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Paso 1 de 4 - PERSONAL INFORMATION

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Given Name*
Name as it appears on your passport (in English letters)
Family Name*
Date of Birth*
You must be 18 years of age before your first day of class.
Formato de fecha:MM barra DD barra AAAA
Gender on Passport*
- Female
- Male
- Other
Country of Citizenship*
Country of Birth*
City of Birth*
What is / will be your visa type?*
- F-1 Student
- B-2 Tourist
- Visitor Stamp (ESTA)
- F-2
Are you transferring to ALPS from a school in the USA?
- si
- No
Do you have a government sponsor or scholarship?
- si
- No
Have you previously studied at ALPS?
- si
- No
Medical Insurance
$140 per 4-week session. MEDICAL INSURANCE IS REQUIRED FOR F-1 VISA STUDENTS.
*
- I will pay for the medical insurance offered through the school.
- I have purchased medical insurance elsewhere and I will not buy my medical insurance from ALPS.
How did you hear about ALPS? (friend, Google, social media, etc.)

Which course will you attend?
All courses and prices listed are for 4 weeks. All prices subject to change without notice.
Full-time Courses and Tuition*
Part-time Courses and Tuition (Not for F-1 student visa)*
How long will you study?*
How many weeks?
When do you want to begin classes?*
When do you want to begin classes?*
ALPS has official start dates every 4 weeks, but you can start class on most Mondays.
Formato de fecha:MM barra DD barra AAAA
What are your English goals?*
Please briefly describe the goal of your study. Why are you studying English?

Email*
Introduce un email Confirmar email
Teléfono*
Home Country Mailing Address
Address*
Dirección Dirección 2 Ciudad Estado / Provincia / Región ZIP / Código Postal País
Mailing Address in the USA (if known)
Address
Same as above

Dirección Dirección 2 Ciudad Estado / Provincia / Región ZIP / Código Postal País
Emergency Contact
Whom should we contact in an emergency?
Emergency Contact Name*
Nombre Apellidos
Emergency Contact Email*
Teléfono*

This certification must be accepted or rejected by checking on "I agree" or "I disagree." Agreeing means you understand and agree with the following terms:
First and Last Names*
Consent*
I hereby apply for admission to ALPS Language School.
I certify the statements I have made on this online application are correct and complete. Further, I have read and understood the cancellation and refund policy and I agree to make payment of all due amounts.
Today's Date*
Formato de fecha:MM barra DD barra AAAA
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ALPS Language School

430 Broadway E
Seattle, WA 98102
Estados Unidos

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