FORM EP INSTRUCTIONS

Registrar’s Office • 51 Brattle Street, Cambridge, MA 02138-3722 • proficiency@dcemail.harvard.edu • Fax: (617) 998-8479 • summer.harvard.edu

2015 Summer English Proficiency Requirement Appeal Instructions

You may submit an English proficiency appeal for Summer School course registration only if all of the following are true:
• The TOEFL, IELTS, and PTE Academic are not available in your location.
• You have not earned a four-year undergraduate degree with at least three years completed at a college or university located in
the US, Australia, Canada, New Zealand, Republic of Ireland, or the UK, at which English is the sole language of instruction.
(Three-year undergraduate degrees from the UK will be considered upon appeal.)
• You have not completed a four-year high school education with at least three years completed at a school located in the US,
Australia, Canada, New Zealand, Republic of Ireland, or the UK, at which English is the sole language of instruction.

You may submit an appeal only if you are able to provide the following required documentation:
• Official scores from: Institutional TOEFL, the University of Cambridge Certificate of Proficiency in English (CPE), the
Cambridge Certificate in Advanced English (CAE), the Business English Certificate Higher (BEC Higher), or the Test of
English for International Communication (TOEIC, 800 or higher),
OR
• A transcript showing a minimum of one semester of graded study in courses other than English language skills at a university or
high school located in the US, Australia, Canada, New Zealand, Republic of Ireland, or the UK, at which English is the language of
instruction. A transcript from a school outside these countries, including American- or British-based schools, will not be considered.

Before submitting an appeal, please confirm your understanding of the English proficiency appeals policies:
1. Submitting an appeal does not guarantee approval.
2. The appeals process takes two weeks from the date that all materials are received.

3. Most appeals are approved for one semester only, so you will have to provide one of the minimum required test scores for future
enrollment.
4. If your appeal is approved you may still be withdrawn from courses if an instructor determines that your English proficiency is not
at the level that is required for his/her course.

5. Providing alternate proof of proficiency for course registration does not meet the English proficiency requirement for Harvard
Extension School degree program admission.

If your appeal meets these standards and you wish to submit alternate proof of English proficiency for registration in Summer
School 2015 courses, please do the following:
1. Register for the courses you plan to take this term. Your appeal will not be considered until you have registered. Your registration
or waitlist status will be conditional until a decision has been made on your appeal. If, and when, your appeal is not approved you
will be dropped from your courses for a full tuition refund.
2. Submit this form and all required documents after you register and no later than May 4 if you will request an I-20 certificate from
the Summer School, or May 18 if you will not request an I-20 certificate. Early submission is strongly advised as reviews may take
up to two weeks.
Mail: . . . . Registrar’s Office E-mail: . . . .proficiency@dcemail.harvard.edu
Harvard Summer School Fax: . . . . . . .Registrar’s Office, Harvard DCE (617) 998-8479
360-1 02.15 sum_epa.pdf

51 Brattle Street
Cambridge, MA 02138
3. Members of the Registrar’s Office meet weekly during each registration period to consider appeals. Check the status of your appeal
online: Login to online services summer.harvard.edu/login and choose Student English Proficiency Info from the main menu.

Continued on next page.

 FORM EP

Registrar’s Office • 51 Brattle Street, Cambridge, MA 02138-3722 • proficiency@dcemail.harvard.edu • Fax: (617) 998-8479 • summer.harvard.edu

2015 Summer English Proficiency Appeal Form

Please clearly print all information
FULL LEGAL NAME (exactly as printed on your government-issued photo ID)
Last/Family/Sur name(s) First/Given name(s) Middle name(s)

Konga Leonel
DCE ID NUMBER (if known) HARVARD ID NUMBER DATE OF BIRTH example: J AN 0 1 1 9 9 7

@ 00387407 or
04 21 1990
(see summer.harvard.edu/login if unsure) Month (mmm) Day(dd) Year (yyyy)
E-mail address ❏ Check here if new e-mail address

kongaleonel@gmail.com
Nation of residence (city, state if US)
Cameroon
Nation of citizenship Native language
Cameroon French
Course information. Courses for which you have registered and are submitting an appeal
5-digit course no. Subject Subject number Course title and section number, if applicable
3 1 7 9 5 ENGL S-36z Utopia and Anti-Utopia (example)

In your own words, explain why you were not able to meet the English proficiency requirement with one of the accepted English
language test scores and describe the documents you are submitting:
I___________________________________________________________________________________________________________
graduated from the university of houston english program.I’ve sent my diploma and my transcript to you by email.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Supporting documentation that you are providing

Test scores. List all tests for which score reports are being provided (e.g., institutional TOEFL)
Test Date taken Location Score
English 6C Fall 2009 UH 93
___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Transcripts. List all schools (graduate school, college, high school) for which transcripts are being provided (see instructions page for
acceptable school locations):
School Location Program List years attended Language/instruction Degrees earned

LCC Houston English Fall 2009 English6c Certificate

___________________________________________________________________________________________________________
360-1 02.15 sum_epa.pdf

___________________________________________________________________________________________________________

I certify that all of the above information is true and complete to the best of my knowledge.

Student signature KL 04/04/2015

_______________________________________________________________________ Date ____________