International Student Checklist Please read the following … · 2014-02-14 · International Student Checklist Please read the following information BEFORE completing your application

International Undergraduate APPLICATION • 3/1/07�

APPLICATION for ADMISSION

CSUInternational Student ChecklistPlease read the following information BEFORE completing your application. Retain this for your records!

Sign the Application

Submit $30.00 (U.S. dollars.) non-refundable application fee

Send Required Test Scores (See Application Requirements)

Include Confidential Financial Statement. (This form must be notarized!)

Submit Certificate of Sponsorship. (This form must be notarized!)

Submit International Data Form

Request “Verification of Funds” letter from a bank official.

Request Foreign Credential Evaluation (See application requirements for the address)

Request Academic Records (See Application Requirements)

Transfer Verification Form (if applicable)

PLEASE NOTE: An admission letter will not be issued until all of the application requirements have been met.

International UNDERGRADUATE

Office of AdmissionsCook Administration Building

Chicago State University9501 South King Drive / ADM 200

Chicago, Illinois 60628-1598

phone (773) 995-2513fax (773) 995-3820

e-mail: [email protected] site: www.csu.edu


ApplicAtion procedures

ADmissioN iNfoRmATioN University and Admission PoliciesChicago State University operates all of its activities and provides all benefits to students and employees without regard to race, color, creed, religion, national origin or sex. The University does not discriminate on the basis of handicap in admission or access to its programs.

• Admission to the university does not imply admission to a particular pro-gram. Colleges and departments may have additional requirements.

• A thirty U.S. dollars ($30.00) non-refundable fee (check, money order or bank draft only) must be submitted with the international application.

• This application and fee is only valid for the semester that you indicate. However, you may defer the application and fee for one time only by notify-ing the admission office in writing four weeks prior to the opening day of the semester that is indicated by your initial application. Otherwise, a new application and fee will be required.

• All applications and documents will be retained for one year from the semester for which you applied, after which time applications and docu-ments will be discarded if the applicant has not enrolled at the university or deferred the application to a later semester.

• All accepted students are required to participate in the University Place-ment/Proficiency Examination in English, mathematics, and reading.

HousingFor information on university housing, please write to or call:

Office of Residence LifeChicago State University9501 South King DriveChicago, Illinois 60628-1598

ORCall: 773.995.3676

Immunization/medical Reports• All enrollees born after January 1, 1957 are required to show proof of im-

munity from certain diseases.

• All campus residents and students participating in specialized programs including education, nursing and allied health programs, upon acceptance to the university and prior to registration, must submit complete medical reports, signed by a physician.

• For further information on immunization or medical reports, contact the WellneSS CenteR, Room ADM 131 or call 773.995.2010.

Questions? Need more information about Chicago State?For tour information, please call the Office of Admissions at 773.995.2513.

Send all application materials to:

Office of Admissions Chicago State University 9501 South King Drive / ADM 200 Chicago, Illinois 60628-1598

If you require accommodation due to a disability in order to complete the ap-plication process, please contact the ADA Coordinator, Abilities Office, SUB 198, 773.995.4401, TTY 773.995.3776. Please allow sufficient time to arrange the accommodation.

Visit our website: www.csu.edu

spEcific REqUiREmENTsA. Academic Documents Required

1. ORIgInAl OR CeRtIfIeD tRUe COpIeS of credentials from all second-ary and post-secondary schools attended in the United States and abroad. (Records must list the subjects studied and grades/marks earned for each subject signed by a school official.)

2. CReDentIAlS fROM All SeCOnDARy AnD pOSt-SeCOnDARy SChOOlS attended abroad must be accompanied by a certified and de-tailed evaluation from a nationally known credentials evaluator.

