Fillable Printable City College of San Francisco Application Form for International Students
Fillable Printable City College of San Francisco Application Form for International Students
City College of San Francisco Application Form for International Students
City College of San Francisco
International Student Admission Application
(Please complete all four pages of this application form)
Ensure all required documents are included with your application package before submitting it to CCSF
Academic Program Application Check List
(For applicants who wish to achieve Certificates and/or Degrees in
certain majors)
Deadlines: June 1st for Fall semester
October 25th for Spring semester
Completed Applicat ion Form
Copy of your Passp ort (Bio-pa ge)
Original & Official TOEFL/IELTS score report (see #5)
Original & Official Bank Letter (see #2)
Official Hi g h Scho ol or Col lege/University Transcript (#4)
$50 Appl i cation Fee ( see #3)
$75 Opti on al DHL Del i ver y Service Fee
(Excluding: Myanmar, North Korea, Syria, Cuba, & Iran)
Additional documents for transfer-in applicants (see #1)
If you are under 18 year s ol d, please include the following:
a. Copy of high school diploma in English
b. Completed Minor Consent Form
Conditional Admission Application Check List
(This is for applican ts who wish to apply for the Academic
Program but have not obtained the requir ed TOEFL/IELTS score.
Applicants will first attend the Intensive English Program (IEP) to
obtain the required TOEFL score)
Deadline: At least 45 business days before session start date
Completed Applicat ion Form
Copy of your Passp ort (Bio-pa ge)
Original & Official Bank Letter (see #2)
Official Hi g h Scho ol or Col lege/University Transcript (#4)
$50 Appl i cation Fee (see #3)
$75 Opti on al DHL Del i ver y Service Fee
(Excluding: Myanmar, North Korea, Syria, Cuba, & Iran)
Additional documents for transfer-in applicants (see #1)
If you are under 18 year s ol d, please include the following:
a. Copy of high school diploma in English
b. Completed Minor Consent Form
Intensive English Program Application Check List
(This is for applicants who wish to only learn Eng lish without any
further educational goal at CCSF)
Deadline: At least 45 business days before session start date
Completed Applicat ion Form
Copy of your Passp ort (Bio-pa ge)
Original & Official Bank Letter (see #2)
$50 Appl i cation Fee (see #3)
$75 Opti on al DHL Del i ver y Service Fee
(Excluding: Myanmar, North Korea, Syria, Cuba, & Iran)
Additional documents for transfer-in applicants (see #1)
If you are under 18 year s ol d, please include the following:
a. Completed Minor Consent Form
Copy of your F-1 Visa (or Change of Status Approva l Letter)
Copy of your I- 94 (https://i9 4.cbp.dh s.gov, or a copy of the
front & back side of your I-94 white card if it was issued to
you at the U.S. port of entry)
Copies of all previous I-20’s (pa ge 1 & 3 on ly)
Must be both signed and stamped by the bank official
Must be dated within the last 6 months
Must list at least $18,150 US Dollars in cash, or equ ivalent to
this amount in other currency (currency must be listed)
Must be in English or officially translated into English by a
translation company with legal interp reter’s stamp (you must
then submit both orig inal versions)
If you have a local U.S. sponsor who is a legal U.S. Citizen /
Resident, pl eas e also submit a notarized I-134 fo rm
http://www.uscis.gov/i-134 together with his/her bank letter
listed with an y cash amount, which satisfies the bank letter
requir ement as mention ed above. Please also in clude a copy of
your sponso r’s legal U.S. ID.
Application & DHL fees are non-refundable and must accompany
your completed application package in the form of “Money Or-
der” or “Bank Cashier’s Check” made out to “City College of
San Francisco”. Or, please include a receipt if you paid through
our online payment option at http://www.peerTransfer.com.
Cash or personal bank check WILL NOT be accepted.
Transcript must show what classes the applican t took and what
grades/marks the app licant received
Transcript must be in English or officially translated into
English by a translation company with a legal interpreter’s
stamp (you must then submit both original versions)
Applicants must have a minimum TOEFL score of iBT 52, ITP
473, or IELT S score of 5.5. Copy o f ori ginal score report WILL
NOT be accepted.
City College of San Francisco
International Students Office
50 Phelan Avenue, Cloud Hall Room 212
San Francisco, CA 94112, U.S.A.
