NEW YORK INSTITUTE OF TECHNOLOGY
English Language Institute

All applicants who require an F-1 visa must submit the following to the
Old Westbury Admissions Office: PO Box 8000, Old Westbury, NY 11568-8000:

1. Completed application form and a $50 non-refundable application fee
2. New York Institute of Technology "Financial Affidavit of Support"
3. Bank statement with the name of sponsor (affidavit for current minimum amount)
4. Proof of high school graduation
5. TOEFL score (if taken)
6. Transfer Evaluation Form and official transcript if attending a school or college in the U.S.

All other applicants must submit:

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

For further information call: 1-800-345-NYIT or FAX to: 516-686-7613
 PERSONAL INFORMATION
Family name:
First name:
Middle name:
Maiden name:
Street address:
Address (cont.):
City:
State/Province:
Country:
Zip/Postal code:
Home phone:
E-mail
Campus you wish to attend: Old Westbury Manhattan
Entrance date: Fall Spring Summer
Year:
Native language:
Country of citizenship:
Years of English studied:
 OPTIONAL INFORMATION
Sex:  Male Female
Date of birth (00/00/00):
For identification purposes only, may we ask that you supply the answers 
to the following:

The following information is required in order to complete statistical data
in compliance with non-discrimination requirements. Please check the one 
that describes you:
American Indian or Alaskan Native
Asian or Pacific Islander (including Indian subcontinent)
Black (non-Hispanic)
Hispanic (including Puerto Rican)
White, Anglo, Caucasian (non-Hispanic)
Other
If "Other", please describe:
Name/Address of high school:
Graduation date (mn/yr):
Name of any college
attended in the U.S.:
From - To (mn/yr):
 INTERNATIONAL INFORMATION
Are you an international student who requires an I-20 to attend NYIT?: Yes No
If Yes, please complete the following:
Country of birth:
Temporary Visa status:
Passport issued by (country):
Are you currently in the U.S.?Yes No
Have you taken TOEFL? Yes No 
Date (mn/yr):
Do you require housing? Yes No
I hereby authorize New York Institute of Technology to release information concerning admission status and/or any scholarship that may be awarded to any high school or college which I may have previously attended:
Yes No
ATTENTION: please submit only once