ELI Online Application Form

  • PERSONAL DATA

    *Required information
  • Name * Required
  • Address * Required
  • International Phone
  • International Phone
  • ENROLLMENT

    *Required information
  • Do you want to apply for our ON-LINE program? If so, click one choice below:
  • Applicants for On-Line courses do not complete below this line
  • ACCOMMODATIONS ON CAMPUS

  • Please arrange on-campus accommodations:
  • If "Yes", please indicate your room preference:
  • Roommate Preference:
  • HEALTH INSURANCE

  • Please enroll me in Pine Manor College Medical Insurance
  • AIRPORT TRANSFERS

  • Please arrange transportation to/from the airport
  • Arrival

  • INTERNATIONAL COURIER SERVICE

  • Please send documents by express mail (ex:FedEx):
    Payment of the courier fee is required if an I-20 form is requested less than six (6) weeks prior to the start date.
  • By submitting this form, I have read and agree to the terms and conditions of enrollment, including the cancellation, withdrawal, and refund policy outlined on page 2 of the application. I authorize PMC to take appropriate action in the event of a medical emergency and understand that I am responsible for all medical expenses.