International Student Program Application Packet Applicant s Name: Intended Starting Term: Telephone: Email: International Student Program (ISO) 3095 Yerba Buena Road Room SC 201 Tel: 001.408.223.6740 International@evc.edu EVC International (F-1) Student Program Application Page 1 of 5
International Student Program (ISP) Tel: 001.408. 223.6740 international@evc.edu Evergreen Valley 3095 Yerba Buena Road, www.evc.edu International Student Application Checklist It is the applicant s responsibility to check if all documents required are prepared for submission. Applicants should be aware that incomplete application WILL delay the admission process. 1. International (F-1) Student Application (see pages 3-5) 2. EVC College Application ONLINE https://www.opencccapply.net/uportal/f/u66l1s1000/normal/render.up Note: for the above forms, all requested information must be filled out completely, and a U.S. address must be provided for SEVIS, as required by USCIS. 3. Two color photos (passport type) 4. Transcripts from your high school/colleges 5. TOEFL or IELTS, scores MUST be sent directly by testing agency. School code: 4273 TOEFL: Minimum score based on test type: 500 paper based exam; 173 computer based exam; 61 Internet based exam. IELTS: Minimum Band Score: 6.0 If the applicant has completed degree applicable courses in English with a grade of C or better (at an accredited U.S. college/university), the TOEFL or IELTS may be waived. TOEFL exemption applies to native English speakers such as the United Kingdom, Australia, New Zealand, and Canada (except Quebec) where English is both the only official language of the country and the language of instruction. 6. Original Bank Verification (signed by a certifying official) with minimum balance of US$20,000 from parent(s) or a sponsor dated within 6 months of application date. 7. Letter of Financial Support or Affidavit of Support form from a parent or a sponsor 8. Copy of passport biographical information page 9. TB Skin Test results. If results are positive, a chest x-ray will be required. Exams must be dated within 6 months of application date. If applying for admissions in the U.S., in addition to the above-listed, the following items are also required: 10. Copy of your current visa, Information pages and I-94 Card from your passport 11. If you are currently on an F-1 Student Visa: i. Copy of your Form 1-20 ii. Transcripts from current school iii. Transfer authorization letter from the current school (may be provided upon acceptance) EVC International (F-1) Student Program Application Page 2 of 5
International Student Program (ISP) 3095 Yerba Buena Road, Tel: 001.408. 223.6740 international@evc.edu Evergreen Valley International (F-1) Student Application I am applying for: FALL 20 Spring 20 NAME Last (Family) as appears in your Passport First (Given) Middle Date of Birth (mm/dd/yy) Female Male Primary Language Country of Birth Country of Citizenship Degree / Program of Study (to view a complete listing, visit: http://www.evc.edu/academicaffairs/documents/degrees-certificates.pdf Home Country Permanent Address: Local/ U.S. Address (not a P.O. Box): Number and Street Number and Street City City State/Province/Prefecture State/Province/Prefecture Country Postal Code Country Postal Code Cell /Tel # (include country code) Cell /Tel # (include country code) Preferred E-Mail Address Where would you like your I-20 and acceptance letter mailed? Check one box only Home/Permanent Local/Current Agency name: Other, shown below: Contact Person Complete Address Phone # & E-mail Address EVC International (F-1) Student Program Application Page 3 of 5
MARITAL STATUS: Single Married Will Spouse/Children Accompany you to the U.S? YES (additional documentation/finances will be required) NO Name Relationship to Applicant If you are in the U.S. now, please indicate your current visa type: Date of entry into the U.S.: / / Visa Expiration Date: / / Month Day Year Month Day Year If you don t have F-1 visa, where will you be applying for it? Within the U.S. From your home country If currently on an F-1 visa, what institution issued your Form I-20? ENGLISH PROFICIENCY: TOEFL Test (score) IELTS Test (score) Test Date: / / Test Date: / / Month Day Year Month Day Year EDUCATIONAL BACKGROUND: (please list your high school and any college attended) High school Attended City/Country Date Completed Diploma University/College Attended (If any) City/Country Date Completed Diploma/Degree TO BE COMPLETED BY STUDENTS CURRENTLY STUDYING IN THE UNITED STATES ONLY Name of U.S. school you are currently attending City/State Date Started REFERRAL SOURCE/AGENT INFORMATION How did you learn about (EVC)? EVC website Referring agency Fair/Seminar Advertisement Friends/Relative If the application is submitted by an education advising agency, please complete the following: Agency Name: Email Address: Contact Person s Name: Phone Number: Address: EVC International (F-1) Student Program Application Page 4 of 5
EMERGENCY CONTACT INFORMATION This information will remain on file for the duration of your enrolment. If a change occurs, please report to the International Programs & Services IMMEDIATELY. Emergency Contact Person: Address: Telephone Number: Mobile Number: (include country code) (include country code) E-mail: Relationship to Applicant Does this person speak English? NO YES As an International (F-1) Student attending, I understand that I am encouraged to participate in a supplemental medical/emergency plan (to purchase and carry medical insurance). If I choose do not participate, I assume personal liability for any accident, health, hospitalization an any/all other medical related expenses incurred by me while attending EVC as an International Student. By signing this application, I am accepting all responsibility for my medical care and expenses. does not accept potential applicants that have been dismissed or terminated from other U.S. collegiate institutions for any reason. I hereby declare that I have never been dismissed or terminated by any other U.S. collegiate institution. If accepted to EVC, I will follow the Standards of Student Conduct and Compliance with U.S. Immigration Laws & Regulations: The Role and Responsibility of the International Student that are published in the college catalog and website respectively, and I understand that failure to do so would be grounds for dismissal. I understand that, upon acceptance and arrival at EVC, students will be tested for English and Math proficiency in order to be placed at appropriate course level. All classes are conducted entirely in English; therefore students without sufficient placement may be referred to a language school/program until they are able to meet the standards necessary to successfully complete the required courses for their educational program. THE STATEMENTS MADE BY ME IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWEDGE. I UNDERSTAND THAT ANY FALSIFICATION CONSTITUTES PERJURY AND MAY BE LEGAL BASIS FOR DISMISSAL Student Name (please Print) Student Signature Date EVC International (F-1) Student Program Application Page 5 of 5