Print off and fill in this form. Send or drop off the form at: English Language Program, 205 Fairchild Hall.
If you have questions, please contact us at: elp@ksu.edu
Name (Family, First, Middle):_______________________________________________________
Visa type:______________________________________________________________________
Date of arrival: __________________________________________________________________
Sponsoring department or agency: ___________________________________________________
Semester of enrollment:____________________________________________________________
Class desired:___________________________________________________________________
Reasons for wanting to take the class:_________________________________________________
Date received: ______________________