To submit this form, fill out all required fields and ensure the information is accurate. You can submit the completed form and required documents via email to LCC@uh.edu, by fax to 713-743-3029, or mail to the Language and Culture Center, 3581 Cullen Blvd., Science Building, Suite 230, Houston, TX 77204-3014. For online submissions, visit LCC.uh.edu and follow the instructions for submission.

Important dates for this form include the application deadlines for the Spring, Summer, and Fall terms. Ensure to check the University of Houston's Language and Culture Center for specific application deadlines.

The purpose of the Language and Culture Center Application Form is to collect essential information from international students who wish to study English at the University of Houston. This form gathers personal, academic, and visa details required for processing the application. Accurate and complete submission of this form is crucial for admission consideration.

• 1. Legal Last/fName: The applicant's legal last or family name.
• 2. First/Given Name: The applicant's first or given name.
• 3. Date of Birth: The applicant's date of birth in MM/DD/YYYY format.
• 4. Gender: The applicant's gender.
• 5. Country of Citizenship: The applicant's country of citizenship.
• 6. Country of Birth: The applicant's country of birth.
• 7. First Language: The applicant's first language.
• 8. United States Citizen/Resident Status: Indicate if the applicant is a U.S. citizen or resident.
• 9. Current Location: Indicate if the applicant is currently in the United States.
• 10. Visa Type: Type of visa used to enter the United States, if applicable.
• 11. F-1 Visa Plan: Indicate if the applicant plans to enter the U.S. on an F-1 visa before starting at the LCC.
• 12. Dependents: Indicate if the applicant plans to bring dependents (spouse/children) to the U.S.
• 13. High School Graduation Date: Date of high school graduation in MM/DD/YYYY format.
• 14. Previous Application to University of Houston: Indicate if the applicant has applied to the University of Houston before.
• 15. Current Study Status: Indicate if the applicant is currently studying at another school in the U.S.
• 16. Future Study Plans: Indicate if the applicant plans to study at an American university after language training.
• 17. Degree Plan: Type of degree the applicant plans to earn after language training.
• 18. Field of Study: The major or field the applicant plans to study for their degree.
• 19. Study at University of Houston: Indicate if the applicant plans to study at the University of Houston after language training.
• 20. Current Address Outside the U.S.: The applicant's current address outside the U.S. (Required for F-1 students).
• 21. United States Mailing Address: The applicant's U.S. mailing address (for students currently in the U.S.).
• 22. Personal E-mail Address: The applicant's valid personal e-mail address.
• 23. Information Validation: Signature and date to validate the information provided.
• 24. Permission Release Form: Section for authorizing someone to access application status and information.

Failure to submit this form may result in your application not being processed. This means you may not be considered for admission to the Language and Culture Center.

• Missed Deadline: Not submitting the form by the deadline may result in missing the opportunity to study at the desired term.
• Incomplete Application: An incomplete application may not be processed, delaying your admission decision.
• Visa Issues: Failure to provide required visa information can lead to issues with obtaining the necessary study visa.

• 1. New Students: All new international students applying to study English.
• 2. Visa Applicants: Students who need to provide visa information for their application.
• 3. Dependents: Students who plan to bring their spouse and/or children while studying.
• 4. Future Degree Seekers: Students who plan to continue their studies at an American university.
• 5. Returning Applicants: Students who have previously applied to the University of Houston.