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日間

申込前に確認を!

研修期間

研修旅行代金

16

募集要項

コース No.5 ・上記のフライトスケジュールは日本航空利用の例です。 ・現地でのスケジュールは留学先機関、天候等の諸事情により一部変更となる場合があります。

【申込みに必要な書類】

 (MyWasedaでの申請後、指定期間に以下の書類を提出します。) 日程表  日 都市 予定

1

羽田もしくは成田 サンディエゴ 17:00 ∼ 18:00 羽田もしくは成田発、サンディエゴへ ………日付変更線通過……… 09:00 ∼ 10:00 サンディエゴ到着 到着後、送迎車にて宿泊先へ移動 ホームステイ泊

2

26

サンディエゴ プログラム参加 スケジュール 8:30 ∼ 10:10 クラス 10:30 ∼ 12:10 クラス 12:10 ∼ 課外活動など ※スケジュールは一般的な例で日により異なります。 過去のスケジュールの場合もあります。 ※2 ∼ 26日目は研修旅行取扱会社「無手配日」です。 ホームステイ泊

27

サンディエゴ 送迎車にて空港へ移動、各自にてチェックイン 11:00 ∼ 12:00 サンディエゴ発、羽田もしくは成田へ ………日付変更線通過……… 機中泊

28

羽田もしくは成田 16:00 ∼ 17:00 羽田もしくは成田到着 到着後、解散 ●申し込み結果通知後、クレジットカードにて登録料USD150相当をお支払いただく手続きがありますのでクレジットカードをご準備ください。 ●プログラム別の申込書類およびスケジュール詳細は留学センターウェブページに掲載しています。 留学先 都市 プログラム

★全米大学でも首位にランキングされる学校で経験

豊富な講師陣から学べる

★「話 す、聞く」に 重 点 を 置 いて アメリカ 文 化 を

テーマに楽しく学べる

★現地学生や地元の方と会話の練習ができる

ELIは、充実したプログラムを提供している語学学校です。 本プログラムでは 「Conversation and Fluency」と題された、会話力向上を目的としてアメリカ 文化をトピックの一つとして取り上げながら英語を学ぶカリキュラムを受講します。 特に会話力を向上させたい方を対象としたプログラムでConversation Leaders (UCSDの学生や地元の方々)との会話練習の時間やプレゼンテーション、 ゲストスピーカーによる講演、フィールドドリップも予定されています。また、講師 陣は、経験を積んだ英語教育の専門家が揃っており、学習相談などにも丁寧 に対応してくれるので充実した留学ライフを送ることができます。太平洋沿岸の 美しい街にあるカリフォルニアの名門校で、質の高いカリキュラムで充実した 留学生活が堪能できます。 ●参加者の主な国籍:日本、韓国、イタリア、スイス、ブラジル、台湾など ●平均的な参加者数:50 ∼ 100名 ●1クラスあたりの人数:1 ∼ 15名 カリフォルニア大学サンディエゴ校(UCSD)は、アメリカの トップ大学であるカリフォルニア大学(UCシステム)のキャ ンパスの一つです。UCSDは、生物工学、電気工学、コン ピューターサイエンスなどの科学分野で世界的評価を得ており、また、経済学、 政治学、国際関係など社会科学においても全米トップクラスの実力を誇って います。快適な環境の中で2万人を越える学生が勉学に励んでいます。本プ ログラムが実施されるUCSDのエクステンションEnglish Language Institute (ELI)には、世界中から学生が集まり、自然に囲まれた緑豊かなキャンパスで 学んでいます。 サンディエゴは、カリフォルニア州の最南端、メキシコとの国 境に位置するビーチシティで、スペイン統合時代の歴史から エキゾチックな雰囲気が漂う街です。カリフォルニア大学サンディエゴ校は、 ダウンタウンから約20㎞北上したラホヤにあり、スペイン語で「宝石」と名付け られたように美しい海と丘陵が広がり、高級リゾート地や住宅街となっています。 ☆研修旅行代金に含まれるもの ☆研修旅行代金に含まれないもの 上記の他は含まれません。その一部を例示します。 超過手荷物手数料/海外旅行保険/日本国内の交通費・食費・宿泊費/ UCSD登録料/ビザ申請 料/通学費/課外活動費/その他個人的生活諸費用/国内空港施設使用料(2,610円)・外国諸税 (7,080円)・燃油サーチャージ、旅客保安サービス料(28,600円)、国際観光旅客税(1,000円) ※ 国内空港施設使用料、外国諸税、燃油サーチャージ、国際観光旅客税は2018年8月24日現在のもの で予告なく変更となる場合があります。これらの費用は最終確定金額として研修旅行代金とあわせてお 支払いただきます。 研修費用・宿泊費/プログラム期間中の食事(1日2食(朝・夕))/日程表に記載したエコノミークラス利 用海外往復航空券/現地空港と研修先または宿泊先間の往復送迎費/早大プログラム開発運営費/ 企画料金(P.34記載の取消料規定はこの企画料金を基準とします。) ※企画料金は62,900円と定め、研修旅行代金に充当します。 <全プログラム共通> ・短期留学プログラム申込書(写真添付) ・海外留学プログラム誓約書 ・パスポートのコピー <プログラム別> ・UCSD Extension指定願書 ※ 登録料USD150支払いのためクレジッ トカード情報要 ・UCSD Extension指定同意書 ※国内及び現地空港諸税、燃油サーチャージ、旅客保安サービス料、国際観光旅客税は含みません。 ※最少催行人数に達しない場合も研修が実施できる場合がありますが、研修旅行代金が増額となります。 その場合、改めて代金を示し参加の意向を確認します。

