FIU - ELI - Required Registration Documents

• Student and Emergency Contact Sheet
• Payment, Refund, and Transfer Policy
• Attendance Policy
• Starting Classes Policy
• Immunizations: Measles, Mumps, & Rubella (MMR)*
• Medical Insurance: International students on F1 visas are required to have medical insurance.*
• Immigration Documents (Ex.: I-20, F1 Visa, Passport)
• Digital Picture and Signature

*Not Required for Online/Remote Courses

1Student and Emergency Contact Sheet

2Payment, Refund, and Transfer Policy

3Attendance Policy

4Starting Classes Policy

5Immunization

6Medical Insurance

7Immigration

8Digital Picture and Signature

9Review Your Entry

Student Contact Information
Last Name (Primary Family Name) *
Second Last Name (If Applicable)
First Name *
Middle Name
Date of Birth Date of Birth * / MM / DD YYYY
Mobile Telephone (Ex.: 3053214567) *
E-Mail *
U.S. Address U.S. Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact: U.S.A.
Name Name * First Last
Relationship to Student *
Mobile Telephone (Ex.: 3053214567) *
Emergency Contact U.S.: E-Mail *
Emergency Contact: Home Country
Name Name * First Last
Relationship to Student *
Mobile Telephone (Please Include the Country and City Code - (Ex.: 13053214567) *
Emergency Contact Home Country: E-Mail *
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FIU - ELI - Required Registration Documents

FIU - ELI - Required Registration Documents

Student Contact Information

Emergency Contact: U.S.A.

Emergency Contact: Home Country