ESOL Institute Application

Contact Gaye Ann Spezialetti
570-389-5381 or email
Fax 570-389-2035
Send payment and documents to:
Bloomsburg University of Pennsylvania
English as a Second Language Program
400 East Second Street
Room 227 Centennial Hall
Bloomsburg, PA 17815-1301 USA

The following payment and documents must be provided:

INSTRUCTIONS: Please read instructions and entire form before completion.  

  • $200.00 (U.S.) non-refundable registration fee  (This should be a money order or cashier’s check in U.S. dollars made payable to Bloomsburg University, with applicants name.)
  • Copy of passport, Visa, and I-20 (if applicable)
  • Certified source of financial support
  • Please view the I-20 Policy on our website.


Our suggestion is an immediate search for off campus housing.


All applicants: affidavit

I certify that the above statements and information are correct and that I have fully answered all applicable questions. I understand that any falsification of the above information or on requested documentation may invalidate my application.

By signing below, I acknowledge that I have read and agree to the above statements.