LOS ANGELES SOUTHWEST COLLEGE Office of International Student Services

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LOS ANGELES SOUTHWEST COLLEGE APPLICATION DEADLINES: Students Applying without F-1 Visas Fall Semester.Rolling Admission Spring Semester Rolling Admission Summer Session.. Rolling Admission Applying from within the U.S. & already have an F-1 Visa Fall Semester..Rolling Admission Spring Semester.Rolling Admission Summer Session Rolling Admission PROGRAM DATES: *Students Should Arrive 10 days in advance of their program start date* *Mid-Semester start dates are available, inquire for more information. Spring 12 : February 7 th - June 6 th Fall 12 : August 29 th - December 18 th Summer 12 : July 7 th - August 9 th ADMISSION REQUIREMENTS: All applicants must COMPLETE and submit Sections 1-5. Submit *Section 7 only if you are applying for Room & Board sponsorship. Submit **Section 8 if you are a Transfer Student. For further information about our program please review our web page at www.lasc.edu, then select quick links and choose International Students Program. Here you will find additional forms, helpful instructions, and online tutorial sessions. 1. Application Fee: Include a check or money order for USD $35.00 made out to LA Southwest College. It may be paid in cash, check or money order. This fee is non-refundable. 2. Completed International Student Application: This form must be completed and signed before we can begin processing your application. 3. Evidence of Secondary/High School Graduation: Official secondary/high school transcripts or diplomas must be submitted verifying that you have graduated. If the original documents are not in English, a certified English translation must also be submitted. Students who have taken college/university coursework should submit transcripts of coursework taken. 4. Financial Certification and Affidavit of Support: The enclosed form must accompany your application. An official bank balance verification letter is required. The letter must be in English, in U.S. dollars and issued within the last six months. 5. English Proficiency Requirements: Student must have full English language proficiency. The following methods may be used to show proficiency: o TOEFL score 45 IBT, 133 CBT or 450 PBT o CSUN IEP Level 9 o STEP Eiken Level 2, pre-1 or 1 o IELTS score 4.5 o ELS Level 109 o Native English speaker or two years of education (high school or university) with English as the main language of instruction 6. Copy of the Information Page from Your Passport 7. *Free Room & Board Affidavit of Sponsor: If applicable, please submit completed form with application. 8. **Transfer Students: Students transferring to LASC from other US schools will also need to submit copies of the following: Visa Passport I-94 Current I-20 Transfer-In Recommendation Form. 1

LOS ANGELES SOUTHWEST COLLEGE INTERNATIONAL STUDENT APPLICATION Indicate Semester Start Date: *Choose the program that you will first enroll in. LASC: FALL SPRING SUMMER 20 TRANSFER STUDENT: Yes or No 1) Family Name (surname): 2) First (given) Name: 3) Date of Birth (m/d/y): 4) Gender: M F 5) Country of Birth: 6) Country of Citizenship: 7) Foreign Address: Address: Apt # Would you like your I-20 sent to this address? Yes No City: Country: Province Territory: Postal Code: 8) U.S. Address, if any: Address: Apt # Would you like your I-20 sent to this address? Yes No City: State: Postal Code: *Mailing Address (where you would like you I-20 sent) Address: Apt # City: State: Postal Code: 9) Email Address: 10) U.S. Phone Number, if any: 11) Intended Area of Study or Major: (Choose from list of Academic Programs on pg 8) 12) Secondary Area of Study or Minor: (Choose from list of Academic Programs on pg 8) 13) Dependents No or Yes *Attach separate paper if more than 3 dependents Name of Spouse: Name of Child 1: Name of Child 2: DOB (m/d/y): DOB (m/d/y): DOB (m/d/y): 2

APPLICATION FEE: Please indicate how you will pay the $35 non-refundable application fee. Include the fee with this application. Check make payable to LA Southwest College Money Order make payable to LA Southwest College Cash VISA INFORMATION: 1. Are you currently in the United States? Yes No If yes, what is your current status? (F-1, B-1/B-2, H-1, J-1): 2. If F-1, what school is listed on your I-20? 3. If on a B-1/B-2 visa, indicate your date of entry and expiration on the I-94? (Please submit copies of both sides of your I-94) 4. Do you plan to travel outside of the United States prior to the beginning of the semester? Yes No If yes, please indicate your dates of travel: m/d/y: 5. Will you be traveling with dependents? Yes (please contact the International Student Office) No RECORD OF EDUCATION: Please list colleges, universities, and/or English as a Second Language (ESL) programs that you have attended. Start with the most recent first. If you have not attended any school beyond high school, please indicate none. Country: From: (Year), To: (Year) Degree Received: City: College/School: State/Province: Country: From: (Year), To: (Year) Degree Received: College/School: City: State/Province: APPLICANT CERTIFICATION: I certify that the above information is true and correct to the best of my knowledge. I understand that falsification of any of the above answers, or falsification of any supporting documentation which I submit as part of my application to LA Southwest will result in my disqualification. Applicant Signature: Date: 3

