CYPRESS COLLEGE International Students Program

9200 Valley View Street

Cypress, CA 90630-5897

714-484-7049

international@CypressCollege.edu

INTERNATIONAL STUDENT APPLICATION & ADMISSION INFORMATION

Applications accepted for Fall and Spring semesters.

Fall: March 1 – July 1 Spring: October 1 – December 1

International Students can not apply on-line. Submit all materials to our office in person, in the mail or via

e-mail in PDF format. Our office is located in Building #11/Gym 2, Room #204. All documents submitted belong

to Cypress College and cannot be returned.

Initial Attendance:

1. Submit a non-refundable application fee of $40.00 (cash, personal check in U.S. dollars, U.S. bank money

order, or go to cypressapplicationfee.flywire.com for online payment). Applications will be processed after

the application fee has been paid.

2. Please complete and print the PDF International Student Application. Hand-written applications will

not be accepted.

3. Submit official secondary education (high school) transcripts in English OR GED certification if applicable.

Submit official transcripts in English from any colleges/universities attended.Please send to: International Students Program, Cypress College, 9200 Valley View St., Cypress, CA 90630

4. Complete the Financial Support Statement (see page 3 of application) and submit Bank Certification (must

be less than 6 months old).

5. Copy of valid passport required for new students applying from overseas.

6. English Proficiency must be demonstrated by fulfilling one of the following:

*TOEFL (www.toefl.org) -- minimum of 61 (iBT). Cypress College school code is 4104.

*IELTS (www.ielts.org) -- minimum score of Band 5.

*iTEP (www.itepexam.com) -- minimum score of Level 3.5.

*PTE Academic (www.pearsonpte.com) – minimum score of 44.

*Certificate of required ESL Level completion (must be less than one year old) from any of our partner

language schools.

*Previous college-level English course work from an U.S. college/university (transcript required).

7. Applicants under 18 must also complete the Cypress College Consent to Treat Minor Patient form.

Transfers: Students who are attending another college, high school, or language school in the United States and

wish to transfer to Cypress College must submit the following materials in addition to the materials listed above:

1. Copy of your I-20 Form, Visa, I-94 and Passport.

2. Completed Transfer Eligibility Form signed by an official from the college you are currently attending.

Change of Status:

Please contact ISP Office at (714) 484-7049 to schedule an appointment with Program Manager.

1

CYPRESS COLLEGE

International Student Application

TERM APPLYING FOR: □ Fall 20___ (August) □ Spring 20___ (January)

1. How did you hear about Cypress College? :_____________________________________________________________

2. Cypress College Student ID#:_________________________ (Leave blank if none available)

FOR OFFICE USE ONLY:

□ New □ Transfer

□ COS □ Returning

3. Legal Name:___________________________________________________________________________________(As appears in passport) Last/Family Name First/Given Name Middle Name

4. Address in Home Country: ______________________________________________________________________Number Street City

________________________ ________________________ ________________________ __________________ Province/Territory Postal Code Country Phone Number

5. Address in U.S.A.:______________________________________________________________________________Number Street City

________________________ ________________________ ________________________ State Zip Code Phone Number

6. Email Address (required):_________________________________________________________________________*Due to Cypress College policy, students must provide his/her own email address. We cannot accept an agency’s/agent’s email address.

7. Date of Birth: ____/____/________ 8. Gender: □ Male □ Female □ Other

9. Country of Birth:__________________________________ 10. City of Birth:_______________________________

11. Country of Citizenship:_____________________________ 12. Primary Language:__________________________

13. Educational Goal: □ Associate Degree □ University Transfer

14. Major at Cypress College (cannot be Undecided, General Studies, or Nursing):

____________________________________________________________________________________________

15. Highest Level of Education Completed: _______________________ Date of Graduation (MM/YYYY): ___________________

16. List All Schools Attended (Include high school, language school and any college work):

School, College or University

(List current school first) Country

Dates Attended

(MM/YYYY-MM/YYYY)

ESL OR Degree Earned

(HS Diploma, BA/BS, MA/MS)

17. Do you have an F-1 visa?

□ No

□ Yes, Name of school that issued I-20:____________________________________ Are you in status: □ Yes □ No

Photo

MM / DD / YYYY

DEPENDENTS: Complete ONLY if they will accompany you to U.S.

Name Spouse or Child Date of Birth E-mail Address (MM/DD/YY)

STUDENT CERTIFICATION

I , do hereby certify that, to the best of my knowledge, all information furnished on this

application is complete and accurate. I understand that I am not eligible for financial aid through the college, nor will I be

issued a work permit during my first year of studies. I further understand that I am required to enroll and complete 12

units each semester (fall and spring) with a minimum grade point average of 2.0.

At the time of registration it is my responsibility to make full payment for tuition and enrollment fee and to purchase an

international student health insurance policy.

If I am accepted to Cypress College, I hereby give permission to Cypress College to release information concerning my

student status to the following people (please check all that apply):

□ Father □ Mother □ Guardian □ Sponsor □ Other:

Student’s Signature: Date:

ROOM AND BOARD CERTIFICATION

If you plan to live with a relative or sponsor (cannot be another international student) without having to pay room and

board, print the name and address of that person below. The relative or sponsor must certify the statement below with

their signature.

Name: Relationship to Applicant:

Please check one: □ US Citizen □ Permanent US Resident □ Other (Visa Type: )

Residence Address:

Telephone Number: ( ) E-mail:

I certify that I, , will provide free room and board to

for the duration of his/her studies at Cypress College.

Signature: Date:

2

FINANCIAL INFORMATION Documented evidence of financial support is required in order for the college to issue the Form I-20. Approximate

expenses of $20,344 per year are needed for the duration of study in the United States. Fees are subject to change

without prior notice.

Estimate of Expenses for Two Semesters

Non-CA Tuition $ 6,360.00

Non-US Tuition $ 792.00

Enrollment Fee $ 1,104.00

Books and Supplies $ 1,000.00

Health Insurance $ 1,400.00

Living Expenses

$ 265.00 per unit (based on 24 units) $ 33.00 per unit (based on 24 units) $ 46.00 per unit (based on 24 units)$

500.00 per semester (approximate)

$1,400.00 per year

$1,000.00 (approx. based on 10 months) $10,000.00

US $20,656.00

PARENT/SPONSOR FINANCIAL STATEMENT: Cannot be another F-1 Visa student.

Name: Relationship to Applicant:

Please check one: □ US Citizen □ Permanent US Resident □ Foreign Resident □ Other (Visa Type: )

Residence Address:

Telephone Number: ( ) E-mail:

(applicant’s name) per year for I certify that I will provide approximately $20,344to the duration of his/her studies at Cypress College

Signature of Parent or Sponsor: Date:

BANK CERTIFICATION: A bank official must fill out this section. Please give all amounts in US dollars.

Name of Depositor: Date:

Checking Account Savings Account Date opened: Date opened:

Current balance: Current balance:

Average balance: Average balance:

Have accounts been maintained in a satisfactory manner for two or more years? □ Yes □ No

Current balance in the depositor’s accounts at this bank: US $

Name of Bank: Affix Official Stamp or Seal Here

Bank Address:

Name of Bank Official:

Signature of Bank Official:

01/20 3