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Applications

Click here for Printable Application

I would like to enter the English as a Second Language Program at Gwynedd-Mercy College for the following sessions (check all that apply):

 
Fall       Spring
 
First Name:  
Middle Name: 
Last Name:   
   
Permanent Home Address:
  Apt./P.O. Box #:
City or Town:
State/Province:   Area Code:
Country:
Telephone #:
E-mail Address:
   

     
Date of Birth:   Place of Birth:
Country of citizenship:
Marital Status: Single Married
Sex:  Male Female
   

   
Visa - student I-20: Have Need
If you are already in the United States, which visa do you have? F1 F2 B1 B2 Other
   
Have you studied English before? Yes No    If yes, how long? 
   
Are you planning to enter GMC after PACE? Yes No    If yes, you will study? 
   
How did you learn about Gwynedd-Mercy College?
   

   
Your address in the United States?
   
Street:
State:   Zip: 
US Phone Number:
Social Security Number:
Do you want to live on campus? Yes No
If yes, you must have health record with dates of immunizations. The Gwynedd-Mercy College form will be enclosed with I-20.
   

   
Student Health Insurance plan is mandatory for all international students.
   
Financial Obligations
The United States Consulate/Embassy WILL ASK FOR PROOF OF YOUR ABILITY TO MEET COSTS of education and living in the United States. Gwynedd-Mercy College will accept copies of financial documents. (Affidavits of support or bank statements are also acceptable.)