INTERNATIONAL ENGLISH and PROFESSIONAL PROGRAMS

Please type or print clearly with ink. Do not staple documents.4. Fee to be submitted with this application:$160 U.S.Please enclose a money order or bank draft in U.S. dollars for thecorresponding amount, payable to UC Regents. The draft must bedrawn on an account held at an American bank or a U.S. branch of aninternational bank. Fees may also be charged to one of the followingcredit cards:Visa MasterCard American Express Discover________________________________________________________Credit card numberExpiration date________________________________________________________Name of credit card holderCVV2/CID Code________________________________________________________Authorizing signature (required)DateBilling address of credit card holder (if different fromapplicant):________________________________________________________Street address________________________________________________________City and postal code________________________________________________________Province/state________________________________________________________CountryTelephone number5. Visa informationWill you be applying for an F-1 visa? Yes No If no, what typeof visa will you use?________________________________________________________When will your passport expire? _____ / _____ / _____month day yearAre you already in the United States, or will you enter the United Statesprior to receiving our visa document in order to attend another school orfor some other purpose?Yes. If yes, please submit copies of your passport, visa, I-94 and I-20if applicable.No. If no, please skip to Section 7.When will your I-94 expire? ____ / _____ / _____month day year(Your I-94 is the small white card you were given at the port of entry.)What visa status were you given at the port of entry? _______________F-1 (F-1 students, please also complete Section 6 (F-1 student transferprocess).6. F-1 student transfer processFrom what other U.S. educational institution or program will yoube transferring?________________________________________________________Name of school you will transfer from________________________________________________________Name of international student adviser________________________________________________________Adviser’s telephone number________________________________________________________Adviser’s email addressYour last day of attendance7. Financial statement and certificationThe student needs to submit a financial statement from a sponsor orinstitution certifying sufficient funds are available for the duration of thestudent’s stay in the United States. If you submit a financial statementfrom a third party (e.g., a relative or employer), you must also provide aletter from the statement holder, which states that he/she is willing tocover your tuition and living expenses while you take part in ourprogram. These resources are to be in excess of the student’s totalestimated expenses. All funds must be specified in U.S. dollars.Note: If family members will be accompanying the student to the UnitedStates, please add to the total estimate $600 per month for the student’sspouse and/or $400 per month for each of the student’s children.Estimated Minimum Expenses(tuition and living expenses)*Intensive English Program (10 weeks) $6,800 U.S.English for Science and Technology$3,500 U.S.Communication and Culture$3,300 U.S.English for Legal Professionals$3,500 U.S.Professional Studies Program (varies) $9,300 U.S.* All fees are subject to change without notice.Estimated expenses are calculated by term. The financial statement submitted mustnot be older than 90 days from the date of receipt of the application. Students whodefer admission to the next term must submit a new financial statement.CHECKLISTBefore mailing your application, please check that you include:$160 U.S. application fee(payable to UC Regents)Enrollment applicationFinancial statementLetter from financingsponsor, if applicable (withtranslation if needed)Copy of your passportphoto identification page(for applicant and eachdependent)Copies of your F-1 visa,I-20s and I-94 cardif applicableIn addition, Professional StudiesProgram applicants ONLY:Proof of English languageproficiency. I am enclosing my______ (test) score of _______I have directed EducationalTesting Services (ETS) to send myTOEFL score report directly toUC Davis Extension. (Pleaseremember to indicate UC Davis' ETSinstitution code: 2622.)Documentation/Transcript ofuniversity coursework and grades8. Applicant’s signatureI hereby certify that the foregoing and all information referenced in orenclosed with this application is, to the best of my knowledge, true andcorrect.________________________________________________________Applicant’s signature (please sign)DatePlease send this application and enclosures to the address below. If you provide credit card information,please DO NOT FAX or EMAIL your application; for security purposes, please mail your application to:UC Davis ExtensionCenter for International EducationInternational English and Professional Programs1333 Research Park Drive, Davis, CA 95618-4852, U.S.A.