ࡱ> 9;8 zbjbjUU 40??z%%%%Di$%l~~~sJ~~~~~~"~du7%0_F@__~~~~~~~~~~~~~~_~~~~~~~~~ : California State University, FullertonSummer Short-term Leadership Training ProgramInternational Programs, AsiaUniversity Extended Education2600 E. Nutwood Ave. Ste. 950Fullerton, CA 92831 U.S.A.Telephone: (657) 278-4190 Fax: (657) 278-1454 e-mail:  HYPERLINK "mailto:ahwang@fullerton.edu" ahwang@fullerton.edu Application for Admission to Summer 2010 Short-term Leadership Training ProgramPlease complete this form thoroughly.*Required for DS2019 processing*Name (as it appears in passport)___________________________ ________________ (family/surname/last name) (given/first name)Mailing address:____________________________________ Telephone Number _______________________________________________________________ Fax Number_____________________________________________________________________ *E-Mail____________________________________*Date of birth ________/________/_______ *Country of birth_____________________________ Month day year*Country of citizenship__________________ Native language _____________________________* Male___ Female___ The name of college or university you are currently attending:______________________________________________________________________________________Your academic standing is: First time freshman___ Sophomore___ Junior___ Senior___ Graduate ___Your major:____________________________________________________________________________*Permanent address in your home country:Name __________________________________ Relationship _________________________Address ________________________________ Home telephone # ___________________________________________________________ Work telephone # _____________________*Source of financial support (minimum $6,000):Parent/Family member___ Friend___ Personal savings___Name of Sponsor _______________________________________________________________________Mailing address of Sponsor______________________________________________________________________________________________________________________________________________________The financial sponsor should complete and sign the following statement.I __________________________________________________ certify that I will assume full financial (name of sponsor)responsibility (including educational expenses and living expenses) for _____________________________ (Name of applicant)While he/she is enrolled in the Summer Short-term Study Abroad Program at Cal State Fullerton. The applicant is my ________________________________________________________(relationship to sponsor)Signature of sponsor _______________________________________ Date_________________Please include an original letter from the sponsor's bank showing that there are sufficient funds to cover the student's expenses while in the U.S. Bank verification letters must have a current date and show funds available.I certify that the above information is true and correct.Signature ________________________________________________ Date_________________To complete your application, please attach the following:1. Original bank document or scholarship verification of support funds.2. Photocopy of passport information page.3. Non-refundable Deposit ($300) (Due May 15, 2010)Method of PaymentA. Cashiers Check or Money Order payable to CSUFB. Credit Card: Visa___ MasterCard___ Discover___Card Number______________________________________ Exp. 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