Phone: 1.415.239.3895
Fax: 1.415.239.3804
E-mail: [email protected]
Website: www.ccsf.edu/international
(#1) If you are transferring to CCSF, pleas e also submit:
(#2) Bank Letter Requirements
(#3) $50 Application Fee (and $75 Optional DHL Delivery Fee)
(#4) Offi ci al High School or Coll ege/ University Transcri pt
(#5) Official & Original TOEFL/IELTS score report
Please submit your completed application package to:
Page 1
City College of San Francisco
International Student Application Form
(For F-1 International Student Status)
For Office Use Only
Application Received:
Date: ____________ By: _________
Method: ____ ________ _________ __
Applicant #: ____________________
Academic Program: Spring 20_____ January to May Fall 20_____ August to December
Conditional Admission: Spring 20_______ 18 Weeks - January to May 9 Weeks - March to May
Summer 20______ 8 Weeks - June to July 4 Weeks - July
Fall 20__________ 18 Weeks - August to December 9 Weeks - October to December
Intensive English Program:
Spring 20_______ 18 Weeks - January* 9 Weeks (I) - January* 9 Weeks (II) - March*
(*Sessions b eing in the month indicated) Summer 20______ 8 Weeks - June* 4 Weeks (I) - June* 4 Weeks (II) - July*
Fall 20__________ 18 Weeks - August * 9 Weeks (I) - August* 9 Weeks (II) - October*
I. Personal Information: (please print clearly)
1a. Name (as it appears on your passport)
Last (Family ): ________________________________________________
First (Given): ________________________________________________
Middle: ________________________________________________
1b. Name of your spouse (if he/she accompanied you to U.S. on F2 status)
Last (Family ): ________________________________________________
First (Given): ________________________________________________
Middle: ________________________________________________
2a. Date of Birth: _____________ / _____________ / _______________
Month Day Year
2b. Are you Under 18 years old? Yes No
(If YES, plea se submit Minor Consent Form - Download from our website)
3a. Male Female
3b. Single Married
4a. Country of Birth: _________________________________________
4b. Country of Citizenship: ____________________________________
5. E-mail Address: _____________________________________________________@___________________________________________________
6a. Complete addr ess in your home country:
Street Address |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
City |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| State/Province |___|___|___|___|___|___|___|___|___|___|___|___|___|
Postal/Zip Code |___|___|___|___|___|___|___|___|___|___| Country |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Home Country Phone Number |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
II. PERSONAL INFORMATION: (please print clearly)
6b. Complete address you wish to have your acceptance package mailed to: (please check your delivery method)
Free
Regular Air-mail or Local Mail (2 to 4 business weeks for international address) $75 DHL (2 to 4 business days, international address only)
Name of Receiver |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Delivery Street Address |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
City |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| State/Province |___|___|___|___|___|___|___|___|___|___|___|___|___|
Postal/Zip Code |___|___|___|___|___|___|___|___|___|___| Country |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Phone Number of Recei v er |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
I. PROGRAM INFORMATION: (please only select one program)
New Student Transfer Student Continuing Student Re-Enter Student CCSF ID # ______ ________________
6d. Complete local address in the U.S.: (if you are presently in the U.S.)
Street Address |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
City |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| State/Province |___|___|
Postal/Zip Code |___|___|___|___|___|___|___|___|___|___| U.S. Phone Number |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
6c. If you would like to pick up or have someone pic k up yo ur acc e ptanc e package, please provide his/her information:
Full Name: _____________________________________________________ Phone #: ____________________________________________
Relationship to Applicant: ________________________________________ E-mail: _____________________________________________
Page 2
Initial I-20 (Out of Status)
Leave of Absence
Re-Enter
Semester/Year _______ ____
Bank Statement $18,000
$50 Application Fee
IV. EDUCATION INFORMATION:
III. ETHNIC BACKGROUND: (please check all that apply)
Are you Hispanic or Latino/a? YES NO
01 Hispanic, Latino/a 08 Asian Japanese 15 Black or African American
02 Mexican, Mexican-American, Chicano 09 Asian Korean 16 American Indian/Alaskan Native
03 Central American 10 Asian Laotian 17 Pacific Islander Guamanian
04 South American 11 Asian Cambodian 18 Pacific Islander Hawaiian
05 Hispanic Other 12 Asian Vietnamese 19 Pacific Islander Samoan
06 Asian Indian 13 Filipino 20 Pacific Islander Other
07 Asian Chinese 14 Asian Other 21 White
1a. What is your intende d major (field of study) in the U. S. (*)? _____________________________________________________________________
(* If undeclared, please put down Genera l Education or Liberal Art. Please put down IEP for Intensive English Program only)
1b. What is your intended education goal in the U.S.? (please check one only)
AA/AS Degree BA/BS Degree MA/MS Degree Certificate Personal Experience
(*If you select BA/BS or MA/MS, please check the list of colleges/universities that have articulation with CCSF in part VIII)
2a. Full names of last High School attended: ______________________________________________________________________________________
Date of Graduation (if applicable): __________________________________________________________________________________________
2b. Full names of last College/University attended: ________________________________________________________________________________
Date of Graduation (if applicable): __________________________________________________________________________________________
3. English Proficiency: I have TOEFL/IELTS score of: _____________________ Date Taken (MM/YYYY): ______________________________
