(Month/Day/Year)

DATE you want to begin

studying at PELA
Please see Page 1 for a list of Start Dates

Number of MONTHS
you want to study at PELA
SCHOOL APPLICATION FORM
FIRST NAME: What program
FAMILY NAME: do you want?
IMPORTANT: PLEASE WRITE YOUR NAME EXACTLY HOW IT APPEARS ON YOUR PASSPORT
2018 term start dates
Email Address:

2018
Placement Test
F-1 visa status programs Term Start + End Dates
& Orientation Dates
Gender: □ Male □ Female Birth Date: (Month/Day/Year)
Intensive English
Country of Passport: Phone Number: 01/02/18 - 01/26/18 01/02/18
PHONE # REQUIRED TO MAIL I-20 DOCUMENTS □ Intensive English
□ Academic English 01/29/18 - 02/23/18
Mailing Address (Required to send I-20 documents) Address in your Home Country
01/25/18
□ Intensive IELTS
02/26/18 - 03/30/18 02/22/18
Non-F-1 visa status programs
contents
Front Page 04/02/18 - 04/27/18 03/29/18
Semi-Intensive English  Term Start Dates
04/30/18 - 05/25/18 04/26/18
□ Semi-Intensive English  School Holiday Schedule
visa information 05/29/18 - 06/22/18 05/24/18
Add-on Courses Page 2
What is your Visa Type? Do you have an entry visa now?  Program & Class Information
□ Student □ YES □ TOEFL 06/25/18 - 07/27/18 06/21/18
 Program & Class Prices
□ Vistor □ NO □ IELTS
□ Visa Waiver If “YES”, when does it expire? □ TOEIC 07/30/18 - 08/24/18 07/26/18
Page 3
□ OTHER (Month/Day/Year)
□ Volunteer  How to Apply to PELA
08/27/18 - 09/21/18 08/23/18
Are you transferring from another school in the United States?  Housing Information
You can sign up for more
□ YES, Name of School: than one Add-on Course.  Payment Options 09/24/18 - 10/19/18 09/20/18
□ NO  Discounts & Promotions
10/22/18 - 11/16/18 10/18/18
HOUSING APPLICATION Back Page
IMPORTANT HOUSING INFORMATION: To apply for housing, answer all questions below. PLEASE NOTE: housing placement is NOT  Program & Class Application 11/19/18 - 12/14/18 11/15/18
guaranteed. All required housing fees and the applicant’s flight information MUST be received BEFORE we begin the housing  Housing Application
placement process. It usually takes 2-3 weeks to complete the housing placement process. For the best chance of placement,
apply at least 6 weeks prior to your Start Date. 2018 school holiday schedule
Number of MONTHS homestay placement questionnaire
PELA will be closed on the following holidays and breaks:
you want housing
Can you live with: Do you smoke? □ Yes □ No
1. Which type of housing do you want? WINTER BREAK: 12/16/17 — 01/01/18
young children? □ Yes □ No
□ Homestay dog? □ Yes □ No
Monday, January 15th Martin Luther King, Jr. Day
How would you like to spend most of your time? Monday, February 19th Presidents Day
□ Student House cat? □ Yes □ No □ With Host Family
vegetarian family? □ Yes □ No SPRING BREAK: 03/17/18 — 03/25/18
□ Student Apartment □ With Friends
Monday, May 28th Memorial Day
□ Alone
Wednesday, July 4th Independence Day
2. If your first choice is “Student House”, are What are your interests? SUMMER BREAK: 07/14/18 — 07/22/18
you okay with a Homestay if no room is Monday, September 3rd Labor Day
available in the Student House? Are you allergic to anything? Monday, October 8th Indigenous Peoples’ Day
□ Yes Thursday, November 22nd Thanksgiving Weekend
□ No Do you have any medical problems? Friday, November 23rd Thanksgiving Weekend

Receive a 5% DISCOUNT on tuition when you

pay for 2 terms (8 study-weeks)!
save money on tuition! Receive a 10% DISCOUNT on tuition when you Portland English Language Academy • 2007 Lloyd Center, Portland, Oregon 97232 U.S.A.
pay for 3+ terms (12+ study-weeks)! Phone: 503-226-1656 • Email: apply@PortlandEnglish.edu • Web: www.PortlandEnglish.edu
 2018 TUITION & FEES HOW TO APPLY
SCHOOL APPLICATION FEE ........................$45 Applying to PELA is easy!
Add a test preparation
TO APPLY AS A
Choose one of these English programs or volunteer class! to apply
NEWas F-1
a new f-1 student
STUDENT to apply as a non f-1 student to transfer from another school

