International F-1 Visa Student Application for Admission
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1 International F-1 Visa Student Application for Admission Citrus College is a community college known for its academic excellence and dedication to student success. Students enjoy our small, friendly campus where they are our number one priority. Instructors and staff are committed to helping make each student's experience at Citrus College exciting, challenging, safe, and successful. Citrus College is located in the foothills of the beautiful San Gabriel Mountains in the city of Glendora, just 26 miles from downtown Los Angeles. Glendora has been listed as one of the safest communities in California and offers its residents a wonderful small town atmosphere. Citrus College is within a short drive to beaches, mountains, Disneyland, Hollywood, Los Angeles, Beverly Hills, and famous cultural centers for music, drama, and art. So whether students want to lie on the beach, go snowboarding in the mountains, attend a Dodger baseball game, or just hang out with friends at Starbucks, Citrus College is never too far away from fun and adventure. The campus is also conveniently located just a short walk from restaurants, movie theaters, pharmacies, grocery stores, clothing stores, banks, and apartments. International Application Deadlines: (Both Academic and Intensive English [ESL] Terms) Fall Semester July 10 Spring Semester December 10 Summer Session April 10 This application must be submitted with a Citrus College application and all other supporting documents. Complete and Mail Application to: Citrus College International Student Center 1000 West Foothill Boulevard Glendora, California Or application to: internationalstudents@citruscollege.edu Phone: (626) Fax (626) Page 1
2 International Student Application Requirements Required Application Documents: International Student Application Page Photo (attach to international student application page) CCCApply Online Application (for Citrus College ID Number) o Forward ID Number to internationalstudents@citruscollege.edu $40 Application Fee (pay online through personal Wingspan account with ID number) Financial Guarantee Form with Sponsor s Signature (or list self-sponsored) Current Official Bank Statement (within 6 months) o $18,200 USD (or equivalent) for Academic Program Option o $19,300 USD (or equivalent) for Intensive English Option (ESL) Health Form with Current Official Negative TB Test Results or Negative Chest X-Ray Results Copy of Passport Other Requirements: Academic Program Only: Official proof of English Proficiency (Minimum TOEFL 450/45, IELTS 5.0, two years of high school in the US, official US college transcripts with a passed Academic English course, FLS Level 7, ELS Level 109, IKEN Grade 2, Kaplan Higher Intermediate Level, or ITEP test by ISC) Not required for Intensive English Option (ESL) applicants If under 18 years of age before the start date, you must provide proof of high school graduation: o US High School: sealed official transcript proving graduation o Foreign High School: we accept UCLA s HS equivalent list or an official evaluation proving US high school graduation equivalency (see Citrus College s list of accepted transcript evaluation services) Transfer applicants with an active I-20 must submit all of the above, and in addition: Copy of visa and I-94 forms Copy of current/previous school s I-20 US Official Transcripts (must be submitted in sealed envelope ed copies not accepted) Transfer eligibility form/sevis release (with Citrus College acceptance letter) Page 2
3 International Student Application Page Applying for: Fall Spring Summer Year Attach passport sized photo here Citrus College Student ID Number: A00 Personal Information: (Full legal name as it appears on your passport) Last Name (Family Name) First Name Middle Name (optional) Male, Female, DOB:, Country of Birth:, Citizenship: Month/Day/Year Foreign Address:, Telephone: Address City Province/Territory Postal Code Country United States Address (if available): Street City State Zip Code Name and Address of Parent/Legal Guardian (if under 18): Telephone:, Relationship: Check Which Option You are Applying for: College Academic Program (Specify Major): Intensive English Program (ESL) How were you introduced to Citrus College? Friend Relative Internet Student Fair (please specify): School: Publication: o Study in the USA o Hotcourses o Hobsons o Other: Educational Information: If a US high school graduate, write date of graduation: School Name City, State, Country s Attended Degree or Diploma Visa Information: Complete the following if you are currently in the United States. Type of Visa you have currently:, Expiration : Are you transferring an active I-20 from another school: No, Yes: Page 3
4 Financial Guarantee of Support (Confidential) Name of Applicant: Last Name (Family Name) First Name Sponsor s Information: (If sponsoring yourself, just write Self under Relationship below.) Name Relationship to Applicant (i.e. parent) Sponsor s Guarantee: I guarantee that the funds stated below or on the current official bank statement (please attach) will be available for the named applicant for the duration of the applicant s enrollment at Citrus College or for a minimum of two years, whichever is longer. Signature: : Bank Verification (To be completed by bank official within 6 months; or attach a current official bank statement instead) Account Holder s Information: This is to certify that has U.S. $ Name of bank account holder on deposit at this bank:. Account #: Opened: Bank Address: Bank Official s Information: Signature: : Bank Official s Title: Official Bank Seal/Stamp Here Page 4
5 Health Form To be completed by the applicant: Name: Last Name (Family Name) First Name DOB: / / Gender: Male, Female REQUIRED: Negative TB Test Results with Official Seal, Stamp or Letterhead; or attach official results 1. Official Tuberculosis Test Results (within 6 months), PPD, Mantoux (Tine test not accepted) Results If skin test is positive, applicant must also submit a chest x-ray taken within the last six months. Results 2. Does the applicant have any condition (physical/mental) which would prevent or restrict participation in a full course of study? Yes No It is recommended that the following immunizations are also administered before entering the United States: Diphtheria, Tetanus (within the last 9 years), and Hepatitis B (3 doses). Physician s Name: Signature: Official Seal/Stamp Here Phone Number Page 5
6 Emergency Contact Information In case of an emergency, school officials are authorized to provide what they deem to be appropriate emergency care by licensed physicians and hospitals or to provide treatment as needed. Student's Signature (if student is over 18) Parent or Guardian's Signature (if student is under 18) Emergency Contact Name Relationship to Applicant Emergency Contact Phone Number Address Certification: I hereby certify that all information presented in this application is true and correct. If accepted to Citrus College, I agree to abide by all of the rules and regulations set forth by the college. Signature of Applicant If under 18, Guardian s Signature Name of Guardian (print) Page 6
7 (Optional) Release of Information Form I,, authorize to be Printed name of applicant Printed name of person to receive information provided with information regarding my tuition payments, class enrollment, class grades, and any other information pertaining to my status as a student at Citrus College, if required. Signature of Applicant Relationship to Applicant (i.e. parent) (Optional) Document Pickup Authorization Form I,, authorize to Printed name of applicant Printed name of person authorized to pick up documentation pick up information/documents on my behalf, such as my application acceptance documents (I-20, acceptance letter, etc.), or any other documents I may require. Signature of Applicant Relationship to Applicant Pickup: Items Picked Up: Signature Page 7
8 (Optional) Photo Release Form We enjoy posting pictures on our website and Facebook page, and would appreciate your consent to use any potential photos of you having fun at our events and around campus. Tuition Fees Per Term (Fees subject to change) International Student Tuition/Enrollment Fee $270 per unit (12 unit minimum Fall/Spring = $3,240) Health Service Fee Student Service Fee Citrus College Health Insurance $19 per term $15 per term $612 per 6 months coverage Total per Term (with minimum units) $3,886 (approximately) Students are personally responsible for the purchase of all books, materials and supplies needed for courses (approximately $300 per term), as well as personal housing, food, and other necessities. Page 8
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