Fillable International Students Application (Mt. San Jacinto Community College District)

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International Students Application (Mt. San Jacinto Community College District)

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International Students
Application
Thank you for your interest in Mt. San Jacinto College! Many exciting opportunities await you both on
campus and in the community. Mt. San Jacinto is a community college founded in 1963 offering a
comprehensive day and evening program of transfer and vocational education. The college is fully
accredited by the Western Association of Schools and Colleges, the official national accrediting agency for
this region.
The original campus is located in the San Jacinto Valley which is approximately 100 miles east of Los
Angeles and approximately 45 miles from the desert resort community of Palm Springs. The two towns
nearest the campus are Hemet and San Jacinto. The second campus, Menifee Valley Campus, is located
25 miles from the main campus midway between Sun City and Temecula just off the I-215 freeway.
Mild year-round temperatures and central Southern California location make this one of the fastest growing
places in the United States. Activities such as golfing, fishing, camping, swimming, water skiing, hang
gliding and sport parachuting are available within the inland area. Also available are apple and cherry
harvest festivals, summer outdoor concerts, and fairs.
The weather in the semiarid region is considered very pleasant. During the winter months, November-
March, temperatures range from 32° F (0° C) at night to 70° F (21° C) during the daytime so students wear
fairly light clothing. During the summer months, May-October, the temperature ranges from warm to very
hot.
Mt. San Jacinto College does not have any on-campus housing nor do we maintain a listing of housing
within the community; however, apartments and rental houses are readily available and are reasonably
priced.
The materials in this booklet are designed to answer some of your questions and to help you complete the
enclosed application. For more detailed information about our college, check out the Mt. San Jacinto
College website. You can find us at www.msjc.edu.
We look forward to receiving your application and
welcoming you as a new student in the near future!
Please direct all inquiries to:
Mt. San Jacinto College
International Students Office
28237 La Piedra Rd.
Building 1018B
Menifee CA 92584
Jackie Padilla-Alvarado:
Phone: 951.639.5211
Fax: 951.672.6548
Application Checklist
Use the checklist below as you complete your application. Incomplete applications cannot be acted upon until all
documents are received.
□
Completed Application for Admission form
□
Attached recent passport photo to application
□
Provided copy of visa and information pages from passport or your birth certificate
□
Provided personal essay
□
Provided high school transcripts or high school competition certificate
□
Application fee of $90.00 (U.S. dollars, Money order or Check drawn on U.S. funds: payable to MSJC) NO WIRE
TRANSFERS. Send by mail to: Mt. San Jacinto College
International Students Office
□
Included original Statement of Sponsorship form included in packet which is signed and notarized by your U.S.
sponsor whom you will be living with in the U.S. (If you are independent you do not need this)
□
Provided proof of financial support form included in packet, A letter from the sponsors financial institution
dated within 30 days of applying stating the sponsor has at least $12,000 U.S. dollars in their account for
3 consecutive months OR three consecutive months bank statements
□
Provided proof of TB test and all childhood immunizations
□
If applicable - Provide official TOEFL scores 450 paper based, 45 internet based, STEP Eiken test - Level 2,
IELTS 4.5, or English language completion certificate.
□
If transferring, provided a copy of front and back of the I-94 form, visa and information pages from passport,
a copy of the front and back of the I-20 from previous school and a (letter of Transfer included in packet)
from thatschool.
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International Student
Application for
Admissions
Mt. San Jacinto College
PLEASE TYPE INFORMATION
Today’s Date:
ATTACH YOUR PHOTO HERE
Indicate Semester Start Date: _
Summer, Year
Fall, Year
Spring, Year _
Name of student (as it appears on passport): _
Surname/Family Name First name Middle name
Name you intend to use in the United States:
Date of Birth: Month Day _ Year Male Female Married Unmarried
Country of Citizenship: Country of Birth: _
Telephone number (indicate country code & city code): Fax:
Email address: Social Security Number (if any): _
What will your major field of study be?
Address in Your Home Country Address in the U.S. (if any)
_
_
_
_
Please keep us informed of any changes in your address (es)
List all Secondary Schools and Higher that you have attended (attach additional pages if necessary)
School Name City, Country Dates Attended Diploma (Yes/No)
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What languages do you read and/or speak?
How did you learn about MSJC? (Please list the name of the person, agency, book, etc.) _
Why did you choose MSJC? _
If you will be bringing dependents to live with you in the United States, please provide the followinginformation:
Name of Dependent Date of Birth Country of Birth
Visa Information
Are you now inside the United States? Yes No
If yes, please submit copies of both sides of your I-94 with your application.
