Application for the Intensive English Program

(English for Speakers of Other Languages)

* required fields

*Starting Date:

*Last Name:

*First Name: M.I.:

*Birthdate: *Country of Birth:

*Gender: Male Female

Permanent Address

*Street and Number:

*City: *State:

*Zip: *Country:

*Phone: Email:

Current Address

Street and Number:

City: State:

Zip: Country:

United States Social Security Number:

*Country of Citizenship:

*Visa Type:

*Reason for wanting to learn English:

University Preparation
Business
Other

*How did you learn about the IEP offering?

Please be sure to submit the International Student Financial Guarantee, Parts I and II, with this application. Either mail the documents to Admissions, OBU Box 61174, Shawnee, OK 74804-2590 or fax them to 405.878.2068.