Please c
heck the semester you wish to begin attending the Towson Univesity English Language Center (ELC):
Please c
heck the course(s) you wish to take:
Intensive Academic Part-time class. Specify the classes: ___________________________________
Accent Modification (Wednesday evening, 6:30pm – 8:30pm)
Name: __________________________________________________________ Male Female
Last name/Family name First name
US Address: _______________________________________________________________________
Street name and number Apartment number
________________________________________________________________________
City State Zip Code
E-mail: ____________________________ Telephone: _______________________________
Date of Birth: __________________________ Country of Birth: __________________________
Month / Day / Year
First Language: ______________________ How many years have you studied English?: ____
Marital Status: Married Single TOEFL/IELTS Score: ______________________
Please check your status from the list below:
U.S. citizen U.S. Permanent Resident B-1 B-2
.
J-1 J-2 Other ________________________
please specify
Part-Time Application, TOEFL, Accent Modification, and Directions
(All documents except fee payments can be scanned and e-mailed to the Towson ELC):
1. Complete the application form below.
2. Check the box for the class you plan to take.
3. Submit a copy of your passport, visa and/or other official identification.
4. Submit a non-refundable application fee payable to “Towson University” (Payments can be made by check or by
credit card if done in person):
$50 for Intensive Academic Classes
$25 for TOEFL or Accent Modification
Fee payments can be sent to:
English Language Center
Towson University Tel: 410-704-2552 E-mail: elc@towson.edu
8000 York Rd. Fax: 410-704-2090 Web: www.towson.edu/elc
Towson, MD 21252-0001 USA Skype: TowsonELC
IELTS (Tuesday and Thursday 3:30pm - 5:00pm)
TOEFL (Tuesday and Thursday evenings, 6:30pm - 9:00pm)
