California School Of Dental Assisting

INTERNATIONAL STUDENTS

California School of Dental Assisting
1506 Huntington Drive
South Pasadena, California 91030
(626) 799-3777
(626) 799-3208 fax
info@CaliforniaSchoolOfDentalAssisting.com
APPLICATION for ADMISSION INTERNATIONAL STUDENTS

Student Last Name:
Student First Name:
Place of birth
Date of birth
Country of Citizenship
Student Home Address:
Student Street Address:
City
State
Zip
Telephone
Email Address
Drivers License Number
State Issued
Social Security Number
High School
School Address
Year Graduated
Higher Degrees Received
Institution Name
Institution Address
Year Degree Received
Other Higher Degrees Received
Institution Name
Institution Address
Year Degree Received
I accept agreement

Please include the following:
1. Most recent school transcripts
2. Most recent standardized test (SAT, STAR, IOWA, etc.)
3. Signed Tuition Agreement
4. $ 350.00 Registration Fee (NON-REFUNDABLE)
5. $ 2,750.00 Tuition Deposit
6. Subtotal $ 3,100
7.I-20 Students please add $ 750 I-20 processing fee (NON-REFUNDABLE) and $500.00 Sevis processing fee (NON-REFUNDABLE)

Mail, E-Mail or Fax to: California School of Dental Assisting
(Your Country Code)-1(626)799- 3208
1506 Huntington Drive, South Pasadena, CA 91030, USA
Email info@CaliforniaSchoolOfDentalAssisting.com

I-20 Students please add $ 750 I-20 processing fee (NON-REFUNDABLE) and $500.00 Sevis processing fee (NON-REFUNDABLE)

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