Provide the following to make your I-20: Provide the following: Provide the following to transfer your I-20:
• School Application Form (online or • School Application Form (online or • School Application Form (online or
intensive english toefl preparation paper) paper) paper)
Intensive English is a 4-week
program available to students
• $45 School Application Fee • $45 School Application Fee • $45 School Application Fee
30 program hours per week, which includes: +5 class hours per week
with an F-1 (student) visa • Copy of Passport • Copy of Passport • Copy of Passport and Visa
• 20 hours of Classroom Instruction
4 weeks 8 weeks 12+ weeks • Bank Statement or Financial • Bank Statement or Financial
• 10 hours of Conversation Group & Tutoring
(1 Term) (2 Terms) (3+ Terms) Guarantee Guarantee
4 weeks 8 weeks 12+ weeks • Express Mail Fee (varies by country, • Transfer Request Form (to be
(1 Term) (2 Terms) (3+ Terms) $150 $142 $135 contact PELA for fee information) completed by your current school)
per term per term
$995 $945 $895 5% Discount! 10% Discount!
✓Cash ✓Online Payment ✓Wire
per term per term + one-time $30 book fee payment options ✓Credit Card ✓Travelers Check ✓Check
5% Discount! 10% Discount!

ielts preparation HOUSING

academic english
Academic English is a 4-week +5 class hours per week Please note that housing placement is not guaranteed. We require payment of all the required housing fees and re-
30 program hours per week, which includes: program available to students
with an F-1 (student) visa 4 weeks 8 weeks 12+ weeks ceipt of the students arrival information before we begin the housing placement process. Housing placement can
• 20 hours of Classroom Instruction take between 2 to 3 weeks. Please apply for housing as early as possible for the best chance of being placed.
(1 Term) (2 Terms) (3+ Terms)
• 10 hours of Conversation Group & Tutoring
4 weeks 8 weeks 12+ weeks $150 $142 $135 For more information, visit the PELA website
(1 Term) (2 Terms) (3+ Terms) per term per term or email apply@portlandenglish.edu . HOMESTAY
5% Discount! 10% Discount!
$995 $945 $895 + one-time $35 book fee HOMESTAY RENT ............................. $650
per term per term Per Month
5% Discount! 10% Discount! (includes 2 meals per day)
toeic preparation
housing fees
+ one-time $80 book fee
HOUSING PLACEMENT FEE ............ $125
+5 class hours per week STUDENT HOUSE
semi-intensive english 4 weeks 8 weeks 12+ weeks The Housing Placement Fee is NOT
Semi-Intensive English is a 4-week (1 Term) (2 Terms) (3+ Terms)
Refundable. Required for all Homestay & SINGLE ROOM RENT ...................... $720
27 program hours per week, which includes: program available to students Student House placements. Per Month
• 17 hours of Classroom Instruction without an F-1 (student) visa
$150 $142 $135 (+ $25/month if staying less than 3 months)
• 10 hours of Conversation Group & Tutoring per term per term
5% Discount! 10% Discount!
AIRPORT PICK-UP FEE ....................... $25 SECURITY DEPOSIT ......................... $250
4 weeks 8 weeks 12+ weeks One-time Fee One-time Fee
(1 Term) (2 Terms) (3+ Terms) + one-time $35 book fee
Required for all Homestay placements. The The Security Deposit is 100% Refundable at
$945 $897 $850 Airport Fee is refundable. move out.
per term per term volunteering
5% Discount! 10% Discount!
CLEANING FEE ................................. $50
+2-4 hours of Volunteering per
4 weeks HOUSING DEPOSIT ......................... $300 One-time Fee
week (1 Term)
+1 hour Volunteering & Culture Required for all Homestay & Student House The Cleaning Fee is NOT Refundable.
class per week $25 placements. The Housing Deposit is
refundable if housing is canceled 15 days
intensive ielts Intensive IELTS is a 4-week before arrival to Portland. STUDENT APARTMENT
35 program hours per week, which includes:
program available to students Take the Intensive IELTS for
with an F-1 (student) visa The $300 Housing Deposit is pays for part of PELA can provide you with information on the
• 20 hours of English Skill Building Classes 3 consecutive months.*
first month of Homestay rent or to the application process for renting an apartment in
• 5 hours of IELTS Test Preparation Student House Security Deposit & Upkeep Portland.
Then take the official IELTS Fee.
• 10 hours of Conversation Group & Tutoring test within 1 month after Visit portlandenglish.edu/housing/student-
4 weeks 8 weeks 12+ weeks Increase your IELTS your last Intensive IELTS apartments/ for information on cost and how to ap-
class. ply.
(1 Term) (2 Terms) (3+ Terms) test score with the
$1145 $1087 $1030 Intensive IELTS If you don’t increase your If you need help applying to rent an apartment, you
program, IELTS score by 1 point from will need to pay the Housing Placement Fee ($125).
per term per term *Requires 95% attendance your last test, PELA will re-
5% Discount! 10% Discount! GUARANTEED!* over a 3-month period
fund you for your last test! Portland English Language Academy • 2007 Lloyd Center, Portland, Oregon 97232 U.S.A.
+ one-time $35 book fee Phone: 503-226-1656 • Email: apply@PortlandEnglish.edu • Web: www.PortlandEnglish.edu