International Student Application Form

 
   This form must be sent online - or - you can download the printable form and mail it to the International Student Office.
   The documents listed at the bottom of this page must be sent to the International Student Office by mail.
 
Applying for - please select a semester:  
   
Fall (August)    Year:               Summer (June)      Year:                 Spring (January)      Year: 
   
Major Program:     
                  (Please note that all majors offered by Palomar College are not available to international applicants.  Please refer to the list attached to this website.)
 
Educational Goal:     Associate Degree            Certificate of Achievement            Transfer to University 
Application Status - please check one of the following:
 
  Applying from home country (outside the U.S.)
  Applying from within the U.S., as a transfer student (from an intensive English program)
  Applying from within the U.S., as a transfer student (from another college or university)
  Applying from within the U.S., need a change of visa status from to F-1 *
          *  If you entered the US with B1/B2 visa, you will not be allowed to enroll into classes until you receive
              approval from U.S. Citizenship and Immigration Services for your "Change of Status" application to F-1 visa status.
 
Applicant Information - you must include all the following information:
 
Last Name:    First Name:    M.I. 
 
Date of Birth:  (Month, Day, Year)        Age:           Gender:  Male     Female 
 
Country of Birth:          
Country of Citizenship: 
 
Permanent Address (in your home country):
     Number and Street: 
     City:                        
     State (prefecture):      Country: 
     Postal Code:           
 
Current Address (if different from Permanent Address):
     Number and Street: 
     City:                        
     State (prefecture):      Country: 
     Postal Code:           
                        
Telephone Number:       Fax Number: 
 
E-Mail Address:         
 
TOEFL Score:       Test Date: 
 
Native Language:    Other Languages (not English): 
 
Marital Status:    Single    Married 
*  If married, will your dependent(s) be accompanying you to the U.S.?    Yes       No 
*  If yes, please complete the following:
 
Dependent 1:
     Last Name:        First Name: 
     Relationship to applicant:             Date of Birth:   
     Country of Citizenship:           Country of Birth: 
 
Dependent 2:
     Last Name:        First Name: 
     Relationship to applicant:             Date of Birth: 
     Country of Citizenship:           Country of Birth: 
 
Dependent 3:
     Last Name:       First Name: 
     Relationship to applicant:            Date of Birth:   
     Country of Citizenship:          Country of Birth: 
 
Educational Background - Please fill out completely:
 
High School (Secondary)
     Name:                  
     City and Country: 
     Year Graduated:         Degree or Level Completed: 
 
College or University
     Name:                 
     City and Country:
     Year Graduated:        Degree or Level Completed: 
 
Intensive English School (in the US)
     Name:                 
     Address:             
     Date Completed:                        Level Completed: 
 
Emergency Contacts:
 
In your home country:
     Last Name:       First Name: 
     Address:     
     Phone Number:       Relationship: 
     Fax Number:           E-Mail Address: 
 
In the United States:
     Last Name:       First Name: 
     Address:     
     Phone Number:       Relationship: 
     Fax Number:           E-Mail Address: 
 
Financial Source (minimum of $15,600 required)
 
Source:    Personal      Family      Sponsor      Scholarship       Amount Available: 
 
Name Of Sponsor (if any):
     Last Name:     First Name: 
 
*  Add 50% of living expense amount for each dependent accompanying you to the United States
 
  • Please attach an official, original bank statement issued within the last 6 months to verify available amount.
  • Palomar College retains the right to require advanced deposit from applicants in countries experiencing difficulties in foreign exchange.
  • If funds are other than "Personal", you must include the Statement of Support form, completed and signed by sponsor.
Health Examination
 
To attend Palomar College as an international student, you are required to have a Tuberculosis (TB) skin test. If the result is positive, you need to have a chest X-ray. Please mail the result of the exam signed by your physician. 
 
Applicant Certification - please read and sign by entering your full legal name in space provided:
 
     I certify that the information contained in this application is accurate.  I understand that submission of inaccurate information can be considered sufficient cause for denial of my application.  If accepted, I agree to an English, Reading and Math placement test and to attend an international student Orientation session prior to registration for classes.
 
Applicants Signature:       Date: 
 

            

       The following are the application documents you must submit by mail to the Palomar College International Student Office.  An application package that lacks any of the following documents, without prior approval, will not be considered for admission.
 
   Palomar College International Student Application:  completely filled out and signed (Application Form)
   Passport size photo
   Official Bank Statement (in English) - $15,600 minimum from within the last 6 months
   Statement of Support form  - completely filled out and signed by financial sponsor (Statement of Support Form)
   TOEFL score report - original and official from within 2 years, 470 (paper-based) , 150 (computer based), or 47 (Internet based) minimum
   Official transcripts in English from all schools including high school, colleges, universities and intensive English schools
   Letter of Recommendation from an instructor at your current or last school (high school or university)
   A brief autobiographical essay
   Health report showing a negative Tuberculosis skin test result, or negative chest x-ray, from within 3 years
 
          Students transferring from language programs, colleges or universities in the U.S. must also submit the following documents:
 
  Verification of full-time status and transfer eligibility (Transfer Eligibility Form)
   Photocopy of your visa and I-94 card
   Photocopies of all I-20 forms ever issued to you
 

  All documents submitted for application purposes become the property of Palomar College and will not be returned or copied.
 

                                                       
                           Application Deadline Dates

     Summer Semester:                   April 1 (overseas applicants)*
                                                     May 15 (transfer students in the U.S.)

     Fall Semester:                           June 1 (overseas applicants)*
                                                     June 30 (transfer students in the U.S.)

     Spring Semester:                       November 1 (overseas applicants)*
                                                      November 30 (transfer students in the U.S.)

     *  Due to the visa application process at the U.S. Embassies and consulates,
          overseas applicants are strongly encouraged to apply as early as possible.
 

 
All application materials must be submitted before the deadline. Submit them to the Office of International Education, Palomar College, 1140 West Mission Road, San Marcos, CA 92069-1847, U.S.A. Questions regarding the above mentioned requirements or the status of your application should be addressed the International Student Office, Telephone: (760) 744-1150, extension 2167, FAX: (760) 761-3592, or e-mail: intladm@palomar.edu.