| Personal Information |
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| This Section Required |
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Last/Family Name
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First/Given Name
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Middle Name (optional)
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Address Line 1
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Address Line 2 (optional)
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City
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State Code
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Country
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Country of Citizenship
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Country of Birth
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City of Birth
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Date of Birth (MM-DD-YYYY)
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Please indicate your gender:
Male
Female |
Please indicate your marital status:
Single
Married |
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| Conditionally Accepted Students |
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I have been conditionally accepted into a graduate program at Florida State university.
Yes
No
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Name of graduate department that you have been accepted to:
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Family Information
If you plan to bring your spouse and/or children, please give their full names, as well as dates and places of birth. |
| Spouse's Information |
* As it appears on passport. |
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Last/Family Name of Spouse*
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First/Given Name of Spouse*
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Country of Citizenship of Spouse*
Country of Birth of Spouse*
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Date of Birth of Spouse
(MM-DD-YYYY)*
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Children's Information |
* As it appears on passport. |
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Last/Family Name of Child 1*
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First Name of Child 1*
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Citizenship of Child 1*
Country of Birth of Child 1*
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Date of Birth of Child 1
(MM-DD-YYYY) *
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Last/Family Name of Child 2*
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First Name of Child 2*
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Citizenship of Child 2*
Country of Birth of Child 2*
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Date of Birth of Child 2
(MM-DD-YYYY) *
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Last/Family Name of Child 3*
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First Name of Child 3*
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Citizenship of Child 3*
Country of Birth of Child 3*
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Date of Birth of Child 3
(MM-DD-YYYY) *
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Last/Family Name of Child 4*
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First Name of Child 4*
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Citizenship of Child 4*
Country of Birth of Child 4*
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Date of Birth of Child 4
(MM-DD-YYYY) *
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Last/Family Name of Child 5*
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First Name of Child 5*
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Citizenship of Child 5*
Country of Birth of Child 5*
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Date of Birth of Child 5
(MM-DD-YYYY) *
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| Sponsored Students |
Name of Sponsor:
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Relationship to Student (Parent, Friend, Employer, etc.):
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| CIES should send admission papers to: |
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Use same address as above. |
First Name
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Last Name
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Address Line 1
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Address Line 2
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City
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State Code
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Country
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| Additional Contact Info |
Telephone Required
(Please Include Country Code:
Example: +39 06-4362-1234) |
Email Address Required
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Fax (optional)
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| Please enroll me in the following sessions (Please check all of the sessions that you plan on attending): |
| 2012 |
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A. Spring I January 5 - February 24 |
C. Summer I April 30 - June 17
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E. Fall I August 23 - October 12 |
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| B. Spring II February 27 - April 20 |
D. Summer II June 21 – August 10 |
F. Fall II October 15 - December 7 |
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| 2013 |
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G. Spring I January 3 - February 22 |
I. Summer I April 25 - June 14 |
K. Fall I August 22 - October 11 |
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H. Spring II February 25 - April 19 |
J. Summer II June 20 – August 9 |
L. Fall II October 14 - December 6 |
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Fees: Full-time students will pay the following tuition and fees, plus health insurance:
Tuition Fee includes all books, photocopies. FSU ID Cards and student Activities
Application Fee…………………………………………………………......$120.00 (includes express shipping)
(Send in with this application)
CIES Tuition per session ……………………......…………………....…. $1,950.00
The application fee may be paid by an international bank money order in US Currency or U.S. bank check
for $120.00 U.S. made payable to Florida State University.
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Required
*You must enter the two words in the box to the right, separated by a space, to submit your form to CIES. This helps us prevent spam and proves that a real person is entering the information required in this form. If you cannot read the words, refresh them by clicking the REFRESH (REPLACE THIS) icon.
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