Evaluation reports will be accepted from:

EDUCATIONAL CREDENTIALS EVALUATORS, INC.P. O. Box 514070Milwaukee, WI 53203-3470Tel (414) 289-3414 Fax (414) 289-3411www.ece.org

ORWORLD EDUCATION SERVICES, INC. P. O. Box 11623 Chicago, Illinois 60611-01623Tel (312) 222-6822 Toll free (800) 937-3898www.wes.org

international undergraduate


c. The applicant has completed a minimum of 24 semester hours or 36-quar-ter hours at an accredited U.S. College or university.

C. Evidence of Financial Support1. Submit a completed Confidential financial Statement for Interna-

tional Students. (Use enclosed form.)

2. Submit a completed Certificate of Sponsorship. (Use enclosed form.)

3. furnish evidence, in the form of a letter from the bank or employer, indicating that monies (amount in U.S. dollars) are available to meet the financial needs of the student.

D. Additional Demographic InformationSubmit a completed International Data Sheet. (Use enclosed form.)

E. Application DeadlinesInternational applicants are accepted for each semester according to the fol-lowing deadlines:

FALL SEMESTER ....................... May 1SPRING SEMESTER ....... September 1

NoTE: An admission decision will not be made until all of the application requirements have been met. Provisional or probationary admission will not be grant-ed. Academic Documentation must show an overall grade point average of “C” or higher.

Evaluation reports must be sent directly from the service to:

Chicago State UniversityOffice of Admissions9501 S. King Drive/ADM 200Chicago, IL 60628-1598

3. fReShMen ApplICAntS (Applicants who have not attended a post-secondary institution) All CSU

freshmen applicants are required to submit official results of a national or in-ternational standardized examination. International applicants have the op-tion of submitting ACT, SAT or TOEFL (Test of English as a Foreign Language) results. A minimum ACT composite score of 18 is required. A minimum SAT combined score of 870 is required. A minimum TOEFL score of 525 on the paper-based test, or 195 computer-based or 69 internet is required.

ACT UNIVERSAL TESTINGP. O. Box 4028Iowa City, IA 52243-4028U.S.A.Tel 319/337-1448Fax 319/337-1285www.act.org

OR

SAT TESTINGwww.collegeboard.comTel 609/771-7600

4. tRAnSfeR ApplICAntS An international student transferring to CSU from another post-second-

ary institution will be admitted as a freshman unless the transfer student has obtained a minimum of 24 semester hours or 36-quarter hours from an accredited college or university. We will need an International Transfer Verification from U.S. College(s)/University(s) previously attended. See our website www.csu.edu/Admissions/intern to download the form.

B. English Language ProficiencyInternational applicants whose native language is not English must present evi-dence of proficiency in oral and written English by obtaining a satisfactory score on the Test of English as Foreign Language (TOEFL). A minimum TOEFL score of 525 on the paper-based test, or 195 computer-based or 69 internet is required. For information on this examination, write to TOEFL, Educational Testing Service, P.O. Box 6155, Princeton, NJ 08541-6155, USA, or inquire at the U.S. Consulate nearest you or visit the TOEFL website at www.toefl.org. The TOEFL code for CSU is 1118. Applicants may submit a SAT 1 verbal score of 420 in lieu of the TOEFL requirement mentioned above.

International applicants are not subject to the CSU TOEFL requirements if any of the following factors apply:

a. The applicant completed secondary education in a country where the native or official language is English; OR

b. The applicant completed secondary education at a institution where English was the medium of instruction; OR

