International Student Application Cascadia

INTERNATIONAL STUDENT APPLICATION CASCADIA COLLEGE www.cascadia.edu/international BOTHELL USA Please submit to [email protected] 4 EASY STEPS TO APPLY 1. Complete this application for admission and pay the $50 (USD) non-refundable application fee. 2. Prepare the following documents: • Current bank statement (no more than 3 months old) showing funds for one year of study ($18,765 USD). • Copy of your passport • Copy of US visas (transfer student) • Copy of your most recent school transcripts (unofficial transcripts are acceptable) • Optional: Official score of TOEFL or IELTS 3. Submit this application and all required documents to [email protected] 4. Wait for good news! Cascadia is able to process most completed applications within only 2 business days! Online Application: Instead of submitting this paper application, you can also apply online at www.cascadia.edu/international. PERSONAL INFORMATION Last Name: First Name: Middle: Date of Birth: (mm/dd/yyyy) Age: Country of Birth: Citizenship: Sex: Male Female Student’s Email Address (REQUIRED): Agency’s Email Address (If Applicable): CONTACT INFORMATION Home Country Mailing Address (required): ________________________________________________________________________________ City____________________State/Province_______________Postal Code_____________Country_________________Tel#____________________ U.S Mailing Address (within the U.S. if you have one): _____________________________________________________________________ City_____________________________State_____________________________Postal Code_____________Tel#______________________________ Where would you like your I-20 and acceptance packet sent? Home country mailing address U.S. mailing address Agency/Advising Center Will be picked up by _________________________________________ (name and relationship to you) Address: __________________________________________________________________________________________________________________ IP-May2018 CASCADIA INTERNATIONAL STUDENT APPLICATION COLLEGE www.cascadia.edu/international BOTHELL USA Please submit to [email protected] EMERGENCY CONTACT Name: Address: Relationship to you: Email: Telephone Number: PROGRAM INFORMATION Have you previously attended Cascadia? Yes No When would you like to begin studying at Cascadia? Fall (September) Winter (January) Spring (March) Summer (July) Year: What is your intended major? OR Undecided What program(s) would you like to complete? (Check all that apply) 2-year transfer degree for university English Language Program High School Completion UNIVERSITY PATHWAYS AND PARTNERS Cascadia College has partnerships with several top universities to make transferring and completing your bachelor’s degree easier. Which partner universities would you like to receive details about? I understand that my name, email, address, date of birth may be shared with the university that I chose. City University of Seattle Portland State University Troy University University of Washington (Bothell) Indiana University - Purdue University Regis College University of Maine Washington State University Johnson & Wales University Seattle Pacific University University of Oregon Western Washington University Kansas State University San Francisco State University University of Iowa Wichita State University Northern Arizona University Seattle University University of Victoria University of Massachusetts - Dartmouth PREVIOUS EDUCATION Have you completed secondary/high school? Yes No Are you currently studying at a school in the United States? Yes No If yes, do you plan to leave the U.S. before starting your program at Cascadia? Yes No N/A Recent school you have attended? Name:________________________________________________City:________________________ Country:___________________ Dates of Attendance: ______ /______ to _______/_______ Graduated? Yes No Month Year Month Year Type: Secondary/High School College/University ESL IMMIGRATION INFORMATION Are you currently residing in the U.S.? Yes No If yes, what is your immigration status? F-1 Other (specify) __________________________________ Will family members [spouse/child(ren)] accompany you to the U.S. on an F-2 dependent visa? Yes No If so, please include a copy of each of their passports as well as an additional USD $5,000 per dependent on the bank statement. IP-May2018 CASCADIA INTERNATIONAL STUDENT APPLICATION COLLEGE www.cascadia.edu/international BOTHELL USA Please submit to [email protected] ENGLISH PROFICIENCY Have you taken the TOEFL or IELTS? Yes No If yes, what is your highest score? _______________ Date taken? ____________________ Note: No proof of TOEFL or IELTS score is required for admission to English Language Program. If you have TOEFL 70 or IELTS 6.0, or completed English 101 (or