ELA (English in Los Angeles) at LACC Application Page

Please complete and print out this application page, or if you prefer download a PDF version here. (Approx. 176KB)

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Please note all applications must be accompanied by:

•	A registration fee of $75.00. This not-refundable fee must be in U.S. dollars and in the form of a bank check or money order.
•	A current personal bank statement or letter from your bank (minimum of 10,000.00 U.S.D).
•	Copy of High School diploma.
•	Tuition fee for three months ($1,500.00). This amount is fully refundable if student is unable to obtain a visa to travel to the United States (personal checks are not accepted).

(The original I-20 form must be returened for a refund).

1.	Name of Applicant	_____________________________________________________ Date: ___________________
		LAST (FAMILY) NAME FIRST NAME MIDDLE
		Male Female Single Married
	Countries Address:	_________________________________________________________________________________
	Current Mailing Address:	_________________________________________________________________________________
	Telephone:	____________________________________ Country of Citizenship: _____________________
	Date of Birth:	_________________________ Place of Birth: ______________________ Native Language: ________________
		DAY MONTH YEAR   CITY COUNTRY
	Occupation:	____________________________ Last School Attended: ________________________________________
		College High School Trade School

MFeb

Date you wish to start at English Language Academy:

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

By registering at the English Language Academy I agree, that I will be eligible for transfer only after the completion of the program.

Applicant's signature _______________________________________________________________

1.	Name of Applicant	_____________________________________________________ Date: ___________________
		LAST (FAMILY) NAME FIRST NAME MIDDLE
		Married Single

MFeb

2.	FINANCIAL STATUS (in US dollars) - Refer to Estimated Expenses for amount needed.
	Amount of money you will have with you when you arrive at the English Language Academy $ _______________________
	Additional money you will receive per: Month $ __________________   Session $ __________________   Combined total $ __________________
	For how many sessions is support guaranteed? ________________________
3.	Will you live free of charge with friends or relatives? ______________ If YES, signature of sponsor must be included below.
4.	NAME OF PERSON OR INSTITUTION SUPPORTING YOU IF THE MONEY IS NOT YOUR OWN
	Name of Sponsor: ____________________________________________ Relationship to you: __________________________________
	Address: ________________________________________________________________ Country: _____________________________
	Occupation: ___________________________________________________
5.	CERTIFICATION: To be completed by bank officials for the student or the guarantor. We hereby certify that satisfactory documentation has been provided indication that adequate funds are available to meet the above named students's needs during his/her term of studies at the English Language Academy.
	____________________________ _______________________ ____________________________________
	BANK OFFICIAL'S SIGNATURE AND DATE TITLE NAME AND ADDRESS OF BANK
	________________________________________________________________________________________________________________
	This is to guarantee that I accept full responsibility for the payment of the educational and living expenses for the above named student during his/her term of studies at the English Language Academy.
	____________________________________________________________
	GUARANTOR'S SIGNATURE AND DATE

STUDENT VISAS

Students at the English Language Academy are eligible for a student visa (F-1). See the English Language Academy application form for necessary documents for an I-20 form.

HOUSING

Although the English Language Academy does not have its own housing, we are able to assist with home-stay or location suitable and affordable apartments.

PROGRAM SCHEDULE (every four weeks)

January February March April May   June July August September October   November December

REGISTRATION & FEES

Registration $ 75.00 (non-refundable)     Tuition $ 500.00 (per month)     Books $ 30.00 (per level)

ESTIMATED EXPENSES

It is estimated that a student's total expense will average $1,500 per month. This amount includes the following:   Tuition ........................................... $ 500.00 Books & Supplies ......................... $ 100.00 Room & Board ............................. $ 700. 00 Personal expenses misc ................ $ 200. 00

LOS ANGELES CITY COLLEGE