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How to Pay
If payment is being sent by wire transfer, the bank details for wiring funds are: Bank Name: Bank of America Address: 1000 Century Park Drive, Tampa, FL 33607 Account Name: INTO CSU LLC Account Number: 898052299589 Routing Number: 026009593 SWIFT Code: BOFAUS3N The following information must be included in the wire description: Text clearly stating CSU INTO CSU Student Identification Number (as shown on the offer letter/invoice) Student Name (as stated on your passport) Please be aware there may be banking fees deducted from the amount submitted. The amount received by the University will be credited to the students account and any outstanding balances will need to be paid at the cashiers office at Colorado State University.
Not Required
GRE, GMAT, or SAT test scores, letters of recommendation, or personal statement
SECTION 2
Program Details
Please select your intended program of study and a starting term. Please select only one program.
Language Programs
Student Details
Please enter all names exactly as they appear on passport.
Last/Family Name First/Given Name Second/Other Names Gender Date of Birth City of Birth Country of Birth Country of Citizenship Citizenship Status Non-US Citizen Resident Alien US M / F / mm/dd/yy
General English (check all that apply) August 26, 2013 October 21, 2013 January 13, 2014 March 24, 2014 May 19, 2014
September 23, 2013 November 18, 2013 February 10, 2014 April 21, 2014 June 16, 2014
US Citizen Students Permanent Home Country Mailing Address (required for I-20) Street
City State/Province Country Zip Code Country of Legal Residence Telephone Students Email Address
*Students can only take Summer term II if they previously completed Summer Term I. **Students can only take the Pre-Academic term if they will begin in the Fall as a direct admit to Colorado State University or as a Pathway student.
/ /
/ /
mm/dd/yy mm/dd/yy
SECTION 3
Student Education History
Please give details of all schools you have attended including high school(s), college(s) and/or university(s). Please attach additional pages as needed. You must submit copies of official transcripts from all institutions attended. Official transcripts (not copies) must be supplied to CSU prior to registration for any academic program. Failure to disclose all required information and supply all relevant documents may result in you being asked to leave Colorado State University.
Undergraduate Pathways
Business Administration
Fall 2013 Spring 2014
Computer Science
Fall 2013 Spring 2014
mm/dd/yy
Engineering
Fall 2013 Spring 2014
Highest Educational Qualification Name Country If it has been more than six months since your high school graduation, please indicate which activities have been completed since graduation: Work Further Study Other
General
Fall 2013 Spring 2014
Sciences
Fall 2013 Spring 2014
mm/dd/yy
SECTION 4
Test Scores
Please indicate all language exams completed in the past two (2) years. Copies of test results may be used for evaluation. Official results must be received by INTO CSU prior to registration. Students will be retested upon arrival. TOEFL IELTS
Graduate Pathways
Business
Fall 2013 Spring 2014
SECTION 5
Housing and Student Services
Undergraduate Pathway Students
All students with an Undergraduate Pathway program in their program of study are required to live in University residences for their first two terms of study. For all other applicants, selecting a housing preference is optional. Please note that your selection below is only an indication of your preference and is not considered a reservation. You will be contacted regarding final reservations. Please note that housing selections will only be reserved based on availability.Please check one below: Double Suite Room Upgraded Loft Double Suite Room Upgraded Loft Single Suite Room
Tourism Management
Fall 2013 Standard Spring 2014 Accelerated
Engineering
Fall 2013
SECTION 8
Required Information
All Colorado colleges/universities are required to ask the following questions to support a safe campus community. A yes response does not automatically disqualify you for consideration to any CSU or INTO CSU program. Yes responses are given careful consideration to include the scope and severity of the situation, how it was resolved, and what has happened since the occurrence. Do you have any criminal charges pending against you or have you ever been convicted of a crime, made a plea of guilty, accepted a deferred judgment, been adjudicated or been required to register as a sex offender? Yes No Have you ever been found responsible for any disciplinary violation (related to academic misconduct or behavioral misconduct) at an educational institution you have attended from the 9th grade forward (or the international equivalent), that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution? Yes No
Student Services
Do you smoke? (There is no smoking in any campus buildings) Do you have a disability or special needs? Yes No Yes No
Airport Transfer
Will you require airport transfer on arrival? Yes, I require airport transfer ($75 fee) Yes, I require a private transfer option ($225 fee) No, I do not require airport transfer Students will be provided with detailed instructions about requesting transportation at the time of admission.
