Online Application Form
Please choose which Session you would like to attend the Michigan Language Center.
Name: *
Name:
Birthday: *
Birthday:
Please write your birthday in the MONTH / DAY / YEAR format.
Student's Address in Home Country: *
Student's Address in Home Country:
Do you need the Form I-20? *
Mailing Address for Form I-20 (if different):
Mailing Address for Form I-20 (if different):
Dependents
Do you have any Dependents? *
A Dependent is a husband, wife, or child, that will accompany you to the United States.
How many Dependents are accompanying you to the United States?
Contact Information
Phone Number *
Phone Number
Fax Number
Fax Number
Statement of Financial Responsibility
I understand that the tuition at the Michigan Language Center is $1,250.00* for each five-week session, and books cost approximately $150.00 per session. Living expenses are estimated to be approximately $2,300.00 for each five-week session. Therefore, an intensive student at the MLC should have at least $3,700.00 available to him or her for each five-week session of study to pay for tuition, books and living expenses. I agree to be responsible for these expenses. I also understand that the Michigan Language Center will notify the Immigration and Naturalization Service if a student arrives in the United States without adequate funds or if a student does not maintain his or her student status by studying full time.
I understand that the tuition at the Michigan Language Center is $1,250.00* for each five-week session, and books cost approximately $150.00 per session. Living expenses are estimated to be approximately $2,300.00 for each five-week session. Therefore, an intensive student at the MLC should have at least $3,700.00 available to him or her for each five-week session of study to pay for tuition, books and living expenses. I agree to be responsible for these expenses. I also understand that the Michigan Language Center will notify the Immigration and Naturalization Service if a student arrives in the United States without adequate funds or if a student does not maintain his or her student status by studying full time.
Payment Information
Do you give the MLC permission to charge the $100.00 non-refundable application and registration fee? *
The MLC will not begin processing any application until the $100.00 non-refundable application and registration fee has been paid.
Please enter your 16-digit credit card number.
Please enter your card's expiration date and 3-digit card verification number.
I understand that the Application and Registration Fee is Non-Refundable.
I understand that the Application and Registration Fee is Non-Refundable.
Today's Date
Today's Date
REMINDER *
I understand that I need to send a copy of my passport and a copy of my financial information (bank statement or financial guarantee) to the MLC by email: mlc-usa@att.net or by fax: 734-663-9623. I understand that the MLC cannot begin processing my Form I-20 until the MLC has received these documents.