Distinctive windows of the New Academic Library


College of Arts and SciencesAFAM ..............African American StudiesART .................ArtADGN ..............Art, Design OptionARTT ...............Art, Teacher Preparation K-12 OptionBIOL ................BiologyBIOE ................Biology, Environmental OptionBIOM ..............Biology, Microbial/Molecular OptionBIOP ................Biology, Premedical/Predental OptionBIOT ................Biology, Secondary Teaching OptionCHEM ..............ChemistryCHMB .............Chemistry, Biochemistry OptionCHMI...............Chemistry, Industrial OptionCHMT ..............Chemistry, Secondary Teaching OptionCMAT ..............Communications, Media Arts, & TheatreCPTR ...............Computer ScienceCJ ....................Criminal JusticeECON ...............EconomicsENGR ..............Engineering StudiesELIT .................English, Literature OptionEPTW ..............English, Professional & Technical Writing OptionENGT ...............English, Secondary Teaching OptionGEOG ..............GeographyGEOT ...............Geography, Secondary Teaching OptionHIST ................HistoryHSST ...............History, Secondary Teaching OptionLBST................Liberal StudiesMATH ..............MathematicsMATT ..............Mathematics, Secondary Teaching OptionMUS ................Music MUST ..............Music, Teacher Preparation K-12 PHYS ...............PhysicsPHYT ...............Physics, Secondary Teaching OptionPOL .................Political SciencePPHR ...............Prepharmacy OptionPSYC ...............PsychologySOC .................SociologySPAN ...............SpanishSPAT ................Spanish, Secondary Teaching Option

College of BusinessACCT ...............Business Administration, Accounting OptionFIN ..................Business Administration, Finance OptionMIS .................Bus Admin, Management Information Systems OptionMGMT .............Business Administration, Management OptionMKTG ..............Business Administration, Marketing Option

College of Health SciencesHIA..................Health Information AdministrationHP ...................Community HealthHSC .................Health Sciences - Pre-Occupational TherapyPPT .................Health Sciences - Pre-Physical TherapyNURS ..............Nursing

College of EducationBE ...................Business EducationBIL ..................Bilingual Elementary EducationCTE ..................Career & Technical EducationECH .................Early Childhood EducationECHC ...............Early Childhood Education, Child Studies OptionELED ...............Elementary EducationEMID ...............Elementary Education, Middle School OptionPE ...................Health, Physical Education & Recreation, PE OptionREC .................Health Physical Education & Recreation, REC Option

Non-TraditionalBOG ................Board of GovernorsICBA ................Individualized Curriculum - BAICBS ................Individualized Curriculum - BSUWBA .............University Without Walls - BAUWBS .............University Without Walls - BS

UndecidedUNDC ..............Undecided (FRESHMEN ONLY)

mAjOR/OPTION DEGREE CODES

FALL SEMESTER......................May 1SPRING SEMESTER .................September 1

ApplicationPriority Processing

Deadline Dates

Printed by authority of the State of Illinois


Please read the instructions before filling out this form. Complete ALL sections of the application. A non-refundable application fee of $30 made payable to Chicago State University must accompany this completed application form. Use a check or money order; do not send cash. Mail application form and fee to Office of Admissions, Chicago State University, 9501 South King Drive - ADM 200, Chicago, Illinois 60628-1598.

For oFFice use only ID# FOR OFFICE USE ONLY _________ — _____ — ________________

SEMESTER YOU ARE APPLYING FOR ADMISSION: []FALL (August), Year _____ []SPRING (January), Year _____ []SUMMER(May/June), Year ______

[]Mr. []Ms. []Mrs. LAST NAME (Family name) _____________________________________________________________

First Name (Given name)___________________________________ M.I.____ Former Name_________________________________

PERMANENT ADDRESS (Outside U.S) Apt. No._________ Number and Street________________________________________________

City____________________________________________ Providence/State_________________________________________

Country (other than U.S.)__________________________________________________________ Postal____________

MAILING ADDRESS Apt. No._________ Number and Street________________________________________________


Country (other than U.S.)__________________________________________________________ Postal____________

DAY PhONE (Area Code____ ) ______________ EvE PhONE (Area Code____ ) ______________ E-MAIL _______________________

BIRThDATE Month _____________ Day _____ Year ________ []Male[]Female MARITAL STATUS: []Single[]Married

EThNIC ORIGIN (Your response to this question is optional and will not affect the admission decision; it is requested so that we may demonstrate to federal and state agencies that this institution is in compliance with appropriate regulations.)

