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Application For Admission

Please fill-out this application form and we will start your registration process. Please fill in the form in ENGLISH. Thank you.


Campus :
Campus :
( How to apply to RCE? )		 Rosemead Torrance

Student Information:
Family Name :
First Name :
Middle Name : (If any)
Telephone :
E-Mail :
Date of Birth :

Month 		/
Day 		/
Year
Gender : Male Female
Country of Birth :
Country of Citizenship :
Current Address in USA :
(If any)
Address in your Country :
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 ) 		ESL TOEFL TOEIC Tutoring
Other ( 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 16 weeks )
Date you wish to begin classes ( check enrollment dates here :
Morning
    		Afternoon
    		TOEFL

Airport Pick up Service :
Airport Pick up Service: Yes No
Arrival Information : (only if YES above) Airline :
Date :
Time :
Flight Number :

Housing Placement Service :
Housing Placement Service : Yes No
If yes, how long do you plan to stay?
Type :
Is family with children OK? Yes No
Is family with pets OK? Yes No
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? ) 		USD $
  (* If you are an F1 student, it's required to register for a minimum of 16 weeks, intensive class. )

II. Other Services :
Homestay Application Fee USD $250
Homestay Security Deposit USD $100
Express Mail USD $70 ( required for all students applying outside of U.S. )
Airport pickup Fee USD $85
SEVIS I-901 Fee & Processing Fee USD $220
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 of English via :
Check or money order
   ( Where do I need to send to? ) 		USD$
Credit Card :

For security purposes, our staff will contact you in order to verify and collect your credit card information.
Wire Transfer
  ( Electronic Transfer Information ) 		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 RCE. 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 of Englsih agreement.