SSALI College Transfer Application


Print this application and mail or fax it to :

Sonoma State American Language Institute
1801 East Cotati Ave., Rohnert Park, CA 94928-3609 U.S.A.
Phone (707) 664-2742 FAX (707) 664-2749 E-MAIL ssali@sonoma.edu

Name

Female Male

Home country address

Home country telephone/fax

Your email address

I will require housing during the program yes no

Dormitory apartment cost is approximately $1000.00

Enclose a check or money order payable to Sonoma State University for U.S. $50.00

OR include your credit card number and expiration date:

Card type:

Card number:

Exp date:

Cardholder's signature