579,000

●最少催行人数:6名 ●最大募集人数:30名 ●対象語学レベル:英語力初級∼上級 ●宿泊先:ホームステイ(個室利用予定) ※1家庭に2名以上の場合、早大生含め日本人と同じ家庭の場合あり ●食事:1日2食(朝・夕) ●同行員:添乗員・教職員は同行しません ●利用予定航空会社: 日本航空、全日空、デルタ航空、ユナイテッド航空、 アメリカン航空 ●査証: 学生ビザ(F1)が必要(各自にて、または旅行代理店により代理申請 にて手続きいただきます)

3月3日(日)∼3月30日(土)

スペイン語で「宝石」といわれる街!

南カリフォルニアの明るい陽気と雰囲気の中、

実践的な会話力を磨く

28

カリフォルニア大学

サンディエゴ校

アメリカでもっとも天気のいい街で温暖な南カリフォルニアの魅力満喫

アメリカ サンディエゴ

2019年

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UC San Diego Extension, English Language Institute

March 2019 Conversation & Fluency and Conversation Programs TENTATIVE Schedule

Note: A class-hour is 50 minutes; Conversation Program students do not have Integrated Skills classes

Advising Hours are from 12:30 – 16:00 weekdays in Building A, or you can email

[email protected]

anytime.