If yes, what is your current status? F1 F2 J1 J2 B2 B2 Other
If an F1, what institution issued your I-20?
What institution are you now attending?
(be sure to include a copy of your I-20 with your application)
If on a tourist visa (B1/B2), what is the expiration date on your I-94 card?
Have you applied for permanent residency (green card)? Yes No
Do you plan to travel outside of the U.S. prior to beginning your studies at MSJC? Yes No
If so, please indicate dates of travel:
Release of Information (Optional)
I hereby give permission to Mt. San Jacinto College to release information concerning my student status to the
following person(s):
Father: Mother:
Sponsor: Guardian: _
CERTIFICATION
I hereby certify that the information set forth in this application is true to the best of my knowledge. If accepted
to Mt. San Jacinto College, I hereby agree to abide by all the rules and regulations set forth by the College.
Student Signature: Date: _
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Admission Requirements
1. Application: Complete an International Students Application for Admissions and email documents to
jalvarado@msjc.edu **ONLINE APPLICATION COMING IN SPRING 2020**
2. Academic Preparation: Students must have completed the equivalent of an American high school
diploma; twelve years of elementary and secondary school or students must be at least 18 years of
age.
3. Transcripts: High school transcripts are required of all applicants. Students who have completed
college or university coursework should also submit transcripts from those institutions. Transcripts
must be original or certified copies. If the transcript is not in English, an Official translation must be
submitted together with the transcript in the original language. (A transcript is an official document
from your school showing all of your classes and all of the grades you received in yourclasses).
4. English Proficiency: Send an official Test of English as Foreign Language (TOEFL) score directly
from ETS. In order to succeed in regular college courses, students must have a score of 450 Written
Based Test (WBT) or better. A score of 133 or better is required on the Computer Base Test (CBT)
and 45 on the Internet Based Test (IBT), STEP Eiken test – Level 2, IETS 4.5, or English language
completion certificate.
5. Financial Letter of Support: In compliance with immigration requirements, applicants must be
able to demonstrate access to the necessary funds to pay academic and living expenses for the
duration of their studies. Proof of financial support must be in an official sealed letter from the
sponsor bank addressed to sponsor and dated within 30 days of application submission or 3
consecutive bank statements, along with a notarized Financial Letter of Support (included in
packet)
6.
Statement of Sponsorship: Form included in packet which is signed and notarized by your
sponsor whom you will be living with in the U.S. (If you are independent you do not need this) but
we will need your U.S. address.
7. Tuberculosis Test: Provide TB test results from your doctor.
Students who test positive are required to submit the results of a chest x-ray. The United States
does not accept the BCG vaccine (Please DO NOT send the x-ray film send only the doctor’s
report).
8. Immunizations: The following immunizations may be required for visa purposes and the physician
should show the dates of immunization (have the immunizations before leaving your home country):
9. Health Insurance: Health insurance is required. Submit evidence of a personal health and medical
insurance policy for the time of attendance at MSJC. (Student insurance information is available in
through the International Students Program).
10. Transferring Students or Change of Status Students: If you are applying from within the United
States, please submit copies of the visa and information pages from your passport and a copy ofthe
front and back of your I-94. If you are transferring, also submit a copy of the front and back of your
I- 20 from your previous school, a letter of transfer from that school and a transfer included in
application packet.
11. Application Fee: There is a non-refundable processing fee of $90 which must be submittedwith
each application.
12. Copy of Passport or Birth Certificate: Please submit a copy of the information page from your
passport, or a copy of your birth certificate. Whichever document you choose must show your legal
name in English. We will use this version for your name when we issue your I-20.
5
13. Personal Essay: Please submit a hand-written essay explaining why you want to come to Mt. San
Jacinto College and discussing your future goals. If you plan to transfer to a university, you may
wish to write about that in your essay.
14. Passport Photo: Please submit a recent passport size photograph of yourself. This photowill
become part of your permanent record at MSJC and cannot be returned.
15. Deadline Dates: Application deadlines are as follows:
Fall Semester is May 15
Spring Semester is October 15
Summer Session is March 15
Applications will be reviewed in the order they come in and students should expect an email when
the application is in the process of review.
6
Other Important Information
Nonresident Tuition and Units required: The nonresident international student tuition rate is $341
per unit. Twelve units are required for all international students each semester (Fall and Spring
semesters). Summer Session is available but not required for attendance.
Counseling and Advisement: New students are required to participate in a New Student
Counseling Session to develop their educational plan. Counseling appointments are currently
scheduled up to one week in advance, however students can make appointments by calling
or visiting the counseling office and speaking to the front desk. We encourage all students to
meet with a counselor at least once per semester.
