EL CAMINO COLLEGE
INTERNATIONAL/F-1 VISA STUDENT APPLICATION
FOR THE STUDENTS INSIDE THE UNITED STATES
FOR FALL ____ SPRING ____ YEAR 20___
SEVIS ID# N_____________________ Current School in the US_______________________
(If available)
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
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____________________
College/University_____________________________________________________________Dates Attended____________________
Language School _____________________________________________________________ Dates Attended____________________
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____________________ 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 $281 per units) $ 6,750.00
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. No waivers are permitted.) $ 2,132.00
Personal Expenses $ 1,500.00
Total $ 19,482.00
* 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__ Copy of I-20 form___ Copy I-94___ (if available)
A transfer approval form is required of students transferring from another school or program in the United States____
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. 08/14)
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TRANSFER APPROVAL FORM
El Camino College - International Student Program
3400 Manhattan Beach Blvd., Torrance, CA 90506
Tel: (310) 660-3431/ Fax: (310) 660-6779
Required only of those students transferring directly from U.S. institutions
Section A: Student Must Complete This Section
From: ___________________________________________ Re: _______________________________________________
(Name of Institution) (Name of Student)
I-94#: _________________________________________ SEVIS#:___________________________________________
I have applied to study at El Camino College. I have been asked to have my current school verify my immigration status.
I request and authorize you to complete this form and return the original to the above address. Thank you for your assistance.
_______________________________________________ ___________________________________________________
(Student Signature) (Date)
Section B: To be completed by DSO at current institution
The student attended our institution from ________________________________________ to _________________________
(First Date) (Last Date)
PLEASE CHECK ALL APPLICABLE:
_____ This student is considered to be in full-time status.
_____ This student is out of status and has been advised to seek reinstatement.
_____ This student received off-campus work authorization for:
CURRICULAR Practical Training (circle one) Full Time / Part Time
From _____________________ to _________________________
OPTIONAL Practical Training (circle one) Full Time / Part Time
From _____________________ to _________________________
Date student’s SEVIS I-20 will be transferred to El Camino Community College District (El Camino College)_______________________
______________________________________________________ _________________________________________________________
Name and Title of DSO Signature
______________________________________________________ _________________________________________________________
Name of Institution INS School Code
_________________________________________________________________________________________________________________
Telephone Fax E-Mail Date
Transfer student’s I-20 to: El Camino Community College District
DHS School ID #: LOS 214 F 0 0338.000
(Please verify school by SEVIS School ID Number)
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