This study investigates current states of college-level English medium instruction (EMI) focusing on students’ perception and satisfaction. In spite of increasing popularity of EMI in Korea, little attention has been paid on current states of EMI in universities located in non-metropolitan areas. This study explores this issue with a special reference to students’ perception and satisfaction classified as their English proficiency level and future direction of EMI. A survey questionnaire was administered to 224 students who took EMI in 2011. The survey indicates that successful implementation of EMI depends on students’ linguistic readiness and that policy support is needed.