WINTER TERM 2018 APPLICATION

UMEI 028V: Vocabulary

January 2 to January 19, 2018 *4 days a week, Tuesday to Friday

Application Deadline: Nov. 27, 2017

With this form you MUST submit: A non-refundable tuition deposit of $250.00 by cash or check payable to the Maryland English Institute.

1. Today’s date: Month Day Year

2. Gender: Male Female

First name:

Middle name (Initial):

Family Name:

3. UID number:

4. Local phone:

(Area code)

5. Visa type: F-1 J-1 Permanent Resident Other (specify):

6. Student Expenses per Course:

Tuition deposit: $250.00 (non-refundable) Remaining tuition: $476.00 University Mandatory Fee: $92.00 (per term) Total tuition and fees: $818.00 *Note 1: Tuition and fees must be paid by January 2, 2018 *Note 2: Textbooks and materials are included in the tuition cost.

7. Financial Resources: (please select one)

a. Personal Savings b. Sponsor

(If using this option you must present the Financial Guarantee on the first day of classes)

Signature of Applicant Date