[]Asian or Pacific Islander []Black (Non-Hispanic) []American Indian or Alaskan Native []Hispanic []White (Non-Hispanic)

Country of Citizenship __________________________________ Country of Birth __________________________________________

Type of Visa ___________________________________________________________________________________________

IN CASE OF EMERGENCY, CONTACT Last Name (family name) ____________________________________________________________

First Name (given name)___________________ Day Phone (Area Code____ ) ______________ Eve Phone (Area Code____ ) ______________

EMERGENCY ADDRESS Apt. No._________ Number and Street________________________________________________


Country (other than U.S.)_______________________ Postal____________ RELATIONShIP []Parent []Guardian []Spouse []Sponsor

I AM APPLYING AS A []Freshman[]Transfer[]Second Bachelor’s Degree

INTENDED MAjOR CODE (see other side) ____________________ Major code description:_____________________________________

hAvE YOU PREvIOUSLY APPLIED to OR AttENDED ThIS INSTITUTION? []NO[]YES, Indicate Term _____________________ Year_________Note: If you attended /applied to Chicago State University at any time, it is very important that you provide those dates as to not delay the processing of your application!

International Applicationfor Undergraduate Admission

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hIGh SChOOL INFORMATION

High school/secondary school from which you graduated/will graduate (name) _____________________________________________________

GRADUATION DATE Month ________________________ Year __________ City _____________________________________

Country_____________________________________________________________________________________________

COLLEGE INFORMATION

List all post-secondary schools, colleges, universities and proprietary schools attended (including this university).Begin with the most recent. Official transcripts must be submitted for each institution attended.

SCHOOLS ATTENDED (including this university)

List most r4ecent first

CERTIFICATION

This certification must be signed and dated before action can be taken on this application. I understand that withholding information requestedon this application or giving false information may make me ineligible for admission to the university or subject to dismissal.

I certify that the information provided on the application is correct and complete.

SIGNATURE__________________________________________________________ Date:____________________________

A $30.00 non-refundable application fee must be submitted with the application.Do not send cash. Please send a check or money order (amount in U.S. dollars), payable to Chicago State University.

ATTENDANCE DATES

COUNTRY from to DEGREE(S) OR HOURS EARNED

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

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Certificate of SponsorshipnAMe Of StUDent

_________________________________________________________________________________First (Given) Name Middle Name Family (Last) Name

nAMe Of SpOnSOR

I, ________________________________________________________________________________Sponsor’s First (Given) Name Middle. Name Family (Last) Name

OF (SpOnSOR’S ADDReSS)

_________________________________________________________________________________Street Address City/Town

_________________________________________________________________________________Province Country Postal

heReBy DeClARe My IntentIOnS to undertake full financial responsibility and all other liabilities for ___________________________________during his/her education at Chicago State University and stay in the United States. I will furnish funds in the amount of $_______________ (US Dollars). Evidence of these resources is attached in the form of a “Verification of Funds Letter” from a bank official indicating that monies are available (amount in US dollars) or a letter from an employer indicating the length of time on the job and yearly income (in US dollars) and/or an award letter.

To BE siGNED iN fRoNT of - AND complETED By - A NoTARy pUBlic

I, ____________________________________________, notary public, appointed in ____________________ Authorized witness Date

do hereby certify that________________________________________ is the same person whose name is subscribed above. Sponsor of Student

To the foregoing instrument, appeared before me this day in person and acknowledge that he/she signed and delivered the said instrument as his/her free and voluntary act for the uses and purposes therein set forth.

Given under my hand and official seal, this_______________________________day of _______________________ Month Year Signature of Notary________________________________________________

Revised 01/30/07

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STUDENT NAmE

_______________________________________________ Family (Last) Name

_______________________________________________ Given Name Middle Name

PERSONAL SPONSOR

Your sponsor must submit written evidence that funds are available. Proof of evidence must be a “Verification of Funds Letter” from a bank official indicating that monies are available (amount in us dollars) or a letter from an employer indicating the length of time on the job and yearly income in us dollars. (Bank statements and monies in checking accounts are not acceptable.)

