Admission Required Document( 입학서류 )-(New Student)

Transcription

1 Admission Required Document( 입학서류 )-(New Student) Application Admission Form / 입학원서 ( 소정양식 ) 1 Birth Certificate / 주민등록등본 ( 영문 ) 1 Official Transcript of the previous attended school / 최종학교성적증명서 ( 영문 ) 1 Photocopy of Passport / 여권사본 1 Bank Statement / 은행잔고증명서 ( 영문 ) $25, or above 1 Copy of Driver License / ID 카드 1 Application Fee: US Residents $ International Students $200.00(Dependent $100.00) Registration Process Document: Enrollment Agreement Insurance Policy KERNEL UNIVERSITY Admission Counseling Department Tel: / Fax: info@kernel.edu

2 Enrollment Information APPLICATION FOR ADMISSION Programs B.Th. M.Div. D.Min. Major Applying Year Winter Spring Summer Fall Year (20 ) Types of Application Overseas (Students not in the U.S. without an F-1 visa) U.S. Transfer (Students currently in the U.S. with an F-1 visa) Change of Status (Students currently in the U.S. with a visa Other than F-1) Personal Information 1. Name Last (family name) First (given name) Middle Other names under which any documents may be issued 2. Birth date and place Gender Male Female 3. Address Mailing Address/Foreign Address Street (If different from current address 왼쪽주소와다른경우 ) City State, Zip 4. Phone Mobile Phone Nation of Citizenship U.S. Citizens do not need to answer 7, 8, 9. 미국시민인경우에는 7, 8, 9 번을답을하지않으셔도됩니다. 7. If you are not a U.S. Citizen, are you a resident alien? 영주권자 Yes No 8. Will you be applying for the I-20 to receive an F-1 Visa? 학생비자발급을위해 I-20 를신청합니까? Yes No 9. If no, what kind of visa do you have? 기타, 비자종류를기재하십시오 (F-1, F-2, H-1, R-1, B-1, B-2, other ) U.S. Social Security Number (if applicable) Driver License Number (if applicable) 10. Emergency Contact Name Street Address Relationship City, State, Zip Phone Revised: 08/20/2014

3 Educational Background ACADEMIC DATA: List chronologically all colleges, universities and other educational INSTITUTIONS ATTENDED SINCE HIGH SCHOOL, INCLUDING THOSE OFFERING Extension COURSES (PLEASE INCLUDE THE INSTITUTIONS YOU ARE CURRENTLY ATTENDING). The LAST ATTENDED INSTITUTION SHOULD BE LISTED LAST Name of School College of University Location (City, State and Country) Entered (Month/Year) Withdrawn (Month/Year) Major/Degree Reference Who will be supplying for your recommendations? Name Phone Number Name Phone Number CERTIFICATION TO BE READ AND SIGNED BY ALL STUDENTS TO CERTIFY THE ACCURACY OF THE INFORMATION PROVIDED. Kernel University expects you to provide complete and accurate responses to the items on this application for admission. Further, the official documents that you submit in support of this application must be authentic, unaltered records that pertain to you. Your signature is your certification of the accuracy and completion of the information you provide. I certify under penalty of perjury, or after being duly sworn, that I have provided complete and accurate responses to the items on this application. I further certify (swear) that all official documents submitted in support of this application are authentic and unaltered records that pertain to me. I hereby authorize the release of any information submitted by me in connection with this 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. 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. Signature Please Return to: KERNEL UNIVERSITY Office of Admissions and Records 3319 W Lincoln Ave.,Ste 201. Anaheim, CA OFFICE OF ADMISSION AND RECORDS Reviewed By Signature/ Revised: 08/20/2014

4 Student Enrollment Agreement Student ID#: Student Name: Last First Total Tuition: $ Registration Fee: $ Student Scholarship: $ Tuition Discount: $ Student Charges: $ I have agreed and paid the total amount of the student charges to fulfill the enrollment as a full time student at Kernel University. Signature Joanne C Lee CFO Revised: 06/30/2013

5 INSURANCE POLICY 보험정책 Student's Name of Birth Semester Student's ID No. Major Year I carry my own insurance. 본인은보험을소지하고있습니다. NAME OF INSURANCE COMPANY: I do not carry my own insurance, however, I fully understand that Kernel University will not be liable for any medical expenses in case of emergency or accidents I incur on the school permises or during any school activities. 본인은무보험자입니다. 그러나대학캠퍼스내또는밖에서본인에게질병이나사고또는부상발생시학교가책임지지않는다는것을잘알고있습니다. Student Signature Revised: 06/30/2013

6 International Student Sponsor Affidavit Form Please attach a current bank statement/letter in English and must be form a Checking/Savings/Certificate of Deposit account (no stocks or investments) with available balance of at least $20, USD. Name on bank statement must match sponsor s information below. PERSONAL DATA(TO BE COMPLETED BY STUDENT) Student s Name: Last Name(Family) First Address: Relationship to Sponsor: Name of Sponsor: SPONSOR S INFORMATION(TO BE COMPLETED BY THE SPONSOR) Sponsor s Name: Address: Last Name(Family) First Telephone Number: I, certify that this affidavit is made by me for the purpose of assuring Kernel University that I will take financial responsibility, including but not limited to educational and living expenses of the above mentioned student throughout the duration of his/her studies. I have enclosed the required bank letter or statement indication my ability to meet the expenses accrues by the above statement. SPONSOR S SIGNATURE I certify that all information on this form is truthful to the best of my knowledge and I further understand that it is a violation of the United States law to five false information to the University. Signature Revised: 10/06/2014

7 F-1 Visa International Student Admission Agreement Kernel University F-1 Visa students must comply with U.S. immigration regulations, institutional college and Kernel University international student policies. Your signature validates your understanding and agreement to obey all policies. To complete your admission process you must sign and return this agreement with your admission documents. I, to complete my admission to Kernel University to the following: Last Name, First Name 1. I understand that submitted transcripts and international student documentation become property of Kernel University and will not be returned to me. 2. I understand that I must be enrolled in 12 units of college courses by the first day of the semester (Fall & Spring). If I begin my studies in the summer, I am required to be enrolled in 6 units of university courses by the first day of the summer or winter term. 3. If I drop below 12 units during any academic semester, without permission, I will be out of status with Immigration and Customs Enforcement (ICE) and will be reported as such to federal authorities. My I-20 will be terminated and I will be required to return to my home country. 4. I will notify the school staff anytime that I change my address, phone number, major or change schools. Such changes must be reported within 10 days. Failure on my part to report any changes may be a cause to terminate my I Make an appointment to see an International Student Advisor to have your I-20 signed for travel endorsement (signature on 3rd page of I-20). 6. If I fail to meet the weekly study requirement (i.e. do not complete 18 or 22 hours of study per week) and/or you drop below the 80% attendance minimum for an extended period of time, you will fall out of F-1 status. This means you will be dismissed from Kernel University without a refund and your I-20 will be terminated. In these cases, you must leave the U.S. immediately. 7. I know that I am not permitted to work (on-campus) unless authorized by a designated school official(dso) from the International Student Advisor. I know that I am not permitted to work outside of the school. By signing this agreement, I acknowledge that I have read, understand and agree to all of the requirements listed above. I understand that if I will not be admitted to if I do not agree to comply with all items noted. Student Signature Revised 05/20/2015