English Language Institute Application

For further information, contact:

Paul E. Shively - Coordinator
English Language Institute
New York Institute of Technology
1855 Broadway
New York, NY 10023-7692

(212) 261-1729

For information regarding admissions policies, application and visa, contact the Office of International Admissions:

NYIT - Old Westbury campus
Northern Boulevard
P.O. Box 8000
Old Westbury, NY 11568-8000

All applicants who require an F-1 (student) visa must submit:

  • Completed application form found below 
  • A $50 non-refundable application fee
  • New York Institute of Technology Financial Affidavit of Support (available here)
  • Proof of high school graduation
  • Copy of passport
  • If currently attending a school or college in the United States, please submit an I-20 transfer form

All applicants who require a J-1 visa should contact the Office of International Admission at 516.686.7520, or email admissions@nyit.edu.

All other applicants must submit:

  • Completed application form and a $50 non-refundable application fee
  • Proof of high school graduation

Send all materials to:

New York Institute of Technology
Office of International Admissions
Northern Boulevard
P.O. Box 8000
Old Westbury, NY 11568-8000

Personal Information

* Denotes Required Information
Important: Write your name exactly as it appears on your passport.
*Last name:
*First name:
 Middle name:
 Maiden name:
*Home address:
*Zip/Postal code:
*Home phone:
*Email address:
*Native language:
*Country of citizenship:

*Campus you wish to attend (check one):
Old Westbury

*Entrance date:

*Do you need housing information?

*Name/address of high school:
*Graduation date (MM/YYYY):
*Name of any college attended in the United States:
from - to (MM/YY-MM/YY):

International Information

*Do you currently hold a U.S. visa?

If yes, please complete the following:

Country of birth:
Visa status:
 (please submit photocopy
 with other hard-copy documents)
Passport issued by (country):

Are you currently in the U.S.?

Optional Information

For identification purposes only, we ask that you supply answers to the following:


Date of birth (MM/DD/YYYY):

Are you a U.S. citizen or permanent resident?

How did you learn about the ELI at NYIT?
Friend or relative
Ad in magazine or guide
Other (explain):

I hereby apply for enrollment for the purpose of earning a certificate in this institution.

I certify that the information supplied on the application is complete and correct to the best of my knowledge. I agree to abide by the rules and regulations of the college as set forth in the catalog of New York Institute of Technology, with which I am familiar.

NYIT does not discriminate in admissions or access to its programs and activities on the basis of race, color, national origin, religion, creed, disability, age, marital status, gender, sexual orientation, or veteran status.

NYIT provides reasonable accommodations to any person who has a temporary or permanent disabling condition. If you need to discuss an accommodation or a barrier to your full participation in NYIT programs and services, please contact: Disabilities Compliance Coordinator, Harry Schure Hall, Room 208, Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568-8000 (May not apply outside the United States).