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Application Form

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Ndakono Net
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7 views1 page

Application Form

Uploaded by

Ndakono Net
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OEI College dba Olympia Education Institute

SEVIS School Number: LOS214F01382000


Tel: 626.309.9395

Online International Student Application


For Office Use Only:
Receipt Number & Date:
A nonrefundable, nontransferable international money order for Application Date:
Fee Status:
U.S. $200.00 which includes application fee, I-20 form Processor:
processing payable to OEI College dba Olympia Education Initial

Institute must accompany this application.

Type of Application:
□ Transfer Student
□ Change of Status
□ Overseas
Date: ____________________
Application is for: ___________________________________________________
(Academic Month / Year)

U.S. Social Security number (if any): ______________________

Driver’s License number (if any): _______________________ State: ____________________

Legal name: _____________________________________ other names: ______________


Last name First name Middle name

Date of Birth (western calendar): __________________________


(mm/dd/yyyy)
Place of Birth: ______________________ ___________________
□ Male □ Female
City Country
Gender (As shown on passport):

High school/College last attended: _______________________________________________


Name City Country

Highest Degree Earned: _____________

Country of citizenship: ______________

Address in the U.S. (Required for Transfer Students):

Street number: ___________ Street name: _________________________ Apt. no.________


City: __________________ State: _________ Zip code: ____________
Telephone: _________________ Cell: _____________________
E-mail Address: __________________________

Foreign Address (Required for all Applicants):

Street number: _____________ Street name: _________________________ Apt. no. _______


City: __________________ District: ___________ Province: __________ Zip code: _______
Country: __________________________ International Postal Code: _______________
Tel / Cell: _________________________
E-mail Address: __________________________

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