IP-01-2021
INTERNATIONAL STUDENT APPLICATION
www.cascadia.edu/international
Please submit to international@cascadia.edu
4 EASY STEPS TO APPLY
1. Complete this application for admission and pay the $50 (USD) non-refundable application fee.
2. Attach the following documents:
Current bank statement (no more than 3 months old) showing funds for 1 year of study ($19,953 USD).
Copy of your passport
Copy of US visas (transfer student)
Copy of your most recent school transcripts (unofcial transcripts are acceptable)
Optional: Ofcial score of TOEFL (iBT): 70 (MyBest™ score is accepted), IELTS: 6.0, Pearson PTE: 48, iTEP: 4.0,
or STEP/Eiken: Pre-1, Duolingo 95.
3. Submit this application and all required documents to international@cascadia.edu
4. Wait for good news!
Cascadia is able to process most completed
applications within only 2 business days!
Online Application:
Instead of submitting this paper application,
you can also apply online at
www.cascadia.edu/international.
PERSONAL INFORMATION
Last Name: First Name: Middle:
Date of Birth: (mm/dd/yyyy) Age: City of Birth: Country of Birth:
Sex: Male Female Citizenship:
Student’s Email Address:
Agency’s Email Address (If applicable):
CONTACT INFORMATION
Home Country Mailing Address: ______________________________________________________________________________________________
City____________________State/Province_______________Postal Code_____________Country_________________Tel#________________________
U.S Mailing Address (if applicable): ___________________________________________________________________________________________
City_____________________________State_____________________________Postal Code________________Tel#______________________________
Where would you like your I-20 and acceptance packet sent?
Home country mailing address U.S. mailing address
Will pick up in person * I-20 MAY ONLY BE RELEASED TO THE STUDENT
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UNIVERSITY PATHWAYS AND PARTNERS
Cascadia College has partnerships with several top universities to make transferring and completing your bachelor’s
degree easier. Which partner universities would you like to receive details about?
I understand that my name, email, address, date of birth may be shared with the university that I chose.
City University of Seattle Portland State University Troy University University of Washington (Bothell)
Indiana University - Purdue University Regis College University of Maine Washington State University
Johnson & Wales University Seattle Pacic University University of New Mexico Western Washington University
Kansas State University San Francisco State University University of Oregon Wichita State University
Northern Arizona University Seattle University University of Iowa
University of Massachusetts -
Dartmouth
IMMIGRATION INFORMATION
Are you currently residing in the U.S.? Yes No
If yes, what is your immigration status? F-1 Other (specify) __________________________________
Will family members [spouse/child(ren)] accompany you to the U.S. on an F-2 dependent visa? Yes No
If so, please include a copy of each of their passports as well as an additional USD $5,000 per dependent on the
bank statement.
PREVIOUS EDUCATION
Have you completed secondary/high school? Yes No
Are you currently studying at a school in the United States? Yes No
If yes, do you plan to leave the U.S. before starting your program at Cascadia? Yes No N/A
Last school attended:
Name:________________________________________________City:________________________ Country:___________________
Dates of Attendance: ______ /______ to _______/_______ Graduated? Yes No
Type: Secondary/High School College/University English As Second Language (ESL)
Month Year Month Year
EMERGENCY CONTACT
Name: Address:
Relationship to you: Email: Telephone Number:
PROGRAM INFORMATION
Have you previously attended Cascadia? Yes No If so, date: ________________________
When would you like to begin studying at Cascadia?
Fall (September) Winter (January) Spring (March) Summer (July) Year:
What is your intended major? OR Undecided
What program(s) would you like to complete at Cascadia College? (Check all that apply)
2-year transfer degree for university English Language Program (ELP) High School Completion (HSC)
4-year Bachelor of Applied Science (BAS) in Sustainable Practices
4-year Bachelor of Applied Science (BAS) in Mobile Application Development
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FINANCIAL RESPONSIBILITY AGREEMENT
Cascadia College is legally required to verify that international student applicants have sufcient funds available to cover tuition
and living costs before we can issue an I-20. The estimated amount for one academic year at Cascadia College is U.S. $18,921. It is
important that applicants have sufcient funding available for the entire duration of the academic program. Applicants will be asked
to provide this information when applying for a visa at the U.S. Embassy or Consulate. For students with dependents, an additional
$5,000 is required for each dependent.
Sponsor, please read and agree to the following:
I afrm that I have sufcient funds available to pay for all of this applicant’s necessary educational expenses as estimated in the
amount indicated above and will further be able to pay for travel from and to applicant’s home country.
