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| Your University (R) |
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| Semester applying for (R) |
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| Year applying for (R) |
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| Personal Information |
| Last Name (R) |
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First Name (R) |
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| Birthday (R) |
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| Country of birth (R) |
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City of birth (R) |
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| Country of citizenship (R) |
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Gender (R) |
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| Permanent Mailing Address |
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State/ Province |
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| Email address (R) |
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| Statement of Financial Sponsorship |
| Sponsor's Information
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| Last Name (R) |
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First Name (R) |
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State/ Province (R) |
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| Sponsor's Phone (R) |
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| Relationship to you (R) |
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what is this?
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| TOEFL info |
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| Have you taken TOEFL? (R) |
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Score |
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| Education History |
| Start with your educational background from High School and up.
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| Date Enrolled: From (R) |
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To (R) |
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| Full Name of School (R) |
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Type of School (R)
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| Location of school (R) |
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Certificate/ Degree earned (R)
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School #5
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| Application Fee Payment |
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| Please specify the payment method for your application fee
($40)
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| Payment method (R) |
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Expiration Date |
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| 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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