Application Form

Application & Admission

Frequently Asked Questions

  • What type of housing do we provide?

    We offer Homestay, Studio (Furnished with Kitchen and private bathroom), or share room.

  • What methods of payment do we accept?

    We support PayPal, major credit cards and pre-paid credit cards such as Visa, MasterCard as well as many debit cards that can be processed as credit

  • Do we provide Health Insurance?

    Medical care in the United States is extremely costly, so most people have health insurance to cover the high cost of health care. At CSHS, medical insurance is highly recommended for all F-1and M-1 students. If you would like more information, please speak to the ESL Coordinator.

PLEASE FILL THE APPLICATION BELOW

This application is for

I want to apply to this course

Student Enrollment Status

Current School (if Transfer student was selected)

PERSONAL INFORMATION

First name

Middle name

Last name

Date of birth:

Gender
 Male Female

City of Birth

Country of birth

Primary language

Country of citizenship

Email address

Permanent address in home country

Phone number in home country

Address in U.S. (if applicable) OR Mailing address:

Phone number in the USA

Visa Information

VISA TYPE CURRENTLY HOLDING (check one)
 No Visa (Outside USA) F-1 Student (transfer in or initial) Other Visa (Fill the blank)

Visa Name (if other is selected above)

Do you have a dependent spouse or child who will accompany you?
 Yes No

If yes, please list names and relationships

NAME

Relationship

NAME

Relationship

NAME

Relationship

NAME

Relationship

Sponsor

Do you have a disability? (Mark all that apply):
 Health Impairment Hearing Disability Learning Disability Severe Visual Impairment Speech Disability Mobility or Orthopedic Disability

AUTHORIZATION FOR ADMISSION OF A MINOR

If the applicant is under the age of 18, the legal guardian must sign the following (REQUIRED)

I, being the parent or legal guardian of the applicant give my consent for admission and study at CSHS as well as medical treatment of this minor, if necessary.I understand that this authorization is valid until the minor applicant reaches his/her 18th birthday.

Parent's / Guardian's Signature

Date

CERTIFICATION

I certify that all information provided is correct and that I have adhered to the registration policies as set for in the CSHS catalog.

Student's Signature (Please type your first and last name)

Date

This application is considered a legal document and will become a permanent part of your record. Falsification of this document may be cause for dismissal or denial of your admission to CSHS.

 Accept

HOW DID YOU FIND OUT ABOUT CSHS?

The information's below if helpful to the CSHS International Center for outreach purposes.

Please mention the name/location of the option selected above