Waiver Request: My native language is English I studied in an English speaking school for more than 3 years
I graduated from high school, college, or university in the U.S. or other English speaking country
4. Do you have a 2-year Associate Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________
Do you have a 4-year Bachelor's Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________
Do you have a Master’s Degree from the U.S.?(*) Yes No If yes, from where? ______________________________________
(*If you answer yes to any of the questions listed in #4, please submit a copy of your diploma & a personal letter of why you want to study at City College of San Francisco)
V. CURRENT STATUS: (if you are curren tly in the U.S. only) Are you applying for Change of Status to F-1 status? Yes No
1. Are you currently on F-1 international student status? Yes No If No, what visa type are you currently on? _______________
1a. If yes, is your I-20 currently in good status? Yes No
If yes, which school are you studying at now? ______________________________________________________________________________
If yes, how long have you been there? _____________________________________________________________________________________
If yes, are you attending full time? ________________________________________________________________________________________
If yes, what is your SEVIS I-20 number? N |___|___|___|___|___|___|___|___|___|___|
1b. If you are not on F-1 status, what type of visa or status type are you currently on? ___________________________________________________
VI. FINA NCIAL INFORM ATION:
1. Who provides your financial support? Myself Fa mi ly(*) Sponsor (*) Student Loan Government(*)
(*) Name of family member, sponsor, organization, or government: _______________________________________________________________
(*) Relationship to applicant of family member, sponsor, or organization: __________________________________________________________
VII. GENERAL INFORMATION:
1. How did you hear about CCSF? Family Friends Current/Former CCSF Students Agents
Fair Other ______________________________________________________________________________________________
VIII. ACKNOWLEDGEMENT:
I hereby certify that the information set forth in this application is true to the best of my knowledge. If accepted to City College of San Francisco, I
hereby agree to abide by all the rules and regulations set forth by the college
_____________________________________________________________ ____________________________________________________________
STUDENT SIGNATURE DATE
Page 3
VIII. LIST OF COLLEGES THAT HAVE ARTICULATION WITH CITY COLLEGE OF SAN FRANCISCO (CCSF)
(Based on your interest in transferring in the future to a 4 year colleges or university, check one or more of the following li st)
Articulation deals with how courses transfer from one college to another. Specif i cally, articulat ion is the pr ocess of establishing
which courses offered at City College of San Francisco (CCSF) are comparable to, or acceptable in lieu of, courses offered at four
year colleges and universities.
I. California Public Schools
A. California State Universities
CSU Bakersfield
CSU Channel Islands
CSU Chico
CSU Dominguez Hills
CSU Easy Bay
CSU Fresno
CSU Fullerton
Hum boldt St at e University
CSU Long Beach
CSU Los Angeles
California Maritime Academy
CSU Monterey Bay
CSU Northridge
Cal Poly Pomona
CSU Sacramento
CSU San Bernardino
San Diego State University
San Francisco State University
San Jose State University
Cal Poly San Luis Obispo
CSU San Marcos
Sonoma State Univ ersity
CSU Stanislaus
B. University of California
UC Berkeley
UC Davis (**TAG)
UC Irvine (**TAG)
UC Los Angeles
UC Merced (**TAG)
UC Riverside (**TAG)
UC San Diego
UC San Francisco
UC Santa Barbara (**TAG)
UC Santa Cruz (**TAG)
IX. USEFUL INFORMATION:
For detailed information about the school listed above, please review the following link:
http://www.ccsf.edu/en/employee-services/office-of-instruction/ccsf_articulation.html
** TAG: Transfer Admission Guarantee (TAG)
https://www.ccsf.edu/en/student-services/student-counseling/transfer_counselingdepartment/transfer_basics/tag.html
II. California Private Schools
Alliant International University
Brandman University -
(Part of Chapman University System)
California College of the Arts
California Institute of Integral Studies
Dominican University of California
Fashion Institute of Design &
Merchandising
Golden Gate University
Holy Names University
John F. Kennedy University
Master’s College
Menlo College
Mills College
National University
Notre Dame de Namur University
Palo A lot University
San Francisco Art Institute
Samuel Merritt College -
BS in Nursing
Southern California Univ ersity of
Health Science - Los Angeles
College of Chiropractic
The Art Institute of California,
San Francisco
Un iversity of San Francisco
University of Southern California
University of the Pacific
Woodbury University Architecture
Others ________________________
III. Out-of-State Public Schools
Georgia Southern University
Georgia State University
Kansas State University
Montana State University (Bozeman)
North Carolina State University
North Dakota State University
Oregon State University
Penn State University
Plymouth State University
Sam Housto n State University
State University of New York at Albany
University of Central Missouri
University of Hawaii (System)
Univer sity of Idaho
University of Iowa
University of Kansas
University of Maryland, College Park
University of Minnesota
University of Missouri, St. Louis
University of Nevada, Las Vegas
Univer sity of Nevada, Reno
University of North Carolina, Chapel Hill
University of North Caroline, Greenboro
University of Oregon
Universi t y of S outh Dakota
University of Texas, San Antonio
Virginia Tech
Washington State University
Wayne State University
Western Oreg o n Uni versity
Other ______________________________
IV. Out-of-State Private Schools
Bastyr University
Brigham Young University
Cornell University - Engineering
Dillard University (New Orleans)
Fort Lewis College
Gonzaga Uni v ersity
Hawaii Pacific University
Purdue University
Seattle Pacific University
Others _____________________________
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