LOS ANGELES SOUTHWEST COLLEGE AFFIDAVIT OF SUPPORT: SUMMARY OF FINANCIAL INFORMATION *This section must be completed, in order to receive the I-20. CONFIDENTIAL FINANCIAL STATEMENT: Please show the funds available to you for attending this college in the space provided, available funds must show the estimated minimum cost of USD $16,900 per year. Please see the Estimated Tuition and Living Expenses insert for the cost breakdown An official bank balance verification letter is required. The letter must be in English, in U.S. dollars and issued within the last six months. Source of Support Documents Required Amount Guaranteed a. Personal Funds Bank balance verification letter signed and stamped by an officer of your bank. b. Parent/Sponsor Same as above Financial Sponsor must complete information below. c. From Government/Sponsor: Copy of your award letter signed by your sponsoring organization or government office. d. Loan: Copy of your loan agreement prepared by the lending agency. *If you have an Affidavit of Sponsor: Room & Board, this is equivalent to $9,600. In which case you will need only to show proof of $7,300 (minimum) available funds. Please refer to page 7 on this application for more details and instructions. $ $ $ $ TOTAL FUNDS per year: USD $ PERSONAL OR SPONSOR INFORMATION: I certify that the above information is an accurate and complete statement of the financial resources available to the applicant for study in the United States. I am providing an official bank statement as verification of the above information. I affirm by my signature below that I will provide all educational and living expenses for the applicant s entire period of study at LA Southwest College. I understand that the estimated cost for one year of study is USD $16,900 for LASC. Name of student: Name of sponsor: Relationship to Applicant: Address of sponsor: Signature of Sponsor: Date: IMPORTANT Sponsors who are U.S. citizens or permanent residents must also complete an affidavit of support, Form I-134. The form is available at www.uscis.gov under Immigration Forms (http://www.uscis.gov/files/form/i-134.pdf). Applicants with several sponsors must have each sponsor complete the Affidavit of Support: Summary of Financial Information if applicable. Please note that each set of documents must be accompanied by proof of income. A sponsor may include bank statements, employment reports or any proof of income that is available in their country. The Form I-134 includes a list of acceptable documents in the instructions 4

LOS ANGELES SOUTHWEST COLLEGE ENGLISH LANGUAGE REQUIREMENTS *Acceptance as an International Student requires proficiency in the English language at a level high enough to allow the student to be successful at the college level. Proof of proficiency may be established in a number of ways. 1) TOEFL: Test of English as a Foreign Language (www.toefl.org) A student must achieve a minimum score of 45 (ibt), 133 (CBT), or 450 (PBT). (The assigned Institutional Code for this college is 4409; the department is 00.) 2) IELTS: International English Language Testing System (www.ietls.org) A student must achieve a minimum score of Band 5. 3) itep: International Test of English Proficiency (www.bostoneducational.com) A student must achieve a minimum score of 4.0. 4) STEP EIKEN: Society for Testing English Proficiency (stepeiken.org) A student must achieve a minimum score of Grade Level 2A. 5) TOEIC: Test of English for International Communication (www.ets.org/toeic) A student must achieve a minimum score of 500. 6) If the student s language of instruction was English, a test score may be substituted with a signed letter on school letterhead from the director of the institution stating such. 7) Proof of successful program completion from a certified Language School COUNTRIES EXEMPT FROM THE LANGUAGE REQUIREMENT Antigua Australia Barbados Belize Bermuda Botswana British Virgin Islands Canada Cayman Islands Fiji Gambia Ghana Great Britain Grenada Guyana Ireland Jamaica Kenya Lesotho Liberia Malawi Malta Mauritius Nigeria New Zealand Papua New Guinea Philippines Sierra Leone Sri Lanka St. Christopher St. Kitts St. Vincent Swaziland South Africa Tanzania Trinidad and Tobago Uganda United Kingdom West Indies Zambia Zimbabwe (Rhodesia) 5

AFFIDAVIT OF SPONSOR PROVIDING: FREE ROOM AND BOARD TO BE COMPLETED ONLY BY A PERSON WHO OWNS OR RENTS THE PROPERTY I hereby affirm that I own, rent, or lease the property described below and that I will make it available without charge and without services-in-lieu-of-payment to the student named for the duration of his/her studies at Los Angeles Southwest College. Name of Student: (Given) Last Name: U.S. Address: Address: Apt# City: State : Zip Code: Relationship of Sponsor to Student: How many rooms are in the house or apartment? How much space will be reserved for the exclusive use of the student? Does the sponsor live at the address listed above? Does the sponsor own or lease the property being offered? All questions must be answered. Please attach a photocopy of a lease or deed in the sponsor s name. AFFIRMATION OR OATH I hereby affirm or swear that the above statements are true and correct. I agree not to require any services from the student in return for the promised support and understand that it would be a serious violation of the law to require domestic work, child care, or any other kinds of service. Signature of the sponsor: Name of sponsor, typed or printed: SWORN BEFORE ME ON THIS DAY OF, 20 Signature of Notary: (Place Seal in Box) 6 09/2011

