CALIFORNIA STATE UNIVERSITY, SACRAMENTO
International Conditional Admission
Undergraduate Application
Spring 2020
1. Name (as listed on passport): ________________________________________________
(Last / Family name) First & Middle names / Given names)
2. Date of Birth: __________ __________ __________ 3. Gender: FEMALE MALE
(MONTH) (DAY) (YEAR)
4. E-mail Address:
5.
Mailing Address: ____________________________________________________________ _________________
(Street Information) (Apt Number)
_________________________________ _______________________ ____________________ __________________
(City) (State / Province) (Country) (Postal Code)
6. Home Telephone Number: _________________ _____________________________________
(Country code) (Phone Number)
7. Country of Birth: 8. Country of Citizenship:
9. Please indicate an
y individuals to whom we may release information to regarding the status of your application:
ACADEMIC INFORMATION
1. English proficiency exam taken:
TOEFL IELTS Score: __________
I have not taken any English exam and will start my study at the English Language Institute.
2. Intended Academic Major (please refer to last page of application for majors):
3. Name of Secondary School Attended:
4. Date of Graduation from Secondary School (month and year): _________________________
5. Hav
e you attended any colleges or universities after high school? YES NO
a. If yes, please list school attended after you graduated high school and dates of attendance:
UNIVERSITY OR COLLEGE SCHOOL NAME Start Date End Date
Select Application Term:
BIOGRAPHICAL INFORMATION
Fall 2020