If you answer yes to either of the above questions, you must attach a statement explaining what happened, when it happened, who was involved, and how the matter was settled.
SECTION 6
Residence Hall Meal Plan Selection
Please select one of the following meal plan choices to suit your needs. Refer to page 21 of the brochure for further details on each meal plan. All students living in the on-campus residence halls are required to purchase a meal plan. If you do not select a meal plan and you are required to live in the residence halls during your first two consecutive semesters at CSU, the Any 14 meal plan will be assigned to you. Any Meal Any Time Virtually unlimited dining with up to 10 meal swipes a day; a good choice for students who like to snack between meals or want to take advantage of coffee, smoothies, and late night dining; includes $150 RamCash and 20 guest passes Any 21 Includes 21 meals a week and is a good choice for students who plan to regularly eat 3 meals a day; includes $150 RamCash and 20 guest passes Any 14 Includes 14 meals a week and is a good choice for students who plan to eat two or three meals a day in the dining centers and eat out several times a week; includes $150 RamCash and 20 guest passes Any 10 Includes 10 meals a week and is a good choice for students who plan to eat only one or two meals a day in the dining centers; includes $150 RamCash and 20 guest passes
SECTION 9
Declaration
I hereby consent to the release of my transcript(s) to Colorado State University. I hereby certify that to the best of my knowledge the information furnished on this application is true and complete. I understand that if found to be otherwise, it is sufficient cause for rejection or dismissal. I understand that if I am admitted AND wish to apply to another term, I must notify the Office of Admissions in writing to update my file if I am applying in the same or subsequent academic years. If I wish to apply after one academic year from the original application date, I understand that I must submit a new application and the non-refundable application fee. Students Signature Date / /mm/dd/yy All students under 18 years of age are required to have this application signed by a parent and/or sponsor. Parent/Sponsor Signature Date / /mm/dd/yy
SECTION 7
Travel and Medical Insurance
The full cost of the International Student Health Plan will be added to the students account unless evidence of an alternative health plan has been approved by the CSU Student Health Center.
My agency (agency name) My sponsor (sponsor name) My parent(s) or other relative Other (please print) Students name (please print) Students signature Date
mm/dd/yy
Student Details
Last/Family Name First/Given Name Student/Other Names Gender Date of Birth City of Birth Country of Birth Country of Citizenship Citizenship Status Non-US Citizen Resident Alien US M F
B. From family: $ Family member must complete the affidavit of support (below) and submit it with a current bank statement C. Other source of funding: $ D. Financial aid from government agency, private foundation, bank or other agency: $ Enclose the original form or official copy of your award as evidence of financial support. Total support for first year at CSU: $
/ / mm/dd/yy
US Citizen
Visa Details
Are you currently living or studying in the United States? If you answered YES, please indicate visa type F1 J1 Yes No
By signing my name to this form, I certify that the information I have given is a correct statement of my arrangements for financing my studies at Colorado State University and that all information provided on this form is accurate. Students Signature Date / /mm/dd/yy
mm/dd/yy Yes No
Affidavit of Support
This must be completed by the person sponsoring your studies. I certify, I am able, willing and do promise to provide financial support in the amount of $ _________________ (USD) for _________________(students name) and their dependents, (if applicable) to cover the costs of tuition, fees, and living expenses in order to study at Colorado State University. I also certify that continued funding will be available for subsequent years of study. I have attached evidence of my financial resources (a bank statement dated within the last 6 months) with this form.
If you hold a student visa, please list the name of institution you are currently attending:
mm/dd/yy
Please provide information for each dependent (spouse and/or children). Please attach passport copies, if available.
Spouses Information:
Last name First name Middle name Date of birth / / mm/dd/yy City and country of birth: Gender: Male Female
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