Application For Admission

Please fill-out this Online Application form and we will process your request. Please fill in the form in ENGLISH. Thank you.

 

Campus:

Campus:(How to apply to Rosemead College?) :
RosemeadTorrance

 

Student Information:

Family Name : *
First Name :
Middle Name (If any) :
Telephone :
Your Email : *
Date of Birth :
Gender :
MaleFemale
Country of Birth :
Country of Citizenship :
Current Address in USA:(If any) :
You will be attending as :
International Student(F-1)
Resident
Other(Specify)

 

Emergency Contact Information:

Person's Name :
Relationship :
Telephone :
Address :

 

Campus & Program Preferences:

Courses :( Check all that apply ) :
ESLTOEFLTOEICTutoringOther(Specify)
Program :
Intensive(Whole Day)Semi-Intensive(Half Day)

Number of weeks you will be attending:

( * F-1 students are required to register for a minimum of 12 weeks )

:
Date you wish to begin classes check enrollment dates here : : Morning:  
Afternoon:  
TOEFL:  

 

Airport Pick up Service:

Airport Pick up Service :

:
YesNo
Arrival Information : (only if YES above) : Airline:
 
Date
 
Time
 
Flight No.
 

 

Housing Placement Service:

Housing Placement Service :
YesNo
If yes, how long do you plan to stay? :
Type :
Is family with children OK? :
YesNo
Is family with pets OK? :
YesNo
Please list any health problems
( Allergies or foods you cannot eat, etc)
:

 

What to pay with the application:

I Tuition:

Application Fee and I-20 Fee : USD $150
Tuition Deposit
( How much do I pay? )
:

(* If you are an F1 student, it's required to register for a minimum of 12 weeks, intensive class. )

 

II Other Services:

Express Mail
:USD $70 ( required for all students applying outside of U.S. )
EVIS I-901 Fee & Processing Fee
:USD $220

Homestay Application Fee
: USD $150
Homestay Security Deposit
:
Airport pickup Fee
:
Total : USD $

 

Payment Methods :

If you are applying in person directly to a campus, please disregard this secion. This section is applicable only to those students who are applying via mail or fax. PAYMENT MUST BE SENT WITH THIS APPLICATION.

 

I am sending payment made payable to Rosemead College via :

Check or money order
( Where do I need to send to? )
: USD $150
Credit Card
: For security purposes, our staff will contact you in order to verify and collect your credit card information.
Wire Transfer
: USD $
Sender's Name :
Date Sending :

(* If sending by wire transfer, your payment must include the transfer fees charged by the bank. )

Agreement

In order to proceed, you must read and accept the following agreement. Otherwise, we are unable to process your request.

I certify that I have read, understood, and agreed to the school's cancellation and refund policys. I declare that all information supplied on this application form is trun and correct. I acknowledge that I have read, understood and agreed to all the term in this application.

 

I certify that I will be fully responsible for all expenses, including, but not limited to school, living, and medical expenses, while attending Rosemead College. I also agree to accept full responsibility for my actions while participating in the Program and any related activities, including but not limited tom excursion and agree to assume all injuries from my participation, In case of illness and/or injury, permission is granted to any appropriate medical center for examination and/or treatment and/or for referral to outside Physicians.

I have read and agree to abide by the Rosemead College agreement.*