California Coast Language Academy
STUDY ENROLLMENT APPLICATION
* REQUIRED FIELDS
* First Name
Middle Name
* Last Name
* E-Mail Address
Address
Phone (Home)
Phone (Business)
ACADEMIC/CULTURAL ENGLISH PROGRAM
(Indicate the dates you plan to attend)
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Student Information
(CCLA is authorized by the Immigration and Naturalization Service (INS) to issue the I-20 application for the F-1 visa.)
Do you need an I-20 for an F-1 student visa?
Yes
No
If now in the USA, what is your current visa status?
Applicant / Guarantor Information
(Please complete the information below regarding your finances.)
Financial Statement:
The United States Immigration and Naturalization (INS) requires that all applicants be able to pay tuition charges for living expenses (including housing, meals, travel, and books) while studying in the United States. Therefore, you must show that you have funds available for study before you come to the U.S.
Applicant / Guarantor:
I agree to the terms listed below.
Yes
No
If the applicant is self supporting / guarantor:
I certify that I or my guarantor have sufficient funds available to support all educational and living expenses during the entire period of my study at California Coast Language Academy (CCLA), San Luis Obispo. I have attached an original or certified copy of a bank statement, signed by a bank official which shows the amount of funds available for study.
Living accommodations
American Host Family
Dormitory
Apartment to share
Already have a place
Where did you hear about California Coast Language Academy?
Friend or relative
Student of CCLA
Educational Office
Agency
American Embassy
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What is your English level?
Beginning
Intermediate
Advanced
Personal Data
* Date Of Birth
* Country of Citizenship
City and Country of Birth
Gender
Male
Female
Is this your first visit to the United States?
Yes
No
For more information on California Coast Language Academy
672 Higuera Street 300· San Luis Obispo, California 93401· USA
Tel: (805) 541-8060 · Fax: (805) 547-1792
Send your comments or questions to
study@cclausa.com