Monday

Tuesday

Wednesday

Thursday

Friday

4

Registration and

Placement Testing

8:15 – 11:30

Campus Tours

According to Tour Ticket Times

New Student Orientation

14:00 – 15:15

5

Conversation and Culture Class

8:30 – 10:10

Integrated Skills Class

10:30 – 12:10

6

Conversation and Culture Class

8:30 – 10:10

Integrated Skills Class

10:30 – 12:10

7

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

8

Conversation and Culture Class

8:30 – 10:10

Integrated Skills Class

10:30 – 12:10

11

Conversation and Culture Class

8:30 – 12:10

Integrated Skills Class

10:30 – 12:10

12

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

13

Conversation and Culture Class

8:30 – 10:10

Integrated Skills Class

10:30 – 12:10

14

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

15

Conversation and Culture Class

8:30 – 10:10

Integrated Skills Class

10:30 – 12:10

18

Conversation and Culture Class

8:30 – 12:20

Field Trip

Mission San Luis Rey &

The California Surf Museum

Meet the bus at 8:15 on the

sidewalk of Scholars Dr N

19

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

20

Conversation and Culture Class

8:30 – 10:10

Guest Speaker

Michael Garcia

The US Legal System

Integrated Skills Class

10:30 – 12:10

21

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

22

Conversation and Culture Class

8:30 – 10:10

Guest Speaker

Ellen Shively

Seal Society of The Sierra Club

Integrated Skills Class

10:30 – 12:10

25

Conversation and Culture Class

8:30 – 12:20

Field Trip

The Birch Aquarium &

Cabrillo National Monument

Meet the bus at 8:30 on the

sidewalk of Scholars Dr N

26

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

27

Conversation and Culture Class

8:30 – 10:10

Guest Speaker

Casey Gill

Wells Fargo History

Integrated Skills Class

10:30 – 12:10

28

Conversation and Culture Class

8:30 – 10:10

Conversation Leaders 8:30-10:10

Integrated Skills Class

10:30 – 12:10

Certificate Ceremony 11:20-12:10

29

Cesar Chavez Holiday

No Class

UC San Diego is Closed

(3)

A1

How to Apply

The following items must be enclosed with your application. All documents must be in English.

If possible, please send page A3 of the application and all supporting documents as one pdf file to [email protected]. To protect your credit card information, please send page A4 of the application to our secure fax number: +1-858-534-5703.

4. Tuberculin Skin Test (TST)

If there is no history of BCG Vaccine, TST results should be recorded as millimeters (mm) of induration. If no induration, write “0.” Five mm is considered positive if there is a history of abnormal chest x-ray, recent exposure to active TB disease, or is immunosuppressed. 10 mm induration is considered positive if coming from a risk area or has other high-risk conditions (IV drug use, chronic renal disease, cancer, diabetes, malabsorption or GI bypass).

Date TST test was given: Date TST test was read:

Result: mm induration

Interpretation: negative positive

5. TB Blood Test

(Interferon Gamma Release Assay-IGRA) (The TB blood test may be done instead of TST. Strongly recommended if there is a history of positive TST or BCG vaccination.)

Date obtained:

Result: negative positive intermediate

6. Chest X-Ray

(required if TST or IGRA is positive) Date of chest x-ray:

Result: normal abnormal (including scars, and old granulomatous changes) If chest x-ray is abnormal, please submit the following results. Sputum Results (AFB and culture x 3 required if chest x-ray abnormal):

#1 Date AFB Culture #2 Date AFB Culture #3 Date AFB Culture

7. Treatment for Latent TB (if applicable):

Medication(s) Start date: Completion date:

Tuberculosis (TB) Questionnaire

Required for students in University Credit and Certificate programs. Please complete and return this form at least 30 days before the program start-date.

Please answer the following questions:

Have you ever had a positive TB skin or blood test? Yes No Have you ever had close contact with anyone who was sick with TB? Yes No Are you from or have you ever lived or traveled in one of the following areas:

Mexico, South or Central America, Eastern Europe, Asia, the Middle East, or Africa? Yes No

If all questions are answered NO, you have completed your TB Assessment. Please send the TB Questionnaire to [email protected] or fax it to +1-858-534-5703. After you submit the TB Questionnaire, there is nothing more for you to do regarding the TB Assessment.

If any questions are answered YES, then you must also have your health care provider complete the TB Assessment below, documenting either treatment for TB or negative TB test results. This must be completed and submited to UCSD Extension thirty (30) days before the start of your program. If TB results are required, the TB test must be taken no more than 1 year from the program start-date.

Tuberculosis (TB) Assessment

This part of the form must be completed only by a licensed health care provider. The completed, signed form must be faxed to UC San Diego Extension International Student Services at 001-858-534-5703. Or it can be sent to us as a scanned document attached to an email sent to: [email protected].

