FHDA International Application 2016

8/18/2019 FHDA International Application 2016

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Foothill and De Anza Colleges International Student Application

Thank you for applying to Foothill and De Anza Colleges. Once all the required documents are received, you will be issued an

ofcial immigration document and sent an acceptance packet. An orientation is mandatory for all new students and specic dates

will be included in your acceptance packet. During orientation you will be tested for English and math prociency.

Important Dates

Expenses

Admission Check List

Fall Quarter Winter Quarter Spring Quarter

Classes begin

Application Deadline

Mandatory Orientation

Late September

June 30

Late August / Early September

Early January

October 31

Early December

Early April

January 31

Early March

The following estimated expenses are for one academic year (three quarters not including summer):

Tuition and Fees (tuition fees are paid quarterly and are subject to change)Tuition is based on $183.00/unit for 12 units minimum/quarter; many students take additional units at

$183.00/unit. Summer tuition and related expenses are not included.

Health Insurance -our insurance is required for all F-1 students

Estimated Living Expenses

Books and Supplies

Room and Board (homestay for 10 months at $1,000.00/month - information on page 3)

Spending Money

Total Estimated Cost

$6,588.00

1,452.00

1,500.00

12,000.00

2,500.00

$24,040.00

Students must be at least 16 years old AND have graduated from secondary/high school by the start of orientation

to be eligible for admission to Foothill and De Anza Colleges.

All application documents MUST be original or certied; no faxes, scans or copies are accepted. Completed

1. Complete, sign, and return this application form with a copy of the photo page in your passport.2. Submit proof of English prociency. See page 4 for more information on minimum test scores.

3. Complete the Condential Financial Statement on page 3, which must be signed by the person

guaranteeing your nancial support. Submit an original bank letter dated within the last 6 months

with an ofcial signature on bank letterhead that veries the current balance in USD of your account

or your sponsor’s/ guardian’s account.

4. Submit original or certied English translations of your secondary and post-secondary transcripts.

5. Attach a recent photograph to page 2.

6. Submit a non-refundable credit card authorization for the 75.00 USD application fee and a non-

refundable 75.00 USD express mailing/courier fee to send your acceptance documents outside the U.S.Download credit card authorization forms for the college to which you are applying from the websites:

www.foothill.edu/international/ad_applic.php | www.deanza.edu/international/admission.html.

7. Submit a Dependent(s) Information Form for spouse and child (if they plan to reside with you in the U.S.)

8. Apply and mail documents to only one college:

Foothill CollegeAttn: International Programs Ofce

12345 El Monte Road

Los Altos Hills, CA 94022, USA

Telephone 650-949-7293 • Fax 650-949-7080

Email: [email protected]

www.foothill.edu/international

De Anza CollegeAttn: International Student Programs

21250 Stevens Creek Blvd.

Cupertino CA 95014, USA

Telephone 408-864-8826 • Fax 408-864-5638

Email: [email protected]

www.deanza.edu/international

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International Student Application

Legal Name

(As it appears on your passport) (Family/Sur/Last) (Given/First)

Preferred Name (Optional) Male Female

Applicant’s Home Country Address (Number and Street)

(City) (Province) (Country) (Postal Code)

United States Address (Number and Street):

(City) (State) (Zip code)

Home Counry Telephone U. S. Telephone: (Country code and phone number) (Area code and phone number)

Student’s Email Address (required)

Country of Citizenship Country of Birth

What is your racial/ethnic background?

Are you under 18 years of age?

Date of Birth (Month) (Day) (Year)

Proposed major or eld of study

Two-year Associate’s Degree (A.A. or A.S.) Two-year Transfer Program

Please Print Clearly - This information will appear on the SEVIS Form I-20

issued by the Department of Homeland Security.

I am applying to attend (check only one box):

Foothill College De Anza College

I plan to enroll for (fll in the year):

Fall Quarter - September Spring Quarter - April

Winter Quarter - January Summer English - June/July

I plan to enter: from the U.S. from outside the U.S.

If you currently hold a valid U.S. visa in your passport please indicate the type:

B-2 F-1 J-1 Other U.S. visa:

Send my documents: to the address in my home country to the address in the U.S.

to be picked up in the International Students Ofce

to the Agent’s address

If you are currently an F-1 student transferring from another school/college in the U.S.:

Name of school that issued your most recent SEVIS I-20:

Your SEVIS number:

Submit a copy of your current I-20, I-94 card, F-1 visa and passport, plus an ofcial transcript.