Employment: International students may seek employment on campus in any positon that is
District Funded and NOT Federal Work Study. No more no more than 20 hours per week is
allowed. Please make note that District Funded positions are not always available.
Tuition, Fees & Expenses
The amounts listed below represent the minimum estimated expenses for each student for two semesters
(10 months) at Mt. San Jacinto College. The budget does not allow for luxuries.
$8184.00
$750.00
$14.00
$68.00
Tuition (12 units x 2 semesters x $341/unit)
Hea
lth Insurance (12 months -- approximate cost) $750.00
Student Government Association Fee ($7 x 2 semesters) $14.00
Parking Fee ($34 x 2 semesters)
Books, Supplies
$800.00
Subtotal:
$9816.00
Est
imated cost for room, board, living expenses: $11,000.00
TOTAL:
$20,816.00
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Mt. San Jacinto College
Statement of Sponsorship
Date:
It is my intent to act as a sponsor of _, an international
student, who wants/would like to attend Mt. San JacintoCollege.
I hereby attest that I am willing and able to provide living expenses to the student named below for each year of study at Mt.
San Jacinto College.
It is my understanding that this includes responsibilities and obligations as follows:
1.
I will assist in finding suitable housing. There must be, as one provision in this housing,adequate
arrangement for a private place to study.
2.
I will insure there will be suitable arrangements for the student to have an adequate supply offood.
3.
I will, in emergency, extend help so that the student will receive adequate emergencycare.
I understand that these arrangements are necessary if the student is to attend Mt. San Jacinto College. No resources are
available by Mt. San Jacinto College to provide the above and it is necessary, before an international student is accepted, that
provision be made for lodging, food, financing and emergency care.
Affirmation or Oath
I hereby affirm or swear that the contents of the above statements are true and correct.
Signature of Sponsor
Date:
Sponsor (printed name)
Subscribed and sworn to before me
Relationship to student: _
on____________________
Signature of Notary or Official State
Seal
Full Address:
Home Phone:
Cell Phone:
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Mt. San Jacinto College
Financial Letter of
Support
Date:________________________
I (Sponsors name) _____________________________________________
agree to sponsor (students name)_____________________________________at Mt. San Jacinto College in the
amount of $12,000.00 per calendar school year. I have included documentation of the availability of the funds in
the form of the enclosed certification of financial resources.
I hereby attest that I am willing and able to provide tuition expenses to the student named above for each year of
study at Mt. San Jacinto College.
I understand that these arrangements are necessary if the student is to attend Mt. San Jacinto College. No resources
are available by Mt. San Jacinto College to provide the above and it is necessary, before an international student is
accepted, that provision be made for lodging, food, financing and emergency care.
Affirmation or Oath
I hereby affirm or swear that the contents of the above statements are true and correct.
Signature of Sponsor____________________________________________
Subscribed and sworn to before me on
Date: _________________________
Sponsor (printed name)
Relationship to student: __________________________
Signature of Notary or State Official Seal:
Full Address:
Cell Phone: ___________________________
Email address:_________________________
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Transfer Form
Mt. San Jacinto College
INTERNATIONAL STUDENTS PROGRAM
28237 La Piedra Road #1018B
Menifee, CA, 92584
Phone (951) 639.5211 Fax (951) 672.6548
E-Mail: jalvarado@msjc.edu
Instructions for F-1 students: If you are transferring from another U. S. institution to
Mt. San Jacinto College (MSJC), you must have this form completed by the International students
Advisor/DSO at the school from which you are transferring FROM. Please complete and sign the first
section of this form and then forward it to the International student advisor at your previous school.
Once your previous school fills this form out, they will mail it directly to MSJC. Your new I-20 can
only be issued if the International Students Office is in possession of the completed transfer in form.
Failure to complete your transfer on time may result in a violation of your legal status, which may
require reinstatement from the Bureau of Citizenship & Immigration Services.
SECTION 1: TO BE COMPLETED BY STUDENT
“I authorize the International Students Advisor /DSO of the institution I last attended to send the
information requested in Section 2 to The International Students Office at
Mt. San Jacinto Community College.”
Students Name___________________________ Date____________________________
Signature____________________________ Student SEVIS#_____________________
1. To the best of your knowledge, is the student currently in legal F-1 status and eligible to
transfer to MSJC? YES  NO 
If no, please explain_____________________________________________________________
2. Has the student completed 9 consecutive months of being in status?  YES…..NO
3. Is the student eligible to return to your institution? YES  NO 
4. What was the last semester or quarter the student completed at your school?_________
5. Comments______________________________________________________________
Name___________________________Title________________________________________
Signature________________________Date _______________Release date______________
Institution ________________________________Phone _____________________________
Fax __________________________
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