Online Application for Admission -

Name *

First

Middle

Last

Date of Birth *

Phone Number *

Email Address *

Email

Confirm Email

Country of Birth *

Country of Citizenship *

Overseas Address *

Type n/a if this is not applicable

Local U.S. Address

Emergency Contact Name *

First

Last

Relationship To You *

Emergency Contact Phone Number *

Emergency Contact Email *

Status You Will Be Attending As *

If Other Please Specify

Program Preferences

Currently only Semi-Intensive (Half Day) is offered

Select Year *

Select which year you wish to begin studying

Select Month *

Courses *

Please share your course preference(s).

Airport Pickup

Flight Information

If yes, please provide your flight details.

Housing Placement

Duration of stay

If yes to housing, please inform us of the length of your stay.

Housing Checklist

I would like meals
I do not require meals
I am ok with pets
I am ok with children

Please check all that apply if you require housing placement

Required Documents

Photocopy of passport
Visa (if applicable)
Copy of High School diploma
Financial statement showing proof of ability to finance education and living expenses

Please ensure you have the following documents before applying. You will be required to provide copies of all of the following documents in order to determine your eligibility.

Application Fee Payment Options *

For Zelle or Other, admissions staff will contact you to complete your application fee.

Card Type

Credit Card Number

In order to process your Application for Admission you will need to pay your $150 non-refundable application fee.

Name On Card

Expiration Date

Security Code

Authorization

Yes, I understand

By clicking the box you understand and authorize that Rosemead College will charge you a $150 application fee with the credit card information you've provided.