English Language Proficiency

Applicants to AOMA who are international (non-immigrant) students from a non-English speaking foreign country, or who are U.S. permanent residents whose previous education was completed in a non-English speaking foreign country, are required to demonstrate English language proficiency.

Demonstrate English Language Proficiency:


  • Tests should be taken as internet based. Paper based tests are no longer acceptable on or after January 1, 2019.
  • MAcOM and DAOM applicants must score a total score of at least 61 on the Test of English as a Foreign Language Internet-Based Test (TOEFL® iBT), including a minimum speaking exam score of 26 and a minimum listening exam score of 22.
  • DAcOM applicants' acceptable scores: TOEFL iBT total score – 80 and TOEFL iBT speaking score – 26.


  • As an alternative to submitting an official TOEFL score report, international applicants may instead demonstrate English-language Proficiency by submitting an official score report from IELTS (international Language Testing System).
  • MAcOM and DAOM applicants must have an overall band score of a level 6. 
  • DAcOM applicants must have an overall band score of a level 6.5.

TOEFL and IELTS - Effective January 1, 2020

  • All programs: the acceptable scores are identical across all ACAOM graduate-level degree programs, and are consistent with comparable health professions under the Federal Student and Exchange Visitor Program (SEVP).

    • TOEFL iBT total score – 80 and TOEFL iBT speaking score – 26.

    • IELTS overall band score 6.5 (Academic Format) and IELTS spoken band score – 8.0.

Exemption from Examinations:

Alternately, applicants may be exempt from the requirement to submit a TOEFL or IELTS score report if they have demonstrated English language proficiency through the completion of at least two years (60 semester credits/ 90 quarter credits) of baccalaureate-level education at an institution accredited by an agency recognized by the United States DOE, or from an equivalent English-language institution in another country.

Return to requirements for International Students.