Student Application

Student Application

UCEDA INTERNATIONAL
Applicant Name
Date

MonthDayYear
Today's Date
Date of Birth

MonthDayYear
Month-Day-Year
Age
Gender
Home Country Address

Street Address

Street Address Line 2

CityState / Province

Country of ResidencyCountry of residence
Country of citizenship
U.S. Address

Street Address

Street Address Line 2

CityState

Zip Code
Address simple

PROGRAM INFORMATION
Desired Location
Start Month (subject to change if needed)
Duration of Study
Extension may be requested if needed.

My level of English: (estimated)

1

2

3

4

5

1 is Basic, 5 is Advanced
My highest education level
I completed college or university in:
Country of education
Placement Test Required
If you earned a degree in an English-speaking country, a letter of recommendation may be required. You must confirm your level of English before admission.

Take a free placement test
My current school
Transferring to UCEDA is fast and easy!

TRAVEL HISTORY
Is this your first time traveling to another country?
First time to the USA?
*Please explain any past travel to the USA when you overstayed your visa.
My current visa status
Date of entry to the USA

MonthDayYear
Date

F-2 DEPENDENTS
Do you have a spouse, child, or children traveling with you?
Any dependents under age 16 years?
*Regulations may require children to attend school while in the United States
Where will the child/children attend school?
Name of child's school in the U.S. (if available)

Do you have any other family in the USA?

Attestation
UCEDA rep who helped you
PSD Base String
PSD Day 1
PSD First of Month
PSD Date Picker 1

MonthDayYear
Date
PSD Monday

MonthDayYear
Date
PSD Monday String
PED Month Calc
PED Month Adj
PED Year Adj
PED Date Picker 1

MonthDayYear
Date
Program Start Date:

MonthDayYear
Program End Date:

MonthDayYear
Days Since Entry in USA
Entry Restricted

Thank you for your interest in studying at UCEDA.

Unfortunately, we cannot accept your application at this time.

For more information, please visit:

U.S. Department of State: Visa News
Please Try Again Later!

Thank you for your interest in studying at UCEDA.

Unfortunately, we cannot accept your application at this time.

Please begin your application after 90 days from your entry to the United States
I acknowledge and confirm the following:
- I seek to enter the United States temporarily and solely for the purpose of pursuing a full-time course of study at UCEDA International.
- I maintain a foreign residence which I do not intend to abandon.
- I have sufficient financial resources to support myself for the full duration of my course of study.
- I certify that the information provided above is accurate, and that it is my information as an applicant to study at UCEDA International.
- I have read and understand the school policies regarding registration, withdrawal, tuition, fees, and refunds, available at: www.uceda.edu/policies
I certify that the information provided above is accurate, and that it is my information as an applicant to study at UCEDA International. I have read and understand the school policies regarding registration, withdrawal, tuition, fees, and refunds, available at: www.uceda.edu/policies
Should be Empty:

Rows	Full Name	Age	Spouse	Child
1
2
3
4
5
6

Student Application

Questions for the F-1 Visa Interview

Preparing your case

Financial Responsibility

Attestation

Entry Restricted

Please Try Again Later!