Application for Admission to the Colleges of the International Student Consortium.
Print & Complete this application form and forward to:
International Student
Consortium Admissions, Infozee,
Infozee
E-4, First Floor,
Greater Kailash - I
New Delhi - 110048
India
Tel: (+91-11) 51831442
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Name_____________________________________________ Circle one: Male Female
Address (Street, City, State or Province, Zip Code, Country)____________________
____________________________________________________________________
Country of Citizenship ______________________ Country and City of Birth ____________
Birth Date ______________
Telephone No.(___)____________________Best Time to be Reached ____________
Fax No. (____)________________________Email Address ______________________
Marital Status: Single ___________ Married __________
Enrollment Information
Please circle the appropriate classification.:
First Time Freshman -Transfer - Graduate - English as Second Language - Non-Degree
Major: Undecided _____ Business _____ Other (Specify)_______________________
When do you plan to enroll?
Fall Semester(Aug.) ____ Spring Semester(Jan.) ____
Summer(May) ____ YEAR ______
Do you plan to live in college housing? (Circle One) Yes No
Parent Information (Must be supplied by applicants under age 21)
Father/Guardian's Name _______________________
Address __________________________________________________________________
Mother's Name _______________________________
Address __________________________________________________________________
Secondary School __________________________________Year of Graduation_______
Name
City/Country
Colleges Attended __________________________________Year of Graduation _________
Name
City/Country
__________________________________Year of Graduation _________
Name
City/Country
Have you taken SAT or ACT? Yes No Date__________Score ________
Will you take the SAT or ACT in the future? Yes No Date______________
*Graduate students only. Have you taken tests GRE
___ or GMAT ______ exams?
Date_______Score ________
Native Language ________________
The Test of English as a Foreign Language (TOEFL) is required if
English is not your native language.
Have you taken the TOEFL? Yes
No Date _____ Score _____
Extracurricular Participation:
Athletics ______________________________________________________________
Music ________________________________________________________________
Student Government_____________________________________________________
Other_________________________________________________________________
Do you plan to participate in these activities in college? _______
If so, which?___________________________________________
Signature of Applicant____________________________________Date _______________
Who influenced you to apply? _____________________________________
Special Needs and/or Considerations: _________________________________________
Signature of Applicant _____________________________ Date ____________________
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CERTIFICATION OF FINANCE
The US government requires prospective students to demonstrate that sufficient funding is available to meet all college and living expenses for their course of study for one academic year before the I-20 can be sent. The student will also need to have copies of this form and all supporting documents available for the US consulate at the time of securing the Visa.
The estimate of expenses for a year of study in the US is dependent upon the costs of
the specific college or university chosen and the living expenses in that area of
the country. Thus, each institution requires a different level of funding
support. We have information available on the financial requirements of each of the
institutions and will not include an institution on the student's list that exceeds
his/her available funding level. Thus, having this financial support document
is necessary for the system to work properly.
Student's Name_______________________________________Birth Date______________
Family Name First
Name Middle Name
For each source of funding listed below, a signed bank statement showing funds available and average fund balance for the past year is required. Those supplying funds for the student should sign the sponsor's certification below.
Amount per year: Source(s) of funding in U.S. dollars, per year of study:
______________ Personal Funds:
______________ Family Funds and/or
Private Sponsor:
Name of family member or sponsor: _____________________
Relationship to student, if any: __________________________
Sponsor's Address: _________________________________
_________________________________
_____________
Government or Other Scholarship or Loan: (Provide a letter)
Student's Signature:________________________________
Date:______________________
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Family or Sponsor's Certification:
I certify that I will provide financial support to __________________________(Student's
Name) as listed above for the duration of his/her study in the U.S. I
understand that the estimated costs of attendance are subject to change.
.
Sponsor's Signature:_______________________________ Date:_______________________