New IEP Student Orientation Registration Form Please complete this form only if you are a new student who has already been admitted to the IEP for a future session. Orientation Session/Date * - Select - Spring I - January 10, 2025 Spring II - March 21, 2025 Summer - June 6, 2025 Fall I - August 15, 2025 Fall II - October 17, 2025 First Name * Last Name * Home country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Local Street Address * Please list the address where you will live when you arrive in Lafayette. Include apartment numbers, if applicable. Postal Code * CIty * - Select - Abbeville Abita Springs Addis Aimwell Akers Albany Alexandria Ama Amelia Amite Anacoco Angie Angola Arabi Arcadia Archibald Arnaudville Ashland Athens Atlanta Avery Island Bains Baker Baldwin Ball Barataria Barksdale Basile Baskin Bastrop Batchelor Baton Rouge Belcher Bell City Belle Chasse Belle Rose Belmont Bentley Benton Bernice Berwick Bethany Bienville Blanchard Bogalusa Bonita Boothville-Venice Bordelonville Bossier City Bourg Boutte Boyce Braithwaite Branch Breaux Bridge Broussard Brusly Bunkie Buras-Triumph Bush Cade Calhoun Calvin Cameron Campti Carencro Carville Caspiana Castor Cecilia Center Point Centerville Chalmette Charenton Chataignier Chatham Chauvin Cheneyville Choudrant Church Point Clarence Clarks Clayton Clinton Cloutierville Colfax Collinston Columbia Convent Converse Cottonport Cotton Valley Coushatta Covington Creole Crowley Crowville Cullen Cut Off Darrow Delcambre Delhi Delta Denham Springs DeQuincy DeRidder Des Allemands Destrehan Deville Dodson Donaldsonville Downsville Doyline Dry Creek Dry Prong Dubach Dubberly Dulach Duplessis Dupont Duson Echo Edgard Effie Egan Elizabeth Elmer Elm Grove Elton Empire Enterprise Epps Erath Eros Erwinville Estherwood Ethel Eunice Evangeline Evans Evergreen Fairbanks Farmerville Fenton Ferriday Fisher Flatwoods Flora Florien Fluker Folsom Fordoche Forest Forest Hill Fort Necessity Fort Polk North Fort Polk South Franklin Franklinton French Settlement Frierson Galliano Garden City Gardner Garyville Geismar Georgetown Gibsland Gibson Gilbert Gilliam Glenmora Gloster Glynn Golden Meadow Goldonna Gonzales Gorum Grambling Gramercy Grand Cane Grand Cheniere Grand Coteau Grand Isle Grant Gray Grayson Greensburg Greenwell Springs Greenwood Gretna Grosse Tete Gueydan Hackberry Hahnville Hall Summit Hamburg Hammond Harrisonburg Harvey Hayes Haynesville Heflin Hessmer Hester Hineston Hodge Holden Homer Hornbeck Hosston Houma Husser Ida Independence Innis Iota Iowa Jackson Jamestown Jarreau Jeanerette Jefferson Jena Jennings Jigger Jones Jonesboro Jonesville Joyce Kaplan Keatchie Keithville Kelly Kenner Kentwood Kilbourne Kinder Kraemer Krotz Springs Kurthwood Labadieville Lacassine Lacombe Lafayette Lafitte Lake Arthur Lake Charles Lakeland Lake Providence LaPlace Larose Lawtell Lebeau LeBlanc Lecompte Leesville Lena Leonville Lettsworth Libuse Lillie Lisbon Livingston Livonia Lockport Logansport Longleaf Longville Loranger Loreauville Lottie Luling Lutcher Lydia Madisonville Mamou Mandeville Mangham Mansfield Mansura Many Maringouin Marion Marksville Marrero Marthaville Mathews Maurepas Maurice Melrose Melville Meraux Mermentau Mer Rouge Merryville Metairie Milton Minden Mittie Monroe Montegut Monterey Montgomery Mooringsport Mora Moreauville Morgan City Morganza Morrow Morse Mount Hermon Napoleonville Natalbany Natchez Natchitoches Negreet Newellton New Iberia New Llano New Orleans New Roads New Sarpy Noble Norco Norwood Oakdale Oak Grove Oak Ridge Oberlin Oil City Olla Opelousas Oscar Otis Paincourtville Palmetto Paradis Patterson Paulina Pearl River Pelican Perry Pierre Part Pine Grove Pine Prairie Pineville Pioneer Pitkin Plain Dealing Plaquemine Plattenville Plaucheville Pleasant Hill Pointe-a-la-Hache Pollock Ponchatoula Port Allen Port Barre Port Sulphur Powhatan Prairieville Pride Princeton Provencal Quitman Raceland Ragley Rayne Rayville Reddell Reeves Reserve Rhinehart Ringgold Roanoke Robeline Robert Rodessa Rosedale Roseland Rosepine Rougon Ruby Ruston St. Amant St. Benedict St. Bernard St. Francisville St. Gabriel St. James St. Joseph St. Landry St. Martinville St. Maurice St. Rose Saline Sarepta Schriever Scott Shongaloo Shreveport Sibley Sicily Island Sieper Sikes Simmesport Simpson Simsboro Singer Slagle Slaughter Slidell Sondheimer Sorrento Spearsville Springfield Springhill Starks Start Sterlington Stonewall Sulphur Summerfield Sun Sunset Sunshine Swartz Talisheek Tallulah Tangipahoa Taylor Terrytown Thibodaux Tickfaw Tioga Transylvania Triumph-Buras Trout Tullos Tunica Turkey Creek Uncle Sam Union Springs Urania Vacherie Varnado Venice=Boothville Ventress Vidalia Ville Platte Vinton Violet Vivian Wakefield Walker Washington Waterproof Watson Welsh Westlake West Monroe Westwego Weyanoke White Castle Wildsville Wilson Winnfield Winnsboro Wisner Woodworth Youngsville Zachary Zwolle E-mail Address * What is your visa type or immigration status? * - Select - F-1 J-1 R-1 H-4 L-2 TD Asylee/Refugee Humanitarian Parole Permanent Resident U.S. Citizen Other Please list visa type. * Which classes will you take? (Select all) * Grammar & Writing (9:00 - 11:30am Monday - Thursday)Reading & Listening, Speaking, & Pronunciation (12:00 - 2:20pm Monday - Thursday)All classes (9:00am - 2:20pm Monday - Thursday) Please select ALL of the classes you would like to take. Please note that F-1 students who are in the U.S. are required to take all 4 classes. Part-time enrollment is $1,000 (2 classes) and full-time enrollment is $2,000 (4 classes). When will you arrive in Lafayette? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025 Please be advised that if you arrive after the start date of orientation your enrollment may be deferred to the next session. If you already live in the Lafayette area, please enter today's date. Are you bringing a spouse or children with you? * Yes No Guests may accompany students to orientation sessions, but will not be allowed in test-taking areas. Do you have immigration documents for your spouse or children? * - Select - Yes No My dependents do not require immigration documents. If you require dependent I-20s for your spouse or children, please contact iep@louisiana.edu. Electronic Signature * By signing here, I understand that attending orientation and placement is mandatory for enrolling in the Intensive English Program at the University of Louisiana at Lafayette. Leave this field blank