PLEASE FILL OUT THIS FORM, PRINT, AND MAIL WITH YOUR DEPOSIT CHECK OF $250. Remember also to include items #3, #4 and #5 as described on the Application Instruction page to complete the application process.
Northeastern University, English Language Center, 360 Huntington Avenue, 10 BV, Boston, MA 02115 U.S.A. Telephone 1.617.373.2455 Fax: 1.617.373.8929 E-Mail: cpselc@neu.edu