Leaver to Stayer Request

Leaver to stayer information:

Who is a leaver?
A leaver is a student that is leaving the ELI and will not return.
A leaver is a student that will not take ELI classes for 6 months or more.

Who is a stayer?
A stayer is a student that is taking ELI classes next session.
A stayer is also a student who within the next session is traveling, taking vacation or leave of absence, and will take ELI classes again in less than 6 months.

Important: If you have already submitted a Departure Form, then we cannot change your status back to "stayer". Submitting your Departure Form means that OISS has already adjusted your SEVIS record and this cannot be changed. Contact oiss@udel.edu for more information.

STUDENT INFORMATION

First Name

Middle Name

Last Name

Birthdate (Month, Day, Year)

UDID (University of Delaware Student ID Number)

UD email Address **Note: Please do not enter a Hotmail address. Hotmail sometimes blocks messages from us.** The ELI Registrar's Office cannot be held responsible for messages sent to hotmail that are not received.

Are you a CAP (Conditional Admissions Program) or AT (Academic Transitions) student?

Yes

No

Are you an F1 Visa holder?

Yes

No

Are you a sponsored student?

Yes

No

Who is your sponsor?

ABOUT YOUR PLANS:

I have changed my mind. I still want to be an ELI student next session. (Check this box even if you want to travel or take vacation next session).

YES!

Are you going into Levels 4, 5 or 6?

Yes

No

How do you want to be billed?

Please bill me for one session.

Please bill me for two sessions, with a discount.

I have already paid for two sessions.

I am a sponsored student. Please bill my sponsor (like SACM, Turkish Mission, for example)

WHAT CLASSES WOULD YOU LIKE TO TAKE NEXT SESSION?

Please choose the courses you would like to take next session.

**Assume that you will pass your current classes.**

As a CAP student, you will be enrolled in the Full Intensive Program (FP), which includes classes, tutoring, labs for 28 hours per week.

As a sponsored student, you will be enrolled in the Full Intensive Program (FP), which includes classes, tutoring, labs for 28 hours per week.

As a sponsored CAP student, you will be enrolled in the Full Intensive Program (FP), which includes classes, tutoring, labs for 28 hours per week.

Listening/Speaking Class - 1st Choice:

Listening/Speaking Class - 2nd Choice:

Reading/Writing Class - 1st Choice

Reading/Writing Class - 2nd Choice:

Undergraduate students only. This course is preparation for ARSC150 (for AT students) but other undergraduate students may take it, too.

ARSC150 is the first half of a 4-month Academic Transitions course. It is only open to undergraduate AT students.

Signature

I have chosen to stay at the ELI no matter whether I meet CAP/AT requirements or not.

By signing, I am authorizing the ELI to bill my account for tuition and fees. I understand that no changes or refunds can be made after the start of next session. I certify that everything on this form is true and correct.