equivalent) at another institution, you will be directly placed in our college level class. The official TOEFL or IELTS score must be sent directly to Cascadia College from the testing agency. If you don’t submit the sufficient English test score, then you will take a placement test during the orientation. The result of the test will place you in an appropriate level in our English Language Program. HOW DID YOU HEAR ABOUT CASCADIA COLLEGE? Cascadia website Other website: _______________________________________________________ Agency: _____________________________________________________________ Friend or family member Other: _______________________________________________________________ APPLICATION FEE: $ 50 (NON-REFUNDABLE) Visa MasterCard Check (payable to Cascadia College) Money Order (USD) Card Number: Expiration date: CVV# Cardholder name: _________________________________ Cardholder signature:_____________________________________ (as it appears on your card) FINANCIAL RESPONSIBILITY AGREEMENT Cascadia College is legally required to verify that international student applicants have sufficient funds available to cover tuition and living costs before we can issue an I-20. The estimated amount for one academic year at Cascadia College is U.S. $18,950. It is important that applicants have sufficient funding available for the entire duration of the academic program. Applicants will be asked to provide this information when applying for a visa at the U.S. Embassy or Consulate. Students with dependents: An additional $5,000 is required for each dependent. Sponsor, please read and agree to the following: I affirm that I have sufficient funds available to pay for all of this applicant’s necessary educational expenses as estimated in the amount indicated above and will further be able to pay for travel from and to applicant’s home country. (A detailed breakdown of estimated expenses can be found online at www.cascadia.edu/international) Name of Sponsor: ___________________________________________ Amount (in U.S. dollars) ________________________ Signature of Sponsor: ________________________________________ Relationship to student: ________________________ Cascadia College is an equal opportunity institution and does not discriminate on the basis of race, color, religion, gender and/or sex, disability, national origin, citizenship status, age, sexual orientation, veteran’s status, or genetic information. All Cascadia materials are available in alternative formats and can be requested by contacting the Human Resources office. IP-May2018 INTERNATIONAL STUDENT APPLICATION CASCADIA COLLEGE Underage Form BOTHELL USA Must be completed if applicant is under 18 years old. STUDENT NAME (LAST, FIRST) Medical Care and Treatment of Minor Children Consent I authorize and consent to medical, surgical and hospital care, treatment, and procedures to be performed for by a licensed physician or hospital when, at the sole discretion of the attending physician, immediate care, treatment, and procedures are necessary or advisable in the interest of my child’s health and well-being, and it is not advisable to take the time to contact me in advance. Under the circumstances described above, I elect not to be informed in advance of the nature and character of the proposed treatment, its anticipated results, possible alternatives, and the risks, complications, and anticipated benefits involved in the proposed treatment and the alternative forms of treatment, including non-treatment. Off-Campus Activities and Trips Waiver of Liability I understand and acknowledge that there is risk of injury to my child by his/her participation in off-campus activities and trips. I also understand that it is voluntary for my child to participate, and that the college does not require his/her participation. I hereby release Cascadia College and the State of Washington, its employees, officers, agents, and trustees, and waive any and all right and claims for damages from any and all injuries that my child may suffer as a result of his/her participation in trips and/or activities. I also agree to hold harmless and indemnify Cascadia College, its employees, officers, agents, and trustees for any action, claim, or proceeding initiated as a result of any injury suffered by my child or any third party through his/her participation in trips and/or activities. _____________________________________________ ____________________________________ Print Name of Parent/Guardian Signature of Parent/Guardian _____________________________________________ ____________________________________ Parent/Guardian email address Emergency phone of Parent/Guardian CASCADIA UNDERAGE STUDENT HOUSING POLICY It is Cascadia College’s policy that all students under the age

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