Saturday, July 31st, 2010

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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 (###-###-####)

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 - Please check one if you apply for housing

Select one of the housing services you want
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
* Please fax us this information Later at( 213)368-3903 if this infotmation can not be given now.

Fees & Charges

Fees & Charges
Application $100.00 (if I-20 is not required $20) Airport pick-up $75.00 Home stay processing fee $90.00 Homestay application fee $230.00

Application Checklist

Application Checklist
Application Fees Bank statement of US $9000 (6 months) 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