Application for Admission to University of the West

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1 Application for Admission to University of the West APPLICATION HELP Hotline: GO-UWEST Enrollment Counselor: (626) Undergraduate College Applicants Application fee of $50; Complete and sign the Application for Admission form; A words Personal Essay answering the question posed on page 5; Two (2) letters of recommendation; Official high school transcript; Official transcripts for all previous colleges attended (if any); Photocopies of any previous degrees earned (if any); Photocopies of Driver s Licence and SSN card Mail or drop off your completed application form to the address below. Graduate College Applicants Application fee of $50; Complete and sign the Application for Admission form; Statement of Purpose words, typed and double-spaced (see page 5); Three (3) letters of recommendation; Official transcripts for all post-secondary schools, colleges or universities attended; Photocopies of all diplomas earned; Photocopies of Driver s Licence and SSN card Mail or drop off your completed application form to the address below. Additional Requirements for International Applicants Application Fee is $100 for international applicants; TOEFL Score Report or IELTS Score Report (see Catalogue for requirements) Photocopy of your high school diploma and for any other degrees earned; Bank statement or account verification letter; Financial Sponsor Agreement (if applicable); Photocopy of your passport; Photocopy of your current U.S. visa and I-94 (if applicable); Previous copies of your I-20 (if applicable); I-20 Transfer Release Form (if applicable); Mail your completed application form and all documents to the address below. APPLICATION DUE DATES Spring Semester (Jan May): November 15 Summer Sessions (June Aug): April 1 Fall Semester (Aug Dec): June 15 USEFUL CONTACTS Main Campus Number: (626) Financial Aid: Ext. 122 International Student Services: Ext. 130 Application deadlines for transfer students may be extended, please contact the Admissions Office for more information. Need-based application fee waivers are available. Applications received after the due date might not be considered for scholarships or fellowships in their first semester. Mail completed application to: University of the West, Office of Admissions,1409 N. Walnut Grove Ave. Rosemead, CA USA Page 1 of 7

2 Student Information APPLICATION FOR ADMISSION PLEASE TYPE OR PRINT CLEARLY IN BLACK OR BLUE INK ALL INFORMATION ON THIS APPLICATION UNIVERSITY OF THE WEST Office of Admissions 1409 N. Walnut Grove Ave. Rosemead, CA Telephone: Web site: Application Term: [ ] Fall [ ] Spring [ ] Summer Year: Do you need an I-20? [ ] Yes [ ] No; Are you a Transferring Student? [ ] Yes [ ] No; Request for Room and Board? [ ] Yes [ ] No I. STUDENT INFORMATION Title: [ ] Mr. [ ] Mrs. [ ] Miss [ ] Ms. [ ] Rev. [ ] Ven. [ ] Other 1. Name: Last (Family Name) First Middle Initial/Suffix 2. Nickname Name: (if any) 4. US Social Security Number, if applicable: 3. Gender: [ ] Male [ ] Female 5. Date of Birth (MM/DD/YY): 6. Secondary You must provide an address that you check regularly and plan to keep until you enroll at UWest. 7. Phone (Home): Phone (Cell): What is your provider: (i.e. AT&T, Verizon) 8.Current Mailing Address: City State/Province Country Zip (International Postal Code) 9. Permanent/International Mailing Address: City State/Province Country Zip (International Postal Code) 10. Are you under 17 years old? [ ] Yes (Continue to next question) [No] (Skip to Item 11) If you are under 17 years old you must provide the name and address of at least one legal-guardian or parent: Father (or legal-guardian) Mother (or legal-guardian) Name: Name: Address: Address: City State/Province ZIP Country City State/Province Postal Code Country 11. Are you a U.S. Citizen? [ ] Yes. (Go to Item 12) [ ] No. (Complete the following) Driver s License #: If you answered no, what is your nationality? Indicate your immigration status as of the date you submit this application: [ ] Resident Alien [ ] Nonimmigrant (please answer a. b.) a. If currently in the United States, type of VISA you hold (ex: F-1, etc.) b. For your studies at the University, type of VISA for which you have applied or plan to apply: 12. Are you a US Veteran? [ ] Yes [ ] No 13. Are you a clergy member/monastic? [ ] Yes [ ] No Dharma Name: If yes, give the name of the order or lineage with which you are associated: University of the West does not discriminate on the basis of race, ethnicity, national origin, religion, age, gender, disability, sexual orientation, or any other classification that deprives any person of their rights as a valued individual. Page 2 of 7

