American Language Institute Vocal Studies Program

2009 APPLICATION FORM

Rohnert Park, CA 94928-3609
Fax: 707 664-2749

Please fill out this form then print and include with other application materials as specified below:

With this signed application you must include:

Proof of high school or college graduation or official transcripts in English
Financial guarantee (original only) of adequate financial resources [for F-1 visa]
Two SEPARATE checks or money orders payable to S.S.U.for U.S. $75.00 (non-refundable application fee)
and $1,187.00 (non-refundable deposit) or provide credit card information on this application form
Copy of page one of your passport

PERSONAL INFORMATION

Name Female Male
last/family first

Date of birth Do you have a U.S. Social Security Number? No Yes
month/date/year

If yes, what is your Social Security Number?

Country of birth Country of citizenship

Will spouse or children come with you? No Yes

Home country address
number & street city

province/state country postal code

Home country telephone Fax

E-mail address

Current address and telephone (if different from above)

APPLICATION INFORMATION

How did you learn about SSALI?

Are you in the U.S. now? No Yes Type of visa

Do you wish to apply for an F-1 Student Visa? No Yes

Are you attending school in the U.S. now? No Yes

Name and address of school you are attending or last attended in the U.S.:

ACADEMIC INFORMATION

Have you taken the TOEFL? No Yes Score Date

Do you plan to attend Sonoma State University? No Yes Major

Do you need CONDITIONAL ADMISSION to Sonoma State University?
(undergraduate and some graduate [no MBA] only)

No Yes

If yes, please include a separate check or charge card for $55 payable to Sonoma State University and a completed SSU International Application Form.

HOUSING INFORMATION

SSALI staff will be happy to arrange a homestay. Homestay placement fee is $40.
Other housing must be arranged by the student.

Will you want SSALI staff to arrange a homestay? yes no
What type of homestay would you prefer?

American Homestay	with meals without meals
Are you a	smoker? non-smoker?
Are pets OK?	No Yes
Are small children OK?	No Yes

Are there any special considerations we should be aware of when assigning your homestay?

TRAVEL INFORMATION

SSALI is located about 50 miles north of San Francisco. Transportation to Rohnert Park is either by bus
or private airport pick-up.

Do you plan to take the bus to Rohnert Park? (Cost: $32) No Yes

Will you want private airport pick-up from San Francisco International Airport? (Cost: $100) No Yes
(Note: the cost of $100 is paid directly to the person picking you up at the airport.)

FINANCIAL DECLARATION [Required for all F-1 Students]

Applicants to SSALI must provide evidence of adequate financial resources for their period of study in the U.S.
Tuition and fees must be paid in full on the day of registration. Please fill out the financial statement below and
attach a bank statement or other official documents to verify this information.

Your own funds

USD $

Funds from family or other individuals
USD $

Relationship to you

Total amount of funds available for your study
USD $

Funds should equal a minimumof $3700 (Summer Vocal Studies Program only)
or for those requesting Conditional Admission $25,000 (1 academic year).]

This is to certify that I am aware of the costs of the Sonoma State American Language Institute
and that funds will be provided as required.
I have enclosed an official statement of financial guarantee.

Signature of applicant

Date

Name of person financially responsible

Signature of person financially responsible

Date

If you want to pay your $75 application fee by credit card, please complete the following information:

Mastercard Visa

Card number Expiration date

Name on Card

MAIL YOUR APPLICATION MATERIALS TO:

Sonoma State American Language Institute
Attn: Barbara McCall
1801 East Cotati Ave.
Rohnert Park, CA 94928-3609 USA

KEEP THIS INFORMATION

FEES AND EXPENSES

There are several fees associated with studying at SSALI. Some are required and some are optional depending
on your needs.
Required Fees:

Application Fee $75
Health Center Fee $148 (fall and spring only)
ID Card Fee $5
Medical Insurance $70/month

Optional Fees:

Homestay Placement Fee $40
Airport Pick-up Service $100 (payable to the driver)
Late Registration Fee $25
Late Testing Fee $75
Express Mail for late applications $30

Other Expenses (variable):

Books and materials $250/semester
Personal expenses $700/semester

FINANCIAL ADVICE

When you come to the SSALI office to register, pay tuition, and purchase insurance, payment can be made with
personal checks drawn on an American bank, money orders, or by credit card [VISA, MasterCard] We can accept
cash and travelers’ checks but prefer the other methods of payment.

MEDICAL INFORMATION

The SSU Health Center provides SSALI students with convenient on-campus care for minor medical problems.
[Mandatory fee: $148 per semester].

California State University requires all F-1 students to have full coverage health insurance to cover
major medical expenses. When you register for classes, you will be expected to purchase the school-sponsored
policy. This plan provides excellent coverage at a reasonable cost, approximately $70 per month.

You may want to bring an International Immunization Card or a letter from your physician detailing your
immunization history for DPT, polio, measles and rubella. This information will be required if you transfer to
college or university in the future.

All SSALI students are also required to take a TB skin test upon arrival.

HOUSING OPTIONS

AMERICAN HOMESTAY ($40 one time placement fee)
The student lives with a host family in the local community, generally within a four-mile radius of the University.
The student has a private furnished bedroom and use of facilities. The cost does not include personal items such
as shaving cream, toothpaste, shampoo, etc.

Full Homestay $600 per month: 16 meals/week are included.
Room Only $475 per month: Student shops for and prepares own meals.

ON-CAMPUS HOUSING

On-campus apartments are available during the summer and occasionally at other times during the year. Apartments are equipped with kitchens. Students buy and cook their own ood. In addition, students must supply their own utensils, plates, cups and silverware. Sheets, blankets, pillows and towels are not provided. Students interested in on-campus housing should contact the housing office directly at Housing Services, 1801 E. Cotati Ave., Rohnert Park, CA 94928 USA, Phone 707-664-2541, Fax 707-664-4158 or at http://www.sonoma.edu/housing/livingon.html.

@$675 (double) -- $825 (single) per month

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OFF-CAMPUS HOUSING

This option is not recommended for new students. The SSALI office can offer only minimal help by providing
a list of apartment complexes in the area. Apartments are usually unfurnished. Cost for an unfurnished,
one bedroom apartment is $900 - $1100 per month. SSU's Housing Services maintains a listing of Off-Campus Housing at http://www.ssu.och101.com or you can contact Housing Services by email at offcampus.housing@sonoma.edu.

TRANSPORTATION FROM SAN FRANCISCO INTERNATIONAL AIRPORT

Sonoma State American Language Institute
1801 East Cotati Ave.
Rohnert Park, CA 94928-3609 USA
ssali@sonoma.edu
Phone 707-664-2742
Fax: 707 664-2749
SSU American Language Institue web site