RISK FACTORS:

(please ask student and check any that apply)

1. Immunosuppressed (HIV/AIDS), organ transplant, or on immunosuppressant medication Yes No 2. History of abnormal chest x-ray suggestive of TB disease Yes No 3. Does the student have signs or symptoms of active tuberculosis disease? Yes No

(Cough more than 3 weeks, chest pain, unexplained weight loss, fevers, night sweats)

If no, proceed to 4 or 5. If yes, proceed with additional evaluation to exclude active TB, including TB skin or blood testing, chest x-ray, and sputum evaluation as indicated, and show results below.

Family name of participant First name of participant Date of birth month/ day/ year Student Email Address

month/ day/ year month/ day/ year

month/ day/ year

month/ day/ year

month/ day/ year month/ day/ year

Licensed healthcare provider’s name (please print in block letters):

Healthcare provider’s signature:

Date:

Healthcare provider’s stamp:

month/ day/ year

A6

A3

UC San Diego Extension International Programs 2019 TB Form

UC San Diego Extension International Programs 2019

How did you learn about our programs? Agent University Friend or Family Other

UC San Diego Extension International Programs 2019

1. Personal Information

(Please print very CLEARLY and read instructions on page A1. Incomplete applications will not be processed and will be sent back to the student or agent. PLEASE NOTE:Hanmail, Hotmail, Daum, and Naver email accounts are blocked by UC San Diego email.)

Family Name (surname) (ATTACH COPY OF PASSPORT NAME PAGE) First Name (given name) (as it appears in your passport) Male Female

Country of Birth Date of Birth month/day/year (e.g. JAN 01, 1990) Country of Citizenship Student’s Email (Please print clearly.)

Native Language Agent’s Email (Please print clearly.)

I will pick up my acceptance information from the UC San Diego Extension office, Bldg E, OR

Address to which I-20 and acceptance materials should be mailed:

2. Program Information

I am applying to the following program(s) (check all that apply and indicate start-date for each):

3. Transfer Students

Will you be coming directly from another school in the U.S.? No. If no, we need no further information regarding your transfer status.

Yes. If yes, you must submit the UC San Diego Extension International Programs Academic Verification Form with the application to be considered for transfer.

Students may request the Academic Verification Form from [email protected].

Current school name Telephone Dates of attendance ( Start & End)

Student’s permanent address in home country (required):

m Check here if this is where you want your I-20 and acceptance materials to be mailed.

Address Street Apartment Number Address (continued)

City Postal Code Country Telephone (country code/city code/number)

Student Name or Agency Name

Address Street Apartment Number City Postal Code Country Telephone (country code/city code/number) Fax (country code/city code/number)

*This program does not qualify for an I-20.

I plan to enroll for:

1 session 2 sessions 3 sessions 4 sessions not sure

3. For TEFL Certificate programs:

u Proof of required language proficiency

u Copy of transcripts in English for theTWO most recent years (four semesters) of academic studies.

u A one-page statement explaining why you would like to take a TEFL Certificate program.

u TB Form (see page A6)

4. For University and Professional Studies (UPS):

u Proof of required language proficiency

u Copy of transcripts in English for the TWO most recent years (four semesters) of academic studies. These transcripts must clearly indicate excellent academic achievement, including cumulative grade point average (GPA).

u List of 12 or more courses per quarter using our Course List Form, organized by quarter, which you would like to take at UC San Diego or UC San Diego Extension. You will find our Course List Form on our website under “What to Send” in our “How to Enroll” section. u A one-page statement explaining your reasons for choosing UC San

Diego for your study abroad experience. u TB Form (see page A6)

u Acknowledgement form

5. For Business Certificate Programs:

u Please see pages 18-21 of the brochure for admission requirements. u For the Business Management program, please indicate the program

specialization on the application form.

u For the Business Management Pre-Master's program, include the required supplemental application form found at ip.extension.ucsd.edu

u Space is limited and the admissions review is competitive. Therefore, we recommend you apply early to allow time for your application to be reviewed and for your visa to be processed. Not all applicants are admitted to the programs. No applications will be accepted within the final ten days before a program’s start-date.

u TB Form (see page A6)

6. For Academic Connections International (ACI), ESL Youth

Programs, and Summer University Programs:

u Please visit our website in April 2019 for details and for the supplemental application: ip.extension.ucsd.edu. u TB Form (see page A6)

1.

