City College of San Francisco International Student Admission Application (F-1 Visa/Status)

(Please complete all pages of this application form) Ensure all required documents are included with your application package before submitting it to CCSF

Academic Program Application Check List

(For applicants who wish to achieve Certificates and/or Degrees in certain majors) Deadlines: Fall: June 1 (new students), July 1 (transfer students)

Spring: November 1 (new students), December 1 (transfer students)

Completed Application Form Copy of your Passport (Bio-page) Official TOEFL/IELTS/Duolingo score report (see #5) Official Bank Letter and Financial Support Form (see #2) Official High School or College/University Transcript (#4) $50 Application Fee (see #3) $75 DHL Fee - for new students in their home country only (Excluding: North Korea, Syria, South Sudan, & Iran) Additional documents for transfer-in applicants (see #1) If you are under 18 years old, please include the following:

a. Copy of high school diploma in Englishb. Completed Guardian Consent Form

Conditional Admission Application Check List

(This is for applicants who wish to apply for the Academic Program but have not obtained the required TOEFL/IELTS score. Applicants will first attend the Intensive English Program (IEP) to obtain the required TOEFL score) Deadline: At least 45 business days before session start date

Completed Application Form Copy of your Passport (Bio-page) Official Bank Letter and Financial Support Form (see #2) Official High School or College/University Transcript (#4) $50 Application Fee (see #3) $75 DHL Fee - for new students in their home country only (Excluding: North Korea, Syria, Cuba, & Iran) Additional documents for transfer-in applicants (see #1) If you are under 18 years old, please include the following: a. Copy of high school diploma in Englishb. Completed Guardian Consent Form

Intensive English Program Application Check List

(This is for applicants who wish to only learn English without any further educational goal at CCSF) Deadline: At least 45 business days before session start date

Completed Application Form Copy of your Passport (Bio-page) Official Bank Letter and Financial Support Form (see #2)$50 Application Fee (see #3) $75 DHL Fee - for new students in their home country only (Excluding: North Korea, Syria, Cuba, & Iran) Additional documents for transfer-in applicants (see #1) If you are under 18 years old, please include the following: a. Completed Minor Consent Form

Copy of your F-1 Visa (or Change of Status Approval Letter) Copy of your I-94 (https://i94.cbp.dhs.gov, or a copy of the front & back side of your I-94 white card if it was issued to you at the U.S. port of entry) Copies of all previous I-20’s (all pages)

Must be both signed and stamped by the bank official

Must be dated within the last 6 months

Must list at least $28,500 US Dollars in cash, or equivalent to this amount in other currency (currency must be listed)

Must be in English or officially translated into English by a

translation company with legal interpreter’s stamp (you must then submit both original versions)

Application & DHL fees are non-refundable and must accompany your completed application package in the form of “Money Or-der” or “Bank Cashier’s Check” made out to “City College of San Francisco”. Or, please include a receipt if you paid through our online payment option at http://www.flywire.com. Cash or personal bank check will not be accepted. The $75 DHL fee is mandatory for all new students applying from their home country to receive the I-20 via DHL delivery (unless the applicant chooses the pick-up or U.S. mail option).

Transcript must show what classes the applicant took and whatgrades/marks the applicant received

Transcript must be in English or officially translated intoEnglish by a translation company with a legal interpreter’s stamp (you must then submit both official versions)

Applicants must have a minimum TOEFL score of 56 (TOEFL IBT) or 483 (TOEFL ITP); IELTS score of 5.5; or Duolingo score of 85

City College of San FranciscoOffice of International Programs

50 Frida Kahlo Way, Cloud Hall Room 212 San Francisco, CA 94112, U.S.A.

Phone: 1.415.239.3895 Fax: 1.415.239.3804

E-mail: international@ccsf.eduWebsite: www.ccsf.edu/international

(#1) If you are transferring to CCSF, please also submit:

(#2) Bank Letter and Financial Support Form

( #3) $50 Application Fee and $75 DHL Delivery Fee)

(#4) Official High School or College/University Transcript

(#5) Official TOEFL/IELTS/Duolingo score report

Please submit your completed application package to:

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Please complete the International Student Financial Support Form and submit the notarized form with your application. Failure to do so will delay the application process.

City College of San Francisco International Student Application Form

(For F-1 International Student Status)

For Office Use Only Application Received:

Date: ____________ By: _________

Method: _______________________

Applicant #: ____________________

Academic Program: Spring 20_____ January to May Fall 20_____ August to December

Conditional Admission: Spring 20_______ 18 Weeks - January to May 9 Weeks - March to May

Summer 20______ 8 Weeks - June to July 4 Weeks - July Fall 20__________ 18 Weeks - August to December 9 Weeks - October to December

Intensive English Program: Spring 20_______ 18 Weeks - January* 9 Weeks (I) - January* 9 Weeks (II) - March*

(*Sessions being in the month indicated) Summer 20______ 8 Weeks - June* 4 Weeks (I) - June* 4 Weeks (II) - July* Fall 20__________ 18 Weeks - August * 9 Weeks (I) - August* 9 Weeks (II) - October*

I. Personal Information: (please print clearly)

1a. Name (as it appears on your passport)