Ofce Use Only

Student ID:

Personal Information

No

Yes

MUST BE STUDENTS PERSONAL INFORMATION ONLY

(Students under 18 must complete a parental authorization form and submit it with

the application. See www.international.fhda.edu/ParentAuthorization.pdf)

Photo

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Check the options at: www.foothill.edu/international/im_background.php


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Applicant’s Legal Name(As it appears on your passport) (Family/Sur/Last Name) (Given/First Name)

I plan to obtain money for expenses while studying in the U. S. from:

Personal Savings (Please sign below to certify)

Parent or Family Savings (Name)

U.S. Sponsor (Name)

Government Scholarship

Other source (If a sponsor, list name and relationship)

I certify that I will have a minimum of $22,040.00 U.S. dollars for each year of my study exclusive of travel expenses

Additional information

Condential Financial Statement

Certifying Statement

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Sponsor’s or Guardian’s Name (printed)

Address of Sponsor or Guardian (Number and Street)

(City) (State/Province)

(Country) (Postal Code)

Signature of Sponsor

Date

Relationship to Applicant

Important InformationYou must include the following document in your application packet:

• An original letter from the bank verifying that you or your sponsor are in “good standing” at the bank

and have at least $22,040 U.S. dollars available for the rst year of your education expenses.

Note:

1. The verifying letter from the bank must be dated within the last 6 months.

2. Financial support cannot be from any source of stocks, bonds, or retirement accounts.

I hereby certify that all information provided on this application is true and correct. I understand that the presentation

of false information or failure to comply with Foothill and De Anza Colleges’ admission and registration procedures

may result in my dismissal without a refund of any fees paid.

I agree to obtain and maintain health insurance coverage provided by Foothill-De Anza Community College District.

Foothill and De Anza Colleges insurance is mandatory.

I understand that if I am applying through an agent, the colleges may release information about my application or other

issues to the agent.

Name (print as it appears on passport) Signature Date

Misrepresentation of information will be cause for dismissal.

Housing

Foothill and De Anza Colleges do not provide dormitories or housing arrangements. For information on homestays (living

with a host family), contact International Student Placements (ISP) at [email protected] or [email protected].


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If the application is submitted by an education advising agency, complete the following (Please print clearly):

Agency Name

Contact Person’s Name Telephone

Email Fax

Address (Number and Street)

(City) (Province) (Country) (Postal Code)

Yes, I have previously attended/I am currently attending an English language school

Educational History

English Prociency

Agent Information

Sharing Information About this Application

Secondary SchoolIndicate the secondary school/high school that you have graduated/will graduate from:

College/UniversityIndicate any post-secondary colleges or universities that you have previously attended, graduated from or are currently attending:

Actual or expected graduation date:

Actual or expected graduation date, and degree received (if any):

Name of School Example: XYZ Secondary School

Name of School Example: XYZ University

Name of School

Name of School

Name of the exam

Location - City and CountryTokyo, Japan

Location - City and CountryTokyo, Japan

Location - City and Country

Location - City and Country

Date exam taken

Attendance Dates Month/Year

Attendance Dates Month/Year

Expected start date

Attendance dates

Score

A minimum score or higher on any of the following examinations is required for direct admission: TOEFL – 61 iBT

(Foothill ETS code is 4315, De Anza ETS code is 4286); IELTS - 6.0; iTEP Academic – Level 4; Pearson PTE Academic – 45;

STEP EIKEN (Japan) – 2A. Examinations must have been taken within the last 2 years.

Other Options to Satisfy English Prociency Requirement:

• Attend a Partner English Language SchoolComplete a specied level at one of our partner English language schools (see our websites for a list of partner schools).

Yes, I am planning to attend a language school. Please send me a Conditional Letter of Admission.

• Summer Intensive ESL at Foothill or De Anza: students with a TOEFL score of 52-60 iBT; IELTS 5.0-5.9; iTEP

2.9 - 3.9; STEP EIKEN (Japan) 2, may complete these courses for guaranteed fall enrollment.

I plan to take Summer Intensive ESL courses (check application deadlines)

Please note: For your protection, information about your application status CANNOT be shared with anyone without your approval.

If you want someone else, such as a parent or friend, to receive this information, indicate their name here:

Person’s Name (Family Name and Given/First Name) Email Telephone

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FHDA International Application 2016

Documents

Transcript of FHDA International Application 2016