For all programs, these items must accompany the application:

A Application fee (non-refundable for each program) u English Language Programs: $150

u Youth Programs: $200

u University Credit Programs: $200 u Certificate Programs: $200

B Copy of passport name page

C Financial verification OR copy of bank statement WITH SPONSOR’S SIGNATURE IN SECTION 4 OF PAGE A4 (IF I-20 IS REQUIRED). D Express mail fee, optional but strongly recommended: $50 (may vary

depending on location)

E Academic Verification Form must be submitted for transfer students along with the application to be considered for transfer. Students may request this form from [email protected].

F On-Campus Housing Application, if desired (available July and August only):

u Include the on-campus housing application found on our website under the “Housing and Student Life” tab.

u Full payment must be included with the on-campus housing application to reserve a space. (See page 28.)

G Information Release Form (optional) for those students who have financial sponsors or who enroll in our programs through a university partnership agreement. Please request the Information Release Form from [email protected].

H We must receive the following at least 30 days before the published program start date:

1. After acceptance is sent, full payment of tuition and fees as invoiced by UC San Diego Extension International Programs.

2. TB Form, if required.

Note: For applications received fewer than eight weeks before the program start date, all payments and documents listed in H1-2 (above) must be submitted along with the application.

2.

For English language programs:

u Intensive Legal English program:

• Applicants must submit academic transcripts for the FOUR most recent semesters of study.

• Participants must show some previous coursework in Western law or Western civilization and a brief statement to explain previous law-related experience and their purpose in taking this program. • Applicants must have advanced English proficiency. All students

must take the UC San Diego-ELI placement tests upon arrival. However, a score of 85 on the iBT, 7.0 on the IELTS, or a “Pass”on the CAE or the CPE (Cambridge Exams) will fully satisfy the required proof of advanced English proficiency.

u For University Preparation Academy (UPA), students must submit the following items:

• University transcripts for the FOUR most recent semesters–must show grades in the top 5-10%. Transcripts must be in English. • New students must have a language proficiency score as follows:

80 TOEFL iBT or 7.0 IELTS

• Continuing students should see the ELI Academic Advisor for program admission requirements.

2-Week and 4-Week English Language Programs

Start-Date

Conversation part-time*

Conversation and Fluency full-time part-time* University Preparation Academy

Business English full-time part-time* Legal English for Business full-time part-time* English for Engineering & Technology full-time part-time* English for Pharmaceutical Sciences full-time part-time* Medical English full-time part-time* 4-week Academic English full-time part-time* 2-week Academic English full-time part-time*

8-Week Intensive Language Programs

Communication and Culture Intensive Communication and Culture Intensive Academic English Intensive TOEFL Preparation Intensive IELTS Preparation

Academic English Through Service Learning Intensive Business English

Intensive Legal English

Youth Programs

 Academic Connections International (ACI)*  Leadership and Entrepreneurship*  American University Experience*

University Credit Programs

University and Professional Studies Summer University Program, part-time* Summer University Program, full-time

Certificate Programs: Business

Start-Date

Business Essentials

Business Essentials (1 quarter) Business Essentials (2 quarters) Business Essentials (3 quarters) Business Essentials Specialized Programs

Business Analytics (1 quarter) Digital Marketing (1 quarter)

Leadership and Management (1 quarter) Business Management (2 quarters) Please choose specialization:

Finance Marketing International Business Accounting Business Management (3 quarters)

Please choose specialization:

