Monday, February 6th, 2012

English | 한국어 | 中文 | 日本語 | Русский | ไทย

Application

Personal Information

Last Name(required)
First Name(required)
Middle Name
Date of Birth (mm/dd/yyyy)(required)
Phone Number
Email(valid email required)
Address(required)
City(required)
State(required)
Country of Birth(required)
Country of Citizenship(required)
Fax Number

Session Dates

Starting Date:
Ending Date:
* We understand that your length of study can change at any time. These dates are simply your intended length of study right now.

Affidavit of Support

This is to guarantee that I accept full responsibility for the payment of school and living expenses of the above-named student during his/her study at Columbia West College.
Name of sponsor(required)
Relationship(required)
Phone number(required)
Address(required)
City(required)
State(required)
Signature of sponsor(required)
Date signed(required)

Housing - If you need housing, please select one of the following options:

Dormitory Home Stay

Airport Pick-up - From Los Angeles International airport

Yes I need an airport pick up service
Arrival date
Arrival time
Name of airline
Flight number
* If this information cannot be given now, please fax this information to (213) 368-3900 when it becomes available.

Fees & Charges

Fees & Charges
Application $200.00 Airport pick-up $55~$75

Application Checklist

Application Checklist
Application Fees Bank statement Certificate of graduation from your last school

Money order or travelers check payable to: Columbia West College
Mailing address: 3350 Wilshire BLVD. Suite 800, LA, CA 90010, USA
This is to certify that information on this form is true and correct to the best of my knowledge.
Signature of student
Date signed