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INTERNATIONAL STUDENT OFFICE
3600 WORKMAN MILL ROAD WHITTIER, CA 90601-1699
TEL: (562) 463-7643 FAX: (562) 692-8318
Email: agonzalez@riohondo.edu
FOR ADMISSION BEGINNING: FALL SEMESTER 20 _______
SPRING SEMESTER 20_______
Please fill out this application completely. This application will not be processed until all
original documents are in our office.
FULL LEGAL NAME _______________________________________________________________________________________
Last (Family name) First (given name) Middle
MALE o
DATE OF BIRTH ___________________ AGE _____ FEMALE o SSN# _______________________________________
Month/Day/Year Social Security #
COUNTRY OF BIRTH _____________________________ COUNTRY OF CITIZENSHIP___________________________________
MAJOR FIELD OF STUDY _____________________________________________
HIGH SCHOOL ATTENDED_____________________________________ GRADUATION DATE_____________________________
FOREIGN MAILING ADDRESS _________________________________________________________________________________
Number and Street Province
_______________________________________________________ FOREIGN TELEPHONE (_______) _______________________
City Postal Code Country
click here for Dependent Information document
U.S. MAILING ADDRESS _____________________________________________________________________________________
Number and Street Apt #
_________________________________________________________ TELEPHONE (_______) _____________________________
City State Zip Code
Email Address _______________________________________________________________________________________________
Please INDICATE how you expect to meet the expense estimated on the information sheet and attach proof.
click here for Student Confidential Financial Guarantee of Support document
SOURCE OF FINANCIAL SUPPORT: Personal funds______ Family funds ______ Government _____
List any and all schools you have
attended or are attending in the United States:
FROM
TO
SCHOOL, COLLEGE/UNIVERSITY CITY & STATE MONTH/YEAR MONTH/YEAR
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
VISA INFORMATION: Complete the following if you are currently in the United States.
Date of Entry ______________ Type of Visa ______ Admissions Number ___________________________
Expiration Date of I-94 _______________ Expiration date of Passport ____________________
SIGNATURE OF APPLICANT ___________________________________________DATE ___________________