Finance Marketing International Business Accounting Business Management Pre-Master’s (2 quarters)

Business Management Pre-Master’s (3 quarters) Project Management (2 quarters)

Certificate Programs: TEFL

TEFL Proficiency Special Studies

TEFL Professional Certificate (6-MONTH FORMAT) TEFL Professional Certificate (HYBRID FORMAT) full-time

Please go to our website to obtain the ACI or ESL Youth Programs applications: ip.extension.ucsd.edu

[email protected]

Waesda University, Center for International Education

Waseda Global Gate 1-7-14 Nishiwaseda, Shinjyuku

Tokyo 169-0051 Japan

+81-3-3208-9602

(4)

Do you need an I-20? YES. If yes, please select one: for an F-1 visa for school transfer for change of status NO, I do not need an I-20. I am (please check one): U.S. Citizen/Permanent Resident Other non-immigrant status (specify)

Financial Verification

Please check source of your funds: Personal/Own Family Other (specify)

A. REQUIRED FOR I-20:A bank statement or signed letter of sponsorship in English by an approved company or school, dated within the last 90 days and showing enough funds for all programs which the student is applying to, plus living expenses and other costs. Please see Tuition, Fees, and Financial Verification on page A5 of the application form to determine total funds needed. If the bank statement is in a foreign currency, it must show enough funds when converted to U.S. dollars.

Name of account holder Name of bank Bank location (city and country)

Date (within last 90 days) Amount of available funds in equivalent U.S. dollars

(must equal or exceed amount needed per session in cost calculator on page A5)

Name and Title of Bank Official Signature of Bank Official

B.REQUIRED FOR I-20:The family member or other person who is financially responsible for you must read this statement and sign below. “I have read the information regarding the cost of tuition and living expenses and other costs for the period of study at UC San Diego Extension. I certify that these funds are available, and I accept full responsibility for these expenses.”

Name of person financially responsible (print clearly) Signature Relationship to student Date (m/d/y)

Dependents

If you plan to bring your spouse (wife or husband) and/or children on F-2 visas, you must list them here. Attach additional sheet if more space is needed. Please include copy of passport name-page for each family member. (Parents and siblings are not considered dependents.)

Family name Given name Birthday (e.g., JAN 01,1997) Country of birth/Country of citizenship Relationship to you Male Female Family name Given name Birthday (e.g., JAN 01,1997) Country of birth/Country of citizenship Relationship to you Male Female

4. I-20 Request

5. Payment Procedure

You must submit the non-refundable application fee and express mail fee, if selected, with your application. Application fee/express mail fee must be paid by credit card. All other fees must be paid in full 30 days before your program, or you may include full or partial payment now. Payment for the UC San Diego photo ID card and for textbooks CANNOT be made in advance and can only be purchased after arrival at UC San Diego. Please indicate the amount you are enclosing with this application:

Express Delivery Address: University of California, San Diego Extension International Student Services 9600 N. Torrey Pines Road, Bldg. E La Jolla, CA 92037-1100 Fax: +1-858-534-5703 Email: [email protected] ip.extension.ucsd.edu Official Bank Seal/Stamp

Please fax, express mail, or email completed application and required documents to: English Language Programs application fee: $150

Youth Programs application fee: $200 University Credit Programs application fee: $200 Certificate Programs application fee: $200 Partial or full tuition amount (ESL programs only): $ International Student Services fee (see pg. A5): $

Agency/University name Contact name

Fax Email

REFERRING AGENCY/UNIVERSITY (REQUIRED TO DOCUMENT STUDENT REFERRAL) 3-day express mail delivery of I-20 due with application: $50 (Strongly recommended because regular airmail can take 10-12 weeks for

delivery. Fee may vary depending on location.)

