Cal America Education Institute

This form is to send application to Cal America Education Institute only. Please read instructions before you fill out application form. You can, however, click on icon next to the item at any time if you want to view instructions again.

You must provide correct information on every item in red under Part 1 to 7 and Part 9 when complete this application form. Make sure you include an active e-mail address because we'll send confirmation to the e-mail address you provided. After you complete the form, click on "Submit" button once to send your application to Cal America.

Part 1: Student Information
Last/Family Name:
First Name:
Gender:	Male Female
Date of Birth:	,
Country of Birth:
City of Birth:
Country of Citizenship:

Part 2: Mailing Address
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:

Part 3: E-mail Address
You must provide an active e-mail address to complete this form. We send confirmation to this e-mail address.
E-mail:

Part 4: Contact Person
In case of emergency, Cal America can contact the following person
Name:
Phone:
E-mail:

Part 5: Visa and I-20

If you plan to enter the U.S. on a student (F-1) visa, please answer "YES" below. If your answer is "NO", Cal America will not issue I-20 for you.

Do you need I-20 from Cal America?

YES* NO*

* If you request I-20 your initial fee will be $350 which includes application fee of $100, tuition deposit of $200, and express mail service of $50. On the other hand, if you do not request I-20 from us, your initial fee will be only $300 (less express mail service fee of $50).
Important: If you're planning to apply student (F-1) visa, you are required to pay a fee called SEVIS I-901 fee to the US immigration before your scheduled visa interview. You can pay the fee by yourself or you can ask Cal America to pay the fee on your behalf. Please add SEVIS fee $200 to your total if you want Cal America to pay the fee for you.

Answer the following questions if you are now in the United States.

What type of visa do you hold?

Do you plan to change your status in the U.S.?

[ [ Type "YES" or "NO" ]

If you have dependent(s) who need dependent visa and will enter the U.S. with you, provide information below*:

Name (Last name, First name)	Date of Birth	Country of Citizenship	Relationship

* You do not need to provide information if your dependent(s) will not stay with you while you study in the U.S.

Part 6: Course Information
Choose a course and date you want to study at Cal America. Date will appear as starting date on the I-20 if you request.
What course do you plan to attend?
When do you plan to begin your class?	*
* The date you choose here will show as your program start date on your I-20. Tips: Choosing a date that is at least 6 weeks from now will give you enough time to send other required documents to us and to prepare for visa application. This will also give Cal America enough time to process your application and send form I-20 and acceptance documents to you on time.

Part 7: Source of Financial Support
Choose a type of financial support: Self support Family fund Other sponsor
Name of sponsor that will appear on the financial support document:
Relationship with student:
You must send a separate financial support document to Cal America along with your payment.

Part 8: Additional Services
Please let us know now if you want to request additional service(s).
Housing Service
Do you want us to arrange your housing?	YES ($250 fee is required) NO
If "YES", what type of housing do you prefer?
Below, please provide additional information to help us arrange your housing to suit your preferences.
Would you accept a family with small children?
Would you accept a family with pets?
Do you drink alcoholic beverages?
Do you smoke?
Airport Pick-up Service
Do you want us to arrange airport pick-up?	YES ($100 fee is required) NO
Again, provide additional information to help us arrange your airport pick-up service. If you do not have the information now, please e-mail (admission@cal-america.com) us the information as soon as possible.
When do you plan to arrive?
Which airline?
What is the flight number?
Arrival time?

Part 9: Payment

Choose a method of payment: Bank Draft Cashier's Check Money Order Wire Transfer ($40 fee)

You may also make payment by using a Credit Card (5% extra charge required).
You must download authorization form, complete it and mail or fax it to us to complete credit card payment.

When do you plan to send payment?

[Type date here]

Send the following fees along with financial support document:
Non refundable application fee (required)	US $
Tuition Deposit (required)	US $
Express mailing fee (required)	US $
Housing Placement Service: $250.00	US $
Airport (LAX only) Pick-up Service: $100.00	US $
Wire Transfer Fee: $40.00	US $
Click the button below once to see total amount of fees due.
US $ *
If you want Cal America to pay the SEVIS I-901 fee on your behalf, please add $200 to the above amount. If you choose to make payment by using a credit card, the amount shown above does NOT include 5% extra charge. Please calculate and add the 5% amount to get total amount. *You must add $200 for SEVIS I-901 fee to the above amount BEFORE you calculate 5% extra charge.

Please fax or e-mail confirmation to us after you send payment.