3 Academic Program Ethnic Background University of the West Application for Admission II. ETHNIC BACKGROUND (OPTIONAL DEMOGRAPHIC INFORMATION) 1. Are you an International Student? [ ] Yes. [ ] No. ( If yes, please skip questions 2 and 3) 2. Do you identify yourself as Hispanic of any race? [ ] Yes. [ ] No. ( If yes, please skip question 3) 3. If non-hispanic, how are you most comfortable describing yourself? [ ] American Indian or Alaska Native [ ] Asian [ ] Black/African American [ ] Native Hawaiian or Other Pacific Islander [ ] White or Caucasian [ ] Two or more races [ ] Other (please specify) III. ACADEMIC PROGRAM: Check the degree or program you intend to pursue at University of the West. 1. [ ] Bachelor [ ] Master [ ] Ph.D. [ ] Certificate [ ] Exchange/Visiting Student Program 2. Undergraduate Programs: Business Administration English Psychology General Studies B.A Business Administration with a major in: B.A English with a track in: [ ] B.A. Psychology [ ] B.A. General Studies [ ] Marketing [ ] Accounting [ ] Literature Track [ ] CIS [ ] Language Track [ ] International Business 3. Graduate Programs: Religious Studies/Chaplaincy Business Administration Psychology Master of Arts in Religious Studies with concentration in: [ ] Comparative Religious Studies [ ] Buddhist Studies [ ] Master of Divinity in Buddhist Chaplaincy *May require further interview and assessments. Ph.D Religious Studies with specialization in: [ ] Buddhist Studies [ ] Comparative Religious Studies [ ] Executive Master of Business Administration MBA with concentration in: [ ] Finance [ ] International Business [ ] Nonprofit Organization Management [ ] Computer Information Systems Master of Arts with concentration in: [ ] Buddhist Psychology [ ] Multicultural Counseling Psychology 4. Certificate Programs: [ ] Undergraduate Certificate Programs name (For example. Finance, Accounting, etc.) [ ] Graduate-level Certificate Programs name (For example. Finance, Accounting, etc.) [ ] Post-Master of Business Administration (Post-MBA) Certificate Programs name 5. Extended Studies Program: [ ] Religious Studies Certificate Program (Undergraduate Certificate only). 6. Do you plan to attend: [ ] Full-time (Graduate taking at least 9 units, undergraduate taking at least 12 units). [ ] Part Time Have you applied to UWest before? [ ] No [ ] Yes, indicate term [ ] Fall [ ] Spring [ ] Summer Year Were you admitted? [ ] No [ ] Yes, indicate term [ ] Fall [ ] Spring [ ] Summer Year Did you enroll? [ ] No [ ] Yes, indicate term [ ] Fall [ ] Spring [ ] Summer Year Page 3 of 7

4 Educational History University of the West Application for Admission IV EDUCATIONAL HISTORY: 1. Name of high school from which you graduated/will graduate: Graduation/Date: Month Year City State Country [ ] Check here if you completed the GED instead of graduating from high school. 2. List all colleges, universities and preparatory schools attended, beginning with the most recent. YOU MUST SEND SEALED OFFICIAL TRANSCRIPTS FROM EACH INSTITUTION ATTENDED. Name of School Location (city, state & country, if not in the U.S.) Dates of Attendance From To Degrees conferred and/or expected degree V. HOW DID YOU HEAR ABOUT US? VI. EMERGENCY CONTACT: In case of emergency, please contact: Name: Phone (home): Relationship: Language Spoken: Phone (cell): Address: City State/Province Postal Code Country International Students Only: Do you have an emergency contact in the United States? [ ] Yes [ ] No In case of emergency, please contact: Name: Phone (home): Relationship: Language Spoken: Phone (cell): Address: City State/Province Postal Code Country Page 4 of 7

5 Applicant s Affidavit Statement of Purpose University of the West Application for Admission VII. Personal Essay: Undergraduate Personal Essay Question On separate sheets of letter-size paper, please answer in words, double-spaced, the following question: What skills and attitudes do you believe are necessary for a successful life? Graduate Personal Essay Question On separate sheets of letter-size paper, please write in words, double-spaced, your Personal Statement describing your interest in a specific program area or major at UWest and your goals beyond achieving an advanced degree. I certify that the information I have given on this application is complete and correct to the best of my knowledge and that I have attended or am attending no institution other than those listed. I understand that any misrepresentation may be cause for denial or cancellation of admission or enrollment. I further understand that it is my responsibility to have forwarded to UWest all official school records together with all other application materials; these documents become the property of UWest and will not be returned to me or duplicated for my own use for any reason. I also understand that if I am accepted to UWest, my admission is subject to verification of all official records from the institutions I have attended, including notice of graduation, when appropriate, and is contingent upon satisfactory completion of all course work prior to entering UWest. I further acknowledge that the application fee is non-refundable. Signature: Date: (MM/DD/YYYY) For Office Use Only Determination Pending Domestic International: Visa Type I-20 Needed Application reviewed by: Date:. Enter score number into the columns: High School GPA SAT 2-years undergrad GPA TOEFL 4-years undergrad GPA IELTS Graduate GPA SAT Others EPT Paper Test EPT Oral Interview EPT Writing Evaluation Page 5 of 7

