EL CAMINO COLLEGE
INTERNATIONAL/F-1 VISA STUDENT APPLICATION
FOR THE STUDENTS OUTSIDE OF THE UNITED STATES
FOR FALL
SP RING
YEAR 20____
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 (if available) Address in your Country (Required)
(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)
Birthday Country of Birth Country of Citizenship
Month / Day / Year
Do you have dependents? 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
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
Student Expenses
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):
Tuition and Fees for one academic year (12 units per semester x 2 semesters = 24 units x $294 per units) $ 7,056.00
Housing (estimated) * $ 7,750.00
Food (estimated) $ 1,750.00
Books & Supplies (estimated) $ 800.00
Medical Insurance (12 months) (Must be purchased through El Camino College. Waivers are not permitted) $ 1,415.00
Personal Expenses (Estimated) $ 1,200.00
Total $ 19,971.00
* 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 $20,000.00.
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 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. 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
3400 W. Manhattan Beach Blvd.
Torrance, CA, 90504 U.S.A.
ISP@elcamino.edu
Telephone: (310) 660-3431
www.elcamino.edu/academics/is
(Rev. 06/17)
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 Information Page
Copy of an F-1 Visa in your passport (if available)
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