Medical insurance from UC San Diego Extension (see pg. A5): $ Program change fee: $150 Other:

TOTAL amount enclosed with this application: $

PAYMENT OPTIONS

(Please do not mail cash or traveler’s checks.)

uI have enclosed a money order/cashier check in the amount of $ (Checks must be drawn on a U.S. bank and payable to UC Regents.) I would like to pay by credit card. If paying by credit card, write your full name at the top of this page and send it to our secure fax. Do not send your credit card number by email . MasterCard Visa AMEX Diners Club Discover

Credit card number Expiration date (month/year) Total to be charged Name on credit card Authorized card holder’s signature

6. Signature

(Application cannot be processed without a student signature.) I certify that all application information is true and that I have read and understand the policies described in this application and the UC San Diego Extension International Programs brochure. I acknowledge that I am required to pay the non-refundable application fee even if I decide to withdraw or cancel my enrollment.

Signature of applicant Date

$

Student’s FAMILY name (surname) FIRST name (given name)

Tuition, Fees, and Financial Verification Checklist

Application

Fee

Express Mail

(optional) Tuition* ISS Fee

Medical Insurance Total to UCSD

Financial Verification**

Requirement Tuition* ISS Fee

Medical

Insurance Total to UCSD

Full-Time Programs (F1 VISA) Part-Time Programs (Tourist VISA or E.S.T.A.)

CONVERSATION CONVERSATION AND FLUENCY UNIVERSITY PREPARATION ACADEMY

BUSINESS ENGLISH LEGAL ENGLISH FOR BUSINESS ENGLISH FOR ENGINEERING AND TECHNOLOGY ENGLISH FOR PHARMACEUTICAL SCIENCES

MEDICAL ENGLISH ACADEMIC ENGLISH (4-WEEK) ACADEMIC ENGLISH (2-WEEK) COMMUNICATION AND CULTURE INTENSIVE COMMUNICATION AND CULTURE INTENSIVE ACADEMIC ENGLISH INTENSIVE TOEFL PREPARATION INTENSIVE IELTS PREPARATION ACADEMIC ENGLISH THROUGH SERVICE-LEARNING INTENSIVE BUSINESS ENGLISH INTENSIVE LEGAL ENGLISH ACADEMIC CONNECTIONS INTERNATIONAL LEADERSHIP AND ENTREPRENEURSHIP AMERICAN UNIVERSITY EXPERIENCE UNIVERSITY AND PROFESSIONAL STUDIES SUMMER UNIVERSITY PROGRAM I OR II (5 WEEKS, FULL-TIME) SUMMER UNIVERSITY PROGRAM I OR II (5 WEEKS, PART-TIME)

BUSINESS ESSENTIALS (1 QUARTER) BUSINESS ESSENTIALS (2 QUARTERS) BUSINESS ESSENTIALS (3 QUARTERS) BUSINESS ANALYTICS (1 QUARTER)

DIGITAL MARKETING (1 QUARTER) LEADERSHIP AND MANAGEMENT (1 QUARTER)

BUSINESS MANAGEMENT (2 QUARTERS) BUSINESS MANAGEMENT (3 QUARTERS) BUSINESS MANAGEMENT PRE-MASTER’S (2 QUARTERS) BUSINESS MANAGEMENT PRE-MASTER’S (3 QUARTERS) PROJECT MANAGEMENT CERTIFICATE PROGRAM (2 QUARTERS) TEFL PROFICIENCY CERTIFICATE SPECIAL STUDIES IN TEFL TEFL PROFESSIONAL CERTIFICATE PROGRAM (6-MONTH FORMAT)

TEFL PROFESSIONAL CERTIFICATE PROGRAM (HYBRID FORMAT)

