Colleges and Universities offer conditional letters of admission: conditional admission more often than you might realize. Here are many examples of such schools at the bachelor’s and master’s level based on a study of over 600 universities.
There is the TOEFL, the IELTS, and now the Pearson Test of Academic English
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The PTE is a completely new exam, designed from scratch, that focuses on english in an academic setting. Here are some resources and a perspective about why it will be a strong competitor to the TOEFL and IELTS.