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Alumni and Friends
School of Education
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When do you plan to begin?
Special Arranged Term
Permanent Mailing Address
Country of Birth:
Country of Citizenship:
Date of Birth:
Confirm Email Address:
Do you plan to live on campus(housing)?
Length of time housing is needed:
Most recent TOEFL / IELTS (if available):
Years of English Studied:
Name of Secondary School (High School):
Country of Secondary School:
Kentucky Acquaintance (If applicable):
How did you hear about this IESL Program?
Campbellsville University Web Page at Center for International Education/CIE
Campbellsville University IESL Program Korean Web Site or Facebook
Campbellsville University Professor or Staff
Agency or Campbellsville University IESL Program advertising brochure
Friend or Relative
Another School or a Campbellsville University IESL Program Student
Have you ever been convicted (determined guilty) of a criminal act?
If you selected "yes" above, please explain it: