Application

Application

2021-2022
Please check the session you want to begin:*

Fall 2021 (August 9-December 3)Spring 2022 (January-April)
What type of admission do you want?*

English classes onlyConditional Admission to Georgia Southern University (After you complete the English Language Program, you want to study for a bachelor's degree. Conditional Admission is only for students who have never studied at a university. )
Write your name exactly the same as on your passport. You must provide a copy of your passport.
Full Name*

First NameMiddle Name(s)Surname/Family/Last Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Country of Birth*
Country of Citizenship*
Visa

I am planning to apply for a student visa (F-1).I already have a student visa (F-1). (Transfer only)I am a United States resident/citizen.I have a B1/B2 visa. (part-time study only)Other
Address (in your home country) If your country doesn't have a postal/zip code, enter 0)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Your Email*
Please check your email address.
Person to contact in case of an emergency
Name*

First NameLast Name
Phone Number*

Country CodeArea CodePhone Number
Relationship*

Agreement
**I understand that by signing this application that all the information provided is correct and true to the best of my knowledge. I understand that, without my signature and application payment, this application is considered incomplete and will not be considered for admission purposes.
Please pay the $50 non-refundable application fee now.
*

I agree
Applicant's Electronic Signature:*
First / Last name
Date

MonthDayYear
Should be Empty:

Education