1. Knowledge LibertyOpportunity Equality
I2EC/UIDS
Application Form
First Name: ….…………………………….Last Name: ………………………………………………..
Address:…………………………….City ………………..…… Province …………………
Work Address: ……..City ……………………...Province ……………
Home Phone:……………………Cell Phone:………………Work Phone:……………
Email: …………………………………………..
Skype Name: ……………………………….
Please choose the course you want to apply for:
_____ Communicative Academic English I (Initial Academic English)
______ May 2011
______ October 2011
_____ Communicative Academic English II (Intermediate Academic English)
______ May 2011
______October 2011
7017 Lake Roberts WayArlingtonTexas76002USA www.uidsglobal.net info@uidsglobal.net

2. Knowledge LibertyOpportunity Equality
_____ Communicative Academic English III (Advanced Academic English)
______ May 2011
______ October 2011
Are you interested in the UIDS graduate programs (Master and Doctoral)?
________ Yes _________ No __________ May Be
Mail to:
www.eis2010.spss@gmail.com
Phone: T. payao081-3514479
7017 Lake Roberts WayArlingtonTexas76002USA www.uidsglobal.net info@uidsglobal.net