6 GENERAL STUDENT INFORMATION Certification of Financial Resources for International Students Please complete this form if you are self-sponsored and attach an official bank verification dated within a three-month period from the date of signing this form. Please return completed form with your application package. 1. STUDENT Name: Last (Family) First Middle initial 2. Home #: ( ) Cell #: ( ) 3. International Address: City State/Province Country Zip Code 4. U.S. Address: City State/Province Zip Code In order for the Form I-20 to be issued, it is necessary to submit complete and accurate information of your financial resources together with your Bank Verification. U.S. immigration regulations require that you demonstrate that you have sufficient funds to cover your living and educational expenses for study on a full-time basis. The estimated amounts below include funding needed to cover your tuition, fees, living expenses and mandatory health insurance for one academic year (9 months). Financial documents in any language other than English must be accompanied by an official English translation of each document. For updated financial information, please visit our website at HOW TO DOCUMENT YOUR FUNDING 1. Bank Verification or Letter; 2. If you are not self-sponsored, your Sponsor(s) must complete the Financial Sponsor Agreement Form ; 3. Documents must be in English and translated and notarized by an official agent. ESTIMATED EXPENSES PER ACADEMIC YEAR (FALL AND SPRING SEMESTER ONLY) Maximum estimated expenses per academic year (Fall & Spring) for undergraduate students enrolled fulltime (12 units). SINGLE, DOUBLE and TRIPLE refer to the number of students sharing a room in the Residence Hall: For student Only Single Double Triple Tuition $4,200 $4,200 $4,200 Mandatory Fees $250 $250 $250 Room & Board $4,935 $3,035 $2,555 Books & Supplies $657 $657 $657 Health Insurance $774 $774 $774 Miscellaneous $1,413 $1,413 $1,413 Semester Totals $12,229 $10,329 $9,849 Annual COA $24,458* $20,658 $ 19,698 *Please add an additional $5, per year for each dependent (F-2). FINANCIAL RESOURCES: Please indicate the amount of funds available to you for each year you expect to enroll at the University. Consider exchange and currency regulations, and convert the funds to U.S. dollars. 1 st Year 2 nd Year A. From Family $ $ B. From Sponsor $ $ C. From Personal Savings $ $ D. From Your Government $ $ Total Available $ $ I certify that the information I have provided on this Certification of Financial Resources is complete and correct to the best of my knowledge. I understand that the inclusion of any false information is cause for dismissal from the university. Signature: Date: Page 6 of 7

7 form with your application package. GENERAL STUDENT INFORMATION Financial Sponsor Agreement Form for International Students Please complete this form if you are sponsored by another person or agency other then yourself. Please attach an official bank verification dated within a three-month period from the date of signing this form. Please return completed 1. STUDENT Name: Last (Family) First Middle initial 2. Home #: ( ) Cell #: ( ) 3. International Address: City State/Province Country Zip Code 4. U.S. Address: City State/Province Zip Code ESTIMATED EXPENSES PER ACADEMIC YEAR (FALL AND SPRING SEMESTER ONLY) Maximum estimated expenses per academic year (Fall & Spring) for undergraduate students enrolled fulltime (12 units). SINGLE, DOUBLE and TRIPLE refer to the number of students sharing a room in the Residence Hall: SPONSOR: This section must be completed by the sponsor. For student Only Single Double Triple Tuition $4,200 $4,200 $4,200 Mandatory Fees $250 $250 $250 Room & Board $4,935 $3,035 $2,555 Books & Supplies $657 $657 $657 Health Insurance $774 $774 $774 Miscellaneous $1,413 $1,413 $1,413 Semester Totals $12,229 $10,329 $9,849 Annual COA $24,458* $20,658 $ 19,698 *Please add an additional $5, per year for each dependent (F-2). 1. SPONSOR Name: Last (Family) First Middle initial 2. Address: City State Zip 3. Relationship to Student: Phone: ( ) - I hereby agree to be the United States financial sponsor for the above-named student and guarantee without reservation to support the educational costs and living expenses of the student while he/she is enrolled at University of the West. I guarantee that I can and will cover all transportation costs from the student s country of origin to the United States and for return home upon completion of academic studies. I guarantee that I can and will cover all transportation costs from the student s country of origin to the United States and for their return home upon completion of their academic studies. I further guarantee to provide U.S. $ per year to the above-named student. I have attached to this agreement a statement from my bank attesting to my financial status. Financial Sponsor s Signature: Date: Sponsor s Name (Please Print): Last (Family Name) First Middle Initial Page 7 of 7

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