EL CAMINO COLLEGE
INTERNATIONAL/F-1 VISA STUDENT APPLICATION
FOR THE STUDENTS OUTSIDE THE UNITED STATES
FOR FALL ____ SPRING ____ YEAR 20___
PLEASE PRINT OR TYPE IN BLACK OR BLUE INK
PERSONAL INFORMATION
__Mr. __Ms._______________________________________________________________________________________________________
Last First Middle name
Address in the United States (if available) Address in your Country
(No P.O. Boxes, no Agency Addresses, Please)
________________________________________ __________________________________________________________
________________________________________ __________________________________________________________
City____________________________________
City _____________________________Postal Code (Zip)______________
State ______ Postal Code (ZIP)______________
Province/State ______________________Country_____________________
Telephone Number_____________________________ Telephone Number (required)________________________________________
Fax__________________________________________ Fax_____________________________________________________________
Email (Required)___________________________________________________________________________________________________
Birthday_______________ Country of Birth_____________________________ Country of Citizenship
_________________________
Month / Day / Year
Are you married? Yes__ No__ _______________________________________________________________________________________
Name of spouse/dependents accompanying you [Include full name, date of birth, country of birth for each person]
IMMIGRATION INFORMATION
Are you currently holding an F-1 (International Student) Visa? Yes_ No _ If yes, please provide an expiration date__________
Month/Day/Year
EDUCATION INFORMATION
List all the language and high schools, colleges and universities attended:
High Schools_________________________________________________________________Graduation Date _______________________
College______________________________________________________________________Dates Attended: from________to__________
College/University_____________________________________________________________Dates Attended: from________to__________
Language School _____________________________________________________________ Dates Attended: from________to__________
FIELD OF STUDY (required) _______________________________________________ (Please do not write “Undecided”)
Please let us know what university you would like to transfer to____________________________________________________
IBT TOIEC
ENGLISH PROFICIENCY TEST Date of exam__________ Score____________ Circle one: CBT IELTS
PBT EIKEN
Office Use Only: Fed-Ex Tracking #_____________________________________________________________________ Date ________________________
El Camino College Student ID Number ______________________ SS Number _________________________ Student SEVIS ID_N____
________________
Passport-
Sized Photo
Student Expenses
The cost for study at El Camino College for one academic year (fall and spring semesters) for international students will
depend upon personal spending habits of the students. The college tuition and fees may vary by year. Current tuition and fees,
and approximate living expenses per two semesters, are as follows (transportation to and from the U.S. not included).
Tuition and Fees for one academic year (12 units per semester x 2 semesters = 24 units X $288 per units) $ 6,912.00
Housing (10 Months) * $ 6,500.00
Food (10 months) $ 1,800.00
Books & Supplies $ 800.00
Medical Insurance (12 months) (Must be purchased through El Camino College. Waivers are not permitted.) $ 1,600.00
Personal Expenses (Estimated) $ 1,500.00
Total $ 19,112.00
* El Camino College does not have living accommodations on campus.
Confidential Financial Statement
This statement must be completed by all students seeking to study under an F-1 visa at El Camino College. To issue an I-20 to
prospective students, the college must be assured that sufficient funds are available to meet all tuition and living expenses for the
duration of their studies. The minimum requirement is USD$19,500.00.
Please report the funds in any convertible currency with a Verification of Funds letter/statement from the sponsor's bank, citing the
name of the account holder. Documents must have been issued within three months of application.
Source: Amount Name Relation
Family Funds $_______________ _____________________________ __________________
Personal Funds $_______________ _____________________________ __________________
Sponsor * $_______________ _____________________________ __________________
* If sponsored by a government agency, then the letter of assurance from said agency must be included.
Falsification of any part of this document may subject the student to later disciplinary action.
RELEASE OF INFORMATION (Optional)
I hereby give permission to El Camino College to release information concerning my student status to the following person(s):
Father: _________________________________________ Mother: ____________________________________________________
Guardian: _______________________________________ Sponsor: ___________________________________________________
________________________________________________ ___________________________
Student Signature Date
I hereby certify that, to the best of my knowledge, all information furnished on this form is complete and accurate. I further understand that the falsification of information can lead to immediate dismissal from El Camino College.
Signature____________________________________________________ Date__________________
How Did You Learn About El Camino College? ________________________________________________
SEND TO:
International Student Program
El Camino College
3400 W. Manhattan Beach Blvd.
Torrance, CA, 90504 U.S.A.
www.elcamino.edu/academics/is Telephone: (310) 660-3431 Fax: (310) 660-6779 E-mail: ISP@elcamino.edu
Admissions Checklist (Please complete the form and include the following):
International Application____ Copy of transcripts____ Copy of English Proficiency Test Result____ $50 Non-refundable Processing Fee__
(Cash, Check, Money Order Issued to an American bank).
One Passport-sized Photograph____ Bank’s Verification Letter/Statement_____ Copy of the Passport ___
Copy of an F-1 Visa in your passport__ (
If available)
El Camino Community College District ensures equal access to its services, classes and programs without regard to race, religious creed, sex, national origin, handicap or services as a veteran.
(Rev. 05/15)
click to sign
signature
click to edit
click to sign
signature
click to edit