Application Form for Admission
Write in English only!
You can also choose to download the application form in free Adobe Acrobat Reader format, fill it out and fax it back to us at 718-998-0602.
If you are a transfer ESL student, please read these instructions first!
Your full name:
(Please write it down exactly as you have it typed in your international passport)
First Name:
Middle Name:
Last Name:
Date of birth:
Gender:
Country of Birth:
Country of Citizenship:
Native Language:
Are you currently in the USA? Yes No
Your foreign address (in your home country):
Street:
City:
Province:
Zip Code:
Country:
Telephone:
E-mail:
 It is required!
For students currently outside the USA:
Do you need to apply for F-1 student visa?
Yes
No
Your USA address (if available):
Street:
City:
State
Zip Code:
Telephone:
For students currently in the USA
(if you are current in the U.S. and would like to change your status to F-1, you have to contact Bell Language School for consulation)  

Are you a transfer ESL student?

Yes
No
If you are a transfer ESL student, please download the transfer form.
(All forms are in Adobe Acrobat Reader file)
Transfer ESL school:
Transfer ESL school location:
Does your spouse accompany you?
Yes
No
Your spouse's name (if she/he travels with you):
Do your children accompany you?
Yes
No
Your children's names (if they travel with you):
Where