(A detailed breakdown of estimated expenses can be found online at www.cascadia.edu/international)
Name of Sponsor: ___________________________________________ Amount (in U.S. dollars) ________________________
Signature of Sponsor: ________________________________________ Relationship to student: ________________________
Cascadia College is an equal opportunity institution and does not discriminate on the basis of race, color, religion, gender and/or sex, disability, national origin, citizenship
status, age, sexual orientation, veterans status, or genetic information. All Cascadia materials are available in alternative formats and can be requested by contacting the
Human Resources oce.
HOW DID YOU HEAR ABOUT CASCADIA COLLEGE?
Cascadia website: Agency: Other:
Other website: Friend or family member:
APPLICATION FEE: $ 50 (NON-REFUNDABLE)
Visa MasterCard Check (payable to Cascadia College) Money Order (USD)
Card Number: Expiration date: CVV#
Cardholder name: _________________________________ Cardholder signature:_____________________________________
(as it appears on your card)
ENGLISH PROFICIENCY
Do you have proof of English prociency with required score? Yes No
If yes, please select one of the following:
TOEFL (iBT): 70 (minimum) Pearson PTE: 48 STEP/Eiken: Pre-1 Duolingo 95
IELTS: 6.0 iTEP: 4.0 English 101 (or equivalent) at____________________
Test Score: ____________________________________ Date Taken: _____________________________________________
Note: Proof of English prociency is not required for admission to the English Language Program (ELP). If you have an ofcial
score of TOEFL (iBT): 70 (MyBest™ score is accepted), IELTS: 6.0, Pearson PTE: 48, iTEP: 4.0, STEP/Eiken: Pre-1, Duolingo 95 or
completed English 101 (or equivalent) at another institution, you will be directly placed in our college program.
The ofcial score must be sent directly to Cascadia College from the testing agency.
If you do not meet the requirements for English prociency, you will be required to take an English placement test for placing in
the appropriate level of our ELP.
INTERNATIONAL STUDENT APPLICATION
www.cascadia.edu/international
Please submit to international@cascadia.edu
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CASCADIA UNDERAGE STUDENT HOUSING POLICY
It is Cascadia College’s policy that all students under the age of 18 live with a homestay family in order to ensure their safety while
attending classes in the United States. Cascadia College strongly recommends that parents keep their child in a homestay where
they can be monitored and cared for until the age of 18, when they are legally considered to be adults in the U.S.
If parents decide to allow their underage child to live anywhere other than with a homestay family, they must sign the Housing
Policy Waiver below.
I hereby grant permission for my child to arrange for housing in an apartment/room for rent, etc. contrary to Cascadia College’s
policy that all underage students reside in a homestay. I understand the consequences of allowing my underage child to live
unsupervised and release Cascadia College from any and all liabilities in regards to any harm that may come to my child as a result
of my choosing to disregard their underage homestay policy.
_____________________________________________ ____________________________________
Signature of Parent/Guardian Date
To be completed by the student
Please read the following statement and sign on the line below
I understand that while I am under the age of 18, I must reside with a host family, immediate family member, or get the approval of
my parent/legal guardian to live independently. I also understand that it is my responsibility to notify the International Programs if I
change my address.
_____________________________________________ ____________________________________
Signature of Student Date
INTERNATIONAL STUDENT APPLICATION
Underage Form
Must be completed if applicant is under 18 years old.
STUDENT NAME (LAST, FIRST)
Medical Care and Treatment of Minor Children Consent
I authorize and consent to medical, surgical hospital care treatment, and procedures to be performed by a licensed physician
or hospital when, at the sole discretion of the attending physician, immediate care, treatment, and procedures are necessary or
advisable in the interest of my child’s health and well-being, and it is not advisable to take the time to contact me in advance. Under
the circumstances described above, I elect not to be informed in advance of the nature and character of the proposed treatment, its
anticipated results, possible alternatives, and the risks, complications, and anticipated benets involved in the proposed treatment
and the alternative forms of treatment, including non-treatment.
Off-Campus Activities and Trips Waiver of Liability
I understand and acknowledge that there is risk of injury to my child by his/her participation in off-campus activities and trips.
I also understand that it is voluntary for my child to participate, and that the college does not require his/her participation.
I hereby release Cascadia College and the State of Washington, its employees, ofcers, agents, and trustees, and waive any
and all right and claims for damages from any and all injuries that my child may suffer as a result of his/her participation in
trips and/or activities. I also agree to hold harmless and indemnify Cascadia College, its employees, ofcers, agents, and
trustees for any action, claim, or proceeding initiated as a result of any injury suffered by my child or any third party through
his/her participation in trips and/or activities.
_____________________________________________ ____________________________________
Print Name of Parent/Guardian Signature of Parent/Guardian
_____________________________________________ ____________________________________
Parent/Guardian email address Emergency phone of Parent/Guardian