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Contact Us!

Institute of Intensive English
2155 Kalakaua Ave. Suite 700
Honolulu, HI 96815 [ MAP ]
Tel: 808-924-2117
Fax: 808-924-3227
iiemahalo@hawaii.rr.com
www.studyenglishhawaii.com

Online Application Form

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We will contact you within 1 business day.

Student Information

First Name:
Middle Name:
Last Name:
Date of Birth:
Country of Birth:
Country of Citizenship:
Gender:	Male Female

Current Address & Contact Information

Street:
City:
State/Province:
Postal Code:
Country:
Phone:
E-mail:

Address in Hawaii (if known)

Street:
City:
Postal Code:
Phone:

Emergency Contact

Name:
Phone:
Relationship:

VISA Information

Type of Visa:

For F1 Visa, please read this

If other, please explain:

PROGRAM Information

Start Date:	*Start on any Monday \| School Calendar
End Date:	*End dates are Fridays

English Program:

Other Information

Have you studied at IIE before?
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How did you hear about IIE?

If other, please explain:

Are you transferring from another school?
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If yes, which school?

Do you need accommodation?
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If yes, please select the types of housing you are interested in:
Condo / Apartment Homestay
Shared Student House Student Residence (Hana)

Airport Transportation

If you need transportation to or from the airport, please select:

Flight Arrival (If Known)

Airline:
Flight Number:
Date of Arrival:
Time of Arrival:	:

Flight Departure (If Known)

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Flight Number:
Date of Departure:
Time of Departure:	:

Confirmation

I have read and agree to IIE’s Cancellation & Refund Policies.
Yes <--- You must agree to IIE's Cancellation & Rufund Policies in order to continue.
No

When IIE receives your Application, IIE will send a confirmation and further instructions within 1 business day.