Last (Family): ________________________________________________

First (Given): ________________________________________________

Middle: ________________________________________________

Country of citizenship: ________________________________________

Country of birth: ________________________________________

City of birth: ________________________________________

2a. Date of Birth: _____________ / _____________ / _______________ Month Day Year

2b. Are you Under 18 years old? Yes No (If YES, please submit Legal Guardian Form - Download from our website)

3b. Single Married 3a. Male Female

5. E-mail Address: ___________________________________________________________________

6a. Complete permanent address in your home country (required): Street Address: ______________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________

City: __________________________________________________________ State/Province: ____________________________________________

Postal/Zip Code: ______________________________ Country:__________________________________________________________________

Home Country Phone Number: _______________________________________________________________________________________________

II. PERSONAL INFORMATION: (please print clearly)

6b. Complete address you wish to have your acceptance package and/or I-20 mailed to: (please check your delivery method) Free Local Mail - for students with a U.S. address only $75 DHL - for new students in their home country only Name of Receiver: _____________________________________________________________________________________________________

Delivery Street Address: ______________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________

City: __________________________________________________________ State/Province: ____________________________________________

Postal/Zip Code: ___________________________________Country: _________________________________________________________________

Phone Number of Receiver: ___________________________________________________________________________________________________

I. PROGRAM INFORMATION: (please only select one program)

New Student Transfer Student Continuing Student Re-Enter Student Concurrent Enrollment

6d. Complete local address in the U.S.: (if you are presently in the U.S.) Street Address: ______________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________

City: __________________________________________________________ State/Province: ____________________________________________

Postal/Zip Code: ________________________________U.S. Phone Number: _________________________________________________________

6c. If you would like to pick up or have your spouse pick up your acceptance package and/or I-20, please provide their information:

Full Name: _____________________________________________________ Phone #: ____________________________________________

Relationship to Applicant: ________________________________________ E-mail: _____________________________________________

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CCSF ID #: _________________

Other

1b. Citizenship and Country/City of Birth

4. Dependents accompanying you to the U.S. on F-2 status? None Child(ren) Spouse For child(ren): provide copy of passport and birth certificateFor spouse: provide copy of passport and marriage certificate

IV. EDUCATION INFORMATION:

III. ETHNIC BACKGROUND: (please check all that apply)

Are you Hispanic or Latino/a? YES NO

01 Hispanic, Latino/a 08 Asian Japanese 15 Black or African American 02 Mexican, Mexican-American, Chicano 09 Asian Korean 16 American Indian/Alaskan Native 03 Central American 10 Asian Laotian 17 Pacific Islander Guamanian04 South American 11 Asian Cambodian 18 Pacific Islander Hawaiian05 Hispanic Other 12 Asian Vietnamese 19 Pacific Islander Samoan06 Asian Indian 13 Filipino 20 Pacific Islander Other07 Asian Chinese 14 Asian Other 21 White

1a. What is your intended major (field of study) in the U.S. (*)? _____________________________________________________________________ (* If undeclared, please put down General Education or Liberal Art. Please put down IEP for Intensive English Program only)

1b. What is your intended education goal in the U.S.? (please check one only)

AA/AS Degree BA/BS Degree MA/MS Degree Certificate Language Training Only (IEP)

2a. Full names of last High School attended: ______________________________________________________________________________________

Date of Graduation (if applicable): __________________________________________________________________________________________

2b. Full names of last College/University attended: ________________________________________________________________________________

Date of Graduation (if applicable): __________________________________________________________________________________________

3. English Proficiency: I have TOEFL/IELTS score of: _____________________ Date Taken (MM/YYYY): ______________________________

Waiver Request: My native language is English I studied in an English speaking school for more than 3 years

I graduated from high school, college, or university in the U.S. or other English speaking country

4. Do you have a 2-year Associate Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________

Do you have a 4-year Bachelor's Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________

Do you have a Master’s Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________

*If you answer yes to any of the above questions in #4, please submit a copy of your diploma & a personal statement explaining why you want to study at CCSF

Yes V. CURRENT STATUS: (if you are currently in the U.S. only) Are you applying for Change of Status in the U.S. ? No

1. Are you currently on F-1 international student status? Yes No If No, what visa type are you currently on? _______________ 1a. If yes, is your I-20 currently in good status? Yes No

If yes, which school are you studying at now? ______________________________________________________________________________

If yes, how long have you been there? _____________________________________________________________________________________

If yes, are you attending full time? ________________________________________________________________________________________

If yes, what is your SEVIS I-20 number? N _________________________________________________

1b. If you are not on F-1 status, what type of visa or status type are you currently on? ___________________________________________________

VI. FINANCIAL INFORMATION:

1. Who provides your financial support? Myself Family(*) Sponsor(*) Student Loan Government(*)

(*) Name of family member, sponsor, organization, or government: _______________________________________________________________

(*) Relationship to applicant of family member, sponsor, or organization: __________________________________________________________

VII. GENERAL INFORMATION:

1. How did you hear about CCSF? Family Friends Current/Former CCSF Students Agents

Fair Other ______________________________________________________________________________________________

VIII. ACKNOWLEDGEMENT:

I hereby certify that the information set forth in this application is true to the best of my knowledge. If accepted to City College of San Francisco, I hereby agree to abide by all the rules and regulations set forth by the college.

_____________________________________________________________ ____________________________________________________________ STUDENT SIGNATURE DATE

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