Beruflich Dokumente
Kultur Dokumente
Please type or print clearly with black ink. Do not staple documents. 1. Program Choice
Term(s) of Study:
IMPORTANT: To receive your acceptance material, you must provide a street address below. Material cannot be delivered to a P.O. box.
Fall (Aug.Dec.) Spring (Jan.May) Summer8 week (JuneAug.) Summer6 week (JulyAug.)
Year: _____________
Provide a street address to which acceptance material should be sent (if different from permanent address) below. Street:
2. Personal Information
Please type or print clearly. Print name as it appears on passport. Family name:
First name:
Male Female
Country of birth: Country of citizenship:
/
Day
/
Year
Email:
Friend
Relative
Employer
Online search
Education fair
Street:
4. Education Background
City: Province and postal code: Country: Phone: Mobile phone: Email: Please list all secondary schools and colleges you have attended. If more than two schools, please use a separate piece of paper. School name: City and country: Start date: End date:
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Enrollment Application
Please type or print clearly with black ink. Do not staple documents.
7. Visa Information
Will you apply for an F-1 visa?
Yes No
If no, what type of visa will you use? / When will your passport expire?
Year Month
Day
Day
Year
Test type:
Score:___________________
Please indicate the documentation you will be submitting with your application.
Are you already in the United States, or will you enter the United States prior to receiving our visa document, to attend another school or for some other purpose?
Yes If yes, please submit copies of your passport, visa, I-94 and I-20 if applicable. No If no, please skip to No. 9.
What visa status were you given at the port of entry?
I am enclosing my TOEFL score report of at least 80 (iBT). I am enclosing my IELTS Academic Format score report of at least 7.0. I have earned a degree from a university located in the United States or in
another country where English is both the official language and the medium of instruction. Please find my official transcripts enclosed.
B -1 B -2 O ther F-1
(F-1 students, please also complete No. 8.)
If you checked B-1, B-2 or Other: Do you plan to return home and apply for an F-1 visa in your home country? Yes No (Please schedule an appointment with the international student adviser as soon as you receive your acceptance package.)
I have enclosed a $150 bank draft with my application. Bank drafts must be
in U.S. dollars and payable to UC Regents. The draft must be drawn on an account held at a U.S. bank or a U.S. branch of an international bank.
8. F-1 Student Transfer Process for Students Currently Studying in the United States
From what other U.S. educational institution or program will you be transferring to UC Berkeley Extension? Name of school: Name of international student adviser: Advisers telephone number: Advisers fax number: Advisers email address: Your last day of attendance: Please submit copies of your passport, F-1 visa, I-20(s), I-94 and EAD card (if applicable) with your application.
P lease charge the $150 application fee to the following credit card:
Expiration date Name of credit card holder: Credit card billing address:
Applicant signature
Date
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Enrollment Application
FINANCIAL STATEMENT AND CERTIFICATION
Please type or print clearly with black ink. Do not staple documents.
Sufficient financial resources must be shown to be available to the individual who is taking financial responsibility for the student while the student is studying in the United States. These resources are to be in excess of the students total fees and estimated expenses; see the chart below. The financial statement must be no older than 90 days from the date of receipt of the application. Students who defer admission to the next term must submit a new financial statement.
Students name
* T his estimate is based on shared housing and the use of public transportation. If you rent your own apartment or have a car, your expenses may be higher. Note: Your financial statement and certification must demonstrate that the dollar amount in Total fees and estimated expenses is available in your account. All fees are subject to change without notice.
Signature
Date
Date
This is not a guarantee of payment. Any official document from the financially responsible individuals banking institution, such as a monthly banking statement, may be substituted for the banks official certification, provided it clearly indicates the following: the date of the statement, the name of the individual, the name of the banking institution, a sum greater than that mentioned above and the name or symbol of the sums currency.
To be considered for admission, you must include all three pages of the enrollment application and all supporting documents. Please send the application and enclosures to: nternational Student Administrative Services I UC Berkeley Extension 1995 University Ave., Suite 110 Berkeley, California 94704-7000 USA
For questions about the application process, call +1-510-643-1110 or email foundations@unex.berkeley.edu.
Before mailing the application, please check that you are including the following: Enrollment application Statement of purpose and background Financial statement and certification Translation of financial statement, if applicable Proof of English language proficiency Transcripts (and copy of diploma if available) and English language translations Copy of passport photo identification page $150 application fee