100/30 days) *If your accommodation is not in a Metro area, the fee will be refunded. 8888

Preferences for students choosing a Homestay Family (We will do our best to meet your preferences; however, we cannot guar-antee that we will meet all of them. For best results please submit this application at least 30 days before you plan to move in.): I prefer a family with children: Yes No Most important for me (Please choose one): Time to talk with the family. Location. I want to be as close to the school. Other: ____________________________

Other: If you have any handicaps (either mental or physical), you may list them here so that we can accommodate your needs. Please note: by listing any information here, you agree that we may share this information with third parties as we see fit.__________________ _________________________________________________________________________________________________________

If you have any other requests or would like to provide any other information, please do so here:____________________________ _________________________________________________________________________________________________________

9

By signing below, I hereby certify that the facts set forth above are complete and true to the best of my knowledge. I agree that my application will not be pro-cessed until U.S.S.S. has received $270/$300 from me for placement in a homestay or in a dormitory. [If a student rejects our airport pickup service, an additional $30 will be charged.] I agree that a cancellation fee of $270/$300 will be charged if I cancel the housing request less than 14 days before the occupancy date as listed above. I agree that a cancellation fee of $130 will be charged if I cancel the airport pickup service or change my flight less than 72 hours before the scheduled arrival time. If I postpone my arrival date from the date listed above, I understand that I will be charged a new placement fee or a rental fee. I also understand that I need to pay a maintenance fee and a security deposit on my arrival. The maintenance fee is non-refundable. The security deposit is refundable after moving out, as long as there is no damage to the room and property. A Refund Request Form must be filled out. This application is for the periodic rental agreement, and the period of my stay is specified above. I agree to move out on the date above. I have the option to extend my stay only if there is availability. I understand that if I am enrolled with Mentor Language Insti-tute and cancel my enrollment, my U.S.S.S. accommodation will be terminated. Termination will occur within the grace period. I understand that falsification of any information on this form will result in forfeiture of the placement fee without refund. I have read and agree to these terms. Print name:_________________________________ Signature:________________________________ Date:________________

Personal Information:

Smoker: Yes No

Note: No homestay families allow smoking; you must smoke outside.

Allergies: Do you have any allergies? Yes No If yes, please list:____________________________________

Emergency Contact Information:

Name: _______________________ Relationship: ___________ Telephone: __________________ E-mail: ___________________

Westwood Deposit $200 __Homestay (Private, 2 meals/day) $377/week, $1,368/4 weeks __Dormitory (Private, No meals) $447/week, $1,480/4 weeks __Dormitory ( Shared-2, No meals) $319/week, $1,052/4 weeks __Dormitory ( Shared-4, No meals) $228/week, $800/4 weeks *Dormitory Maintenance Fee $25/week, $100/4 weeks or more

Hollywood Deposit $200 __Homestay (Private, 2 meals/day) $377/week, $1,368/4 weeks __Dormitory (Private, No meals) $447/week, $1,480/4 weeks __Dormitory ( Shared-2, No meals) $319/week, $1,052/4 weeks __Dormitory ( Shared-4, No meals) $228/week, $800/4 weeks *Dormitory Maintenance Fee $25/week, $100/4 weeks or more

Move In Date: _____/_____/______ mm/ dd /yyyy

Move Out Date:

_____/_____/_____ mm/ dd / yyyy

U.S. Support Services Inc. 10880 Wilshire Blvd., Suite 122 Los Angeles, CA 90024 USA Phone: 424-253-3169 Fax: 424 –203-6123 Email: [email protected]

USSS080816

Agent Name:

For office use only:

Application Received: _____/_____/_____ Program Start Date: _____/_____/_____

Package Options: Dance (Studio: ) (Number of Tickets: ) Yoga: _____ week(s) Music: _____ week(s) Surfing: _____ week(s) Scuba Diving: _____ week(s)



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


Mentor Language Institute

Credit Card Payment Form

Card Type:

Student Name:

Visa MasterCard

Card Number:

Expiration Date (MM/YY):

Security Code:

Billing Address:

Name on Card: Last First

(City)

(State / Province)

(Zip Code / Postal Code)

(Country)

Amount authorized to charge: US $

Card Holder’s Signature: Date:

I hereby authorize Mentor Language Institute to charge the above amount to my credit card.

Westwood Campus Hollywood Campus

Westwood Campus 10880 Wilshire Boulevard, Suite 122

Los Angeles, CA 90024 Phone: 310-887-0777 / Fax: 310-593-2499

Email: [email protected]

Last First

Hollywood Campus 6755 Hollywood Boulevard, Suite 300

Hollywood, CA 90028 Phone: 323-870-7102 / Fax: 323-488-9748

Email: [email protected]

WESTWOOD10880 Wilshire Blvd., Suite 122,

Los Angeles, CA 90024Phone: 310-887-0777 / FAX: 310-593-2499

E-mail: [email protected]

HOLLYWOOD7080 Hollywood Blvd., Suite 314

Hollywood, CA 90028Phone: 323-870-7102 / FAX: 323-488-9748

E-mail: [email protected]



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


Westwood Hollywood

Student Name: Last First

Card Type: VISA Mastercard

Card Number:

Expiration Date (MM/YY): /

Security Code:

Name on the card:Last First

Billing Address:

City

State / Province

Zip / Postal code

Country

Amount authorized to charge: US $

I herebery authorize U.S. Student Services Inc. to charge the above amount to my credit card.

Card Holder's Signature: Date:

U.S. Support Services Inc.6755 Hollywood Blvd, Suite 300

Hollywood, CA 90028Tel: 424-253-3169 Fax: 424-203-6123

U.S Support Services Inc.10880 Wilshire Blvd., Suite 122,

Los Angeles, CA 90024Phone: 424-253-3169 / FAX: 424-203-6123



+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990




+1 646 503 18 10 +44 330 124 03 17 +34 93 220 38 75 +33 1-78416974 +41 225 180 700 +49 221 162 56897 +43 720116182

+31 858880253 +7 4995000466 +46 844 68 36 76 +47 219 30 570 +45 898 83 996 +39 02-94751194 +48 223 988 072

+81 345 895 399 +55 213 958 08 76 +86 19816218990


MLI started in 2002. Since then, - Language Course

Documents

Transcript of MLI started in 2002. Since then, - Language Course