Name of Personal Sponsor _________________________________

Amount $ _________________________________________

PLEASE IndICATE SOURCE OF FUndS ASSUREd AmOUnTS In u.s. Dollars

Address of Sponsor _____________________________________

Relationship to Student _________________________________

If you have more than one sponsor, complete the following.

Name of Other Sponsor ___________________________________

Amount $ _________________________________________

PLEASE IndICATE SOURCE OF FUndS ASSUREd AmOUnTS In u.s. Dollars

ESTImATED COST FOR ATTENDANCE

Tuition & Fees ..................................... $ 12,748.00Housing & Food ................................. $ 6,492.00Health Insurance ................................ $ 765.00Books & Supplies ............................... $ 1,400.00 Transportation .................................... $ 800.00Miscellaneous .................................... $ 3,500.00Other Expenses .................................. $ 0.00tOtAl ..................................... $ 25,705.00

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Confidential Financial Statementfor International Students

Each student is responsible for submitting documentation regarding his or her sponsor. The following figures indicate the minimum amount for one academic year of under-graduate study and twelve months of living expenses. Costs are subject to change. (academic year does not include summer costs.)

VERIFICATION

Enclose with this form a “Verification of Funds Letter” from an officer of the bank or source certifying that the funds indicated are available.

CERTIFICATION

I certify that the financial information furnished on this form is a true and ac-curate statement of resources available to me. For my first academic year at Chicago State University, I have a total amount of…

$ _____________ available to me now, and a total of

$ _____________ available for each subsequent year. evidence of these resources are enclosed.

NOTARIZATION / SIGNATURE

do not sign this form until you have an authorized notary Public or Govern-ment Official ready to witness your signature.

_______________________________________________ Signature of Student Date

_______________________________________________ Signature of Notary Public or Government Official

A:\Confidential Financial Statement 0107.doc

siGnAture / notAriZAtion

Do not sign this form until you have an authorizedNotary Public or Government Official ready

to witness your signature.

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International Data SheetPLEASE READ ALL THE INSTRUCTIONS BEFORE FILLING OUT THIS FORM. Complete ALL sections of the application.

StUDent’S nAMe

Family (Last) Name ___________________________ First (Given) Name_______________________ Middle____________

SpOUSe’S nAMe (If applicable)

Family (Last) Name ___________________________ First (Given) Name_______________________ Middle____________

peRMAnent ADDReSS

Town/City ____________________________ Province_______________________Country ______________________

e-MAIl ADDReSS __________________@_______________ pOStAl______________________________________

nAMeS Of DepenDent ChIlDRen (If applicable)

1st Child’s Name _______________________ Age ____ 3rd Child’s Name ___________________________ Age _____

2nd Child’s Name ______________________ Age ____ 4th Child’s Name ___________________________ Age _____

COUntRy Of BIRth____________________Country of Citizenship_____________ Date of Marriage (If applicable) _________

genDeR Male___ Female___ DAte Of BIRth Month _________ Day____ Year_________ IntenDeD MAJOR _______________

tOefl Score (If taken)_____ Date __________ SeMeSteR for which you are applying (Check one) FALL (August) __ SPRING (January) __

If you are AlReADy In the UnIteD StAteS, please answer the following questions

When did you enter? Month _______ Day____ Year______ If you currently have an “F1” Visa, which school issued it? __________________

SeCOnDARy SChOOlS and COllegeS/UnIveRSItIeS AttenDeD, list all in chronological order.

Name of School/College/University Location Attended (from/to) Certificate/Degree Date Awarded

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

In US DOllARS, what amount of money is available to you to cover your tuition and other educational expenses each year? $_______

Who/What is the source of these funds?_______________________________________________________________

StUDent’S SIgnAtURe I certify that the above statements are true and complete to the best of my knowledge.

Student’s Signature____________________________________ Date_______________