10

11

12

13

14

15

16

17

18

19

20

21

22

22

23

23

23

24

25

26

27

27

28

28

29

30

31

32

1

2

3

4

5

6

7

8

9

9

33

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$150

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$200

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$50

$2,000

$2,300

$2,300

$2,300

$2,600

$2,600

$2,600

$2,000

$1,200

$3,100

$3,500

$3,500

$3,500

$3,500

$3,500

$3,800

$4,000

$7,800

$6,075

$6,000

$12,000

$18,000

$6,000

$6,000

$6,000

$12,000

$18,000

$12,000

$18,000

$12,000

$5,950

$5,950

$8,300

$5,950

$175

$175

$175

$175

$175

$175

$175

$175

$175

$380

$380

$380

$380

$380

$380

$380

$380

$380

$380

--$380

$760

$1,140

$380

$380

$380

$760

$1,140

$760

$1,140

$760

$380

$380

$760

$380

$180

$180

$180

$180

$180

$180

$180

$180

$90

$450

$450

$450

$450

$450

$450

$450

$450

$585

$270

$585

$1,170

$1,800

$585

$585

$585

$1,170

$1,800

$1,170

$1,800

$1,170

$585

$585

$1,170

$585

$2,555

$2,855

$2,855

$2,855

$3,155

$3,155

$3,155

$2,555

$1,665

$4,130

$4,530

$4,530

$4,530

$4,530

$4,530

$4,830

$5,030

$9,015

$6,975

$7,215

$14,180

$21,190

$7,215

$7,215

$7,215

$14,180

$21,190

$14,180

$21,190

$14,180

$7,165

$7,165

$10,480

$7,165

$4,100

$4,400

$4,400

$4,400

$4,700

$4,700

$4,700

$4,100

$2,550

$7,150

$7,550

$7,550

$7,550

$7,550

$7,550

$7,850

$8,050

$12,250

$9,050

$10,450

$22,200

$34,000

$10,450

$10,450

$10,450

$22,200

$34,000

$22,200

$34,000

$22,200

$11,300

$11,300

$18,200

$11,300

$1,500

$1,800

$2,050

$2,050

$2,300

$2,300

$2,300

$1,800

$1,000

$6,300

$4,900

$4,900

$4,925

$175

$175

$175

$175

$175

$175

$175

$175

$175

$175

$175

$175

$380

$180

$180

$180

$180

$180

$180

$180

$180

$90

$135

$90

$90

$270

$2,005

$2,305

$2,555

$2,555

$2,805

$2,805

$2,805

$2,305

$1,415

--—

$6,810

$5,365

$5,365

$5,775

A2

A) Do I need to arrive on time for my program to complete registration?

Yes, you must arrive at least one day before the published program start-date. Students who arrive after 4:00pm on the published start-date of the program must pay a late arrival fee of $200 USD.

B) Do I need a student visa (F-1) to attend your programs?

If your main intent in coming to the U.S. is to study, you should apply for a student visa. If you are coming to the U.S. mainly for tourism, and you also want to take English classes for your own pleasure or as recreation, then a tourist visa (B-2) or Visa Waiver (WT) is appropriate. If you are not sure whether study or tourism is your main intent, explain your plans to the U.S. Embassy or Consulate in your country and they will advise you on the appropriate visa to apply for. You should not schedule a visa interview until you have received our acceptance letter and other acceptance materials.

C) How much money do I need to study and live in the U.S.?

Please see the Tuition, Fees, and Financial Verification checklist on page A5 of this application form.

D) How long will it take to receive my acceptance information?

We will send your acceptance information as soon as possible after we receive your complete application with all required documents and fees. During peak times, it can take up to three weeks before acceptance documents are sent. For fast delivery, we recommend you choose the express mail option— see Payment Procedure in the application. Regular airmail delivery can take an average of 10–12 weeks.

E) How do I apply for housing?

Refer to our brochure or the “Housing and Student Life” tab on our website for information on housing options. When you are ready to apply, contact the individual housing vendors for their application and additional information.

F) What method of payment do I use?

Application and express mail fees must be paid by credit card. All other fees and tuition can be paid with credit card, debit card, money order or bank draft in U.S. dollars. Bank drafts must be drawn on a U.S. bank or U.S. branch office of your bank. We cannot accept Eurochecks or electronic transfers (ACