EL CAMINO COLLEGE
International (F-1 visa) Student Application
CHOOSE A SEMESTER:
FALL
SPRING
SEVIS ID# N_____________________ Current School in t
he US_______________________
(For students already inside the US)
PLEASE PRINT OR TYPE IN BLACK OR BLUE INK
PERSONAL INFORMATION
Male Female
Last (Family or Surname) First (Given) Middle name
Local Address in the United States Address in your Country (Required)
(Address where the acceptance letter should be mailed) (NO P.O. Boxes, no Agency Addresses, Please)
City City Postal Code
State Postal Code (ZIP) Province/State Country
Telephone Number Telephone Number (required)
Email (required)
Birthda
y Birth Citizenship Ethnicity____________________
Month / Day / Year (Country) (Country) (Optional)
Do you have depende
nts? Yes No
Name of spouse/dependents accompanying you to the US [Include full name(s), date(s) of birth, country(-ies) of birth]
IMMIGRATION INFORMATION
When did you enter the United States? _______________ Visa Type_______________ Expiration Date__________________
Month/Day/Year Month / Day / Year
EDUCATION INFORMATION
List all the language and high schools, colleges and universities attended:
High Schools Graduation Date
College Dates Attended
Last College/University Dates Attended
Language School Dates Attended
FIELD OF STUDY (required) _______________________________________________ (Please do not write “Undecided”)
Please select an Educational Goal: Associates Certificate Transfer (You can indicate more than one option)
Please let us know what university you would like to transfer to___________________________________________________
ENGLISH PROFICIENCY TEST Date of exam__________ Score____________ Circle one: IBT TOIEC CBT
PBT IELTS EIKEN
Student Expenses
Office Use Only: Fed-Ex Tracking #_______________________________________ Date: __________________________________
El Camino College Student ID Number _______________ SS Number____________________ SEVIS ID_ N____________________
Major Code: _ _ _ _ Admit Status: 1 2 3 4 5 CU Enter by: _____________________ Date: _____________________
Passport-
Sized Photo
SUMMER
The cost of study at El Camino College for one academic year or 10 months (fall and spring semesters) for an international student
will depend upon the personal spending habits of the student. 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 the U.S. not included):
$ 7,944.00
$ 7,750.00
$ 1,500.00
Tuition and Fees for one academic year (12 units per semester x 2 semesters = 24 units x $3 per unit)
Housing (estimated) *
Food (estimated)
Books & Supplies (estimated)
$ 600.00
Medical Insurance (12 months) (Must be purchased through El Camino College. Waivers are not permitted) $ 1,263.00
Personal Expenses (Estimated) $ 1,00.00
Total $ 20,757.00
* El Cam
ino 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 $21,000.00.
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 * $_______________ _____________________________ __________________
Falsification of a
ny 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. El Camino Community College District ensures equal access to its services, classes and programs without regard to
race, religious creed, sex/gender, national origin, handicap or services as a veteran.
Signature____________________________________________________ Date
How Did You Learn About El Camino College?
SEND TO:
International Student Program
El Camino College
16007 Crenshaw Blvd.
Torrance, CA, 90504 U.S.A.
isp@elcamino.edu
Telephone: (310) 660-3431
www.elcamino.edu/academics/is
(Rev. 04/19)
Admissions Checklist (Please complete the form and include the following):
International Application Copy of Transcripts Copy of English Proficiency Test Results $50 Non-refundable Processing Fee
(Flywire, Cash, Check, Money Order Issued to an American bank)
One Passport-sized Photograph Bank’s Verification Letter/Statement Copy of the Passport Information Page
If you are transferring from a US school you will also need to include the following:
Copy of the F1 Visa in your Passport
Copy of I-20 Form (First Page Only) Copy of I-94 (if available)
A transfer approval form is required of students transferring from another school or program in the United States
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