2018 F-1 Application Sheet

Application for Term*

Select or enter value

Step 1: Complete the CCCApply Application before completing the International F-1 Student Application

Link to CCCApply Application: https://www.opencccapply.net/uPortal/f/u66l1s1000/normal/render.uP

Enter your CCCApply Confirmation Number

Step 2: International F-1 Application

General Information

Please enter the following contact information

First Name*

Middle Name

Last Name*

Surname as it appears on your passport.

Date of Birth*

MM//DD/YYYY

Age*

Gender*

Select

U.S. Address (Number/Street/Apt.#)

U.S. Address (City)

U.S. Address (State)

U.S. Address (Zip Code)

Phone Number

Enter a number where you can be contacted at. Please enter in the format (xxx) xxx-xxxx

Email*

Please provide a valid email address

Foreign Address*

All F-1 students must provide a foreign address, even if you are currently living in the United States

Foreign Address (City)*

Foreign Address (Province)*

Foreign Address (Country)*

Foreign Address (Zip Code)*

If you do not have zip code enter 0

Country of Birth*

Country of Citizenship*

Major*

You must select a Major. If undecided select General Studies.

NON-IMMIGRANT STATUS

Please provide the following information pertaining to your current non-immigrant status. ** You will need to also attach a PDF copy of your passport, visa, andI-94 at the bottom of this form

Are you currently residing in the U.S.?*

Select

If "yes" enter visa type

example: B-1/ B-2/ etc.

Visa expiration date

MM/DD/YYYY

TRANSFER-IN REQUEST

If you are currently attending another institution on an F-1 student visa answer the following questions. ** You will need to also attach a PDF copy of your passport, visa, I-94 , I-20 at the bottom of this form

I-20 Form

Which school issued your I-20?

SEVIS Number

Enter your SEVIS number

Signature*

The statements made by me in this application are true and complete to the best of my knowledge. I understand that any falsification constitutes perjury and may be legal basis for dismissal. My checkmarked box provides consent for me to receive final grades by telephone.

Signature Date*

FINANCIAL GUARANTEE OF SUPPORT

In accordance with federal immigration requirements, applicants must verify that they have the necessary funds to pay for their academic and living expenses. The approximate cost for one year at Mt. San Antonio College is $20,782.00 USD. Current proof of funding must be in the form of a bank letter or bank statement with official signature/seal. All bank verifications must indicate U.S. currency and be dated within six months of the semester start date. If information is unclear, additional proof may be required.

Name of Student/ Applicant*

Sponsor Name*

Sponsor's Relation to Student/Applicant*

Certification of Funds*

By checking the box, I understand that I must attach a bank letter or statement (with an official signature/seal) to this form. ** Please upload an official bank statement confirming that the required finances are in place. Use the "Upload" button at the bottom of this form to attach your reqruired bank document(s).

DEPENDENT INFORMATION

The following information is required regarding each dependent. Additional financial support must be submitted. An Additional $10,000 per dependent is required. Any bank statements must be submitted using the upload button above.

Dependent 1 (First Name)

Dependent 1 (Middle Name)

Dependent 1 (Last Name)

Dependent 1 (Relationship to Applicant)

Dependent 1 (Gender)

Select

Dependent 1 (Country of Citizenship)

Dependent 2 (First Name)

Dependent 2 (Middle Name)

Dependent 2 (Last Name)

Dependent 2 (Relationship to Applicant)

Dependent 2 (Gender)

Select

Dependent 2 (Country of Citizenship)

TB Test Confirmation*

By clicking the box below, I verify that I am aware that I am required to have a Tuberculosis skin test The result must be negative. If the result is positive, I will be required to obtain a chest x-ray. Results of a TB skin test should be dated within six months of the semester start date.

Document Uploads

Please use the button below to upload the following required documents: NEW STUDENTS - Out of Country 1) Copy of your passport (picture page) 2) Bank Statement or letter confirming the required financial resources are in place NEW STUDENTS - Transfer-in 1) Copy of passport (picture page) 2) Copy of Visa 3) I-94 4) I-20 5) Bank Statement or letter confirming the required financial 6) Transfer-in Verification Form The application will not be considered if the above documents are missing.

Required Documents Upload*

Please upload all of the required documents listed above.

Drag and drop files here or

Send me a copy of my responses

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