LA SOUTHWEST 2011-2012 ESTIMATED TUITION AND LIVING EXPENSES (Fees effective in August 2011) Non-resident Tuition: $207 per unit $207 x 12 units = $ 2,484.00 2 semesters = $ 4,968.00 Enrollment Fee: $36 per unit $36 x 12 units = $ 432.00 2 semesters = $ 864.00 Health Fee: $11 $ 11.00 2 semesters = $ 22.00 Medical Insurance $ 498.00 2 semesters = $ 996.00 SEVIS Processing Fee: $25 $ 25.00 2 semesters = $ 50.00 Subtotal for 2 semesters: $ 3,450.00 x 2 $ 6,900.00 Books (minimum for 2 semesters) $ 400.00 Living Expenses (Room and Board) $800 per month, 12 months $ 9,600.00 Total for 2 semesters: $ 16,900.00 **NOTE: The college health insurance plan must be purchased by all international students. Fees are estimates and are subject to change. The above fees represent the minimum estimated tuition and living expenses that an international student can expect to pay while attending LA Southwest College. Students intending to enroll at LA Southwest College must show funding of at least USD $16,900 (unless room and board is being provided) in order to receive the I-20. The I-20 is the document needed to apply for the F-1 visa. International students are required to enroll in 12 units each semester for a minimum total of USD $3,450 per semester, including enrollment fee. All fees are subject to change by the State Legislature and/or other governing boards. Tuition and fees are due in full no more than two weeks after registration. SEND APPLICATIONS TO: LA Southwest College International Students Program 1600 West Imperial Highway Los Angeles, CA 90047-5349 ---OR--- Email: 7 09/2011

MAJORS Major Code Major Degree Certificate Skill Certificate Major Code 2105.00 Administration of CA SC 2205.00 History Justice 2105.01 Fingerprinting SC 0706.00 Computer Science (nontransfer) 2202.00 Anthropology 0934.01 Electronics (non-transfer) 1002.00 Art 1501.00 English (non-transfer) 1002.01 Art History 4901.04 Natural Sciences (nontransfer) 0401.00 Biology 2001.01 Psychology of Substance Abuse (non-transfer) 0501.00 Accounting/ 0511.00 Real Estate (non-transfer) General Business 0504.00 Banking & CA 2105.03 Admin of Justice (nontransfer) Finance 0502.01 Bookkeeping SC 4901.02 Child Development (nontransfer) 0514.04 Business & SC 0702.10 Computer Applications Technology (non-transfer) 0505.00 Economics 4901.20 Liberal Studies, Option 1 (non-transfer) 0504.01 Finance SC 4901.20 Liberal Studies, Option 2 (transfer) 0501.00 General Business CA 1701.00 Mathematics 0502.02 Income Tax Form SC 1701.00 Mathematics: Computer Science 0506.30 Management SC 1004.00 Music 0506.30 Management/ CA 1203.00 Nursing AS Supervision 0506.31 Small Business SC 2210.00 Pan American Entrepreneurship I Studies 0506.32 Small business SC 1902.00 Physics AS Entrepreneurship II 0506.33 Supervision SC 2207.00 Political Science 1305.00 Child Development 2001.00 Psychology 0514.00 Computer Application & Office Technology AS 2104.42 Chemical Dependency Counselor 0707.10 Computer Science Information Technology AS 2104.42 Chemical Dependency Counselor Specialist in Criminal Justice Major Degree Certificate Skill Certificate 0934.00 Electronics AS 2104.42 Recovery Specialist SC 0934.00 Computer Technician SC 0511.00 Real Estate SC 1501.00 English 0511.02 Real Estate Appraisal SC 2206.00 Geography 0511.01 Real Estate Broker CA 1914.00 Geology 0511.03 Real Estate Escrow SC 2205.00 History 0511.04 Real Estate Sales Person SC 4903.12 Arts & Humanities 2208.00 Sociology 4901.07 Social & Behavioral Sciences 1105.00 Spanish 0602.00 Journalism 1105.05 Professional Spanish SC 1402.00 Law Paralegal 1506.00 Speech Communication 1914.00 Geology 1007.00 Theatre CA SC 8 09/2011

HOW DID YOU HEAR ABOUT LA SOUTHWEST COLLEGE? Advertisement/Publication name: Internet (site name) Student Fair (name) Educational Agency (name) LASC Friend/ Relative: (name) U.S. Advising Center: Other: 9 09/2011