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International Student Scholar Application Form

Deadline for Application for Fall Semester is March 1 and for Spring Semester is October 1 !



Your University (R)
Semester applying for (R)
Year applying for (R) 
Personal Information
Last Name (R) First Name (R)
Birthday (R) - -
Country of birth (R) City of birth (R)
Country of citizenship (R) Gender (R)
 
Permanent Mailing Address
Street (R)
City (R) State/ Province
Postal/Zip Code (R) Country (R)
Phone (R) Fax
 
Current Mailing Address (if different than above)
Street City
State/ Province Postal/Zip Code  
Country Phone
This address is valid until --
 
Email address (R)
 
Statement of Financial Sponsorship
Sponsor's Information
Last Name (R) First Name (R)
Street (R) State/ Province (R)
City (R) Country (R)
 
Sponsor's Phone (R)
Relationship to you (R) what is this?
 
TOEFL info
Have you taken TOEFL? (R)
Date Score
 
Education History
Start with your educational background from High School and up.
School #1
Date Enrolled: From (R) - To (R) -
Full Name of School (R) Type of School (R)
what is this?
Location of school (R) Certificate/ Degree earned (R)
what is this?
 
School #2
Date Enrolled: From - To -
Full Name of School Type of School
Location of school Certificate/ Degree earned
 
School #3
Date Enrolled: From - To -
Full Name of School Type of School
Location of school Certificate/ Degree earned
 
School #4
Date Enrolled: From - To -
Full Name of School Type of School
Location of school Certificate/ Degree earned
 

School #5

Date Enrolled: From - To -
Full Name of School Type of School
Location of school Certificate/ Degree earned
 
School #6
Date Enrolled: From - To -
Full Name of School Type of School
Location of school Certificate/ Degree earned
 
Application Fee Payment
 
Please specify the payment method for your application fee ($40) 
 
Payment method (R)
 
Credit Card Type
Card Number
(no dashes)
Expiration Date -
 
By clicking here, I certify under penalty of perjury, or after first being duly sworn, that I have provided complete and accurate responses to the items on this application. I further certify (swear) all official documents submitted in support of this application are authentic and unaltered records that pertain to me. I authorize release of any information submitted by me in connection with my application to any person, firm, corporation, association or government agency, but only to verify or explain the information, obtain pertinent records, or in connection with perjury proceedings. Checking the above box, certifies the accuracy and completeness of the information provided. I understand that any misrepresentation may be cause for denial or cancellation of admission or enrollment. I certify (swear) that so long as I am a student at this institution, I will advise the residence clerk if there is a change in any of the facts affecting my residence. I agree to meet the California State University comprehensive health insurance requirement for the duration of my studies/practical training as listed in my description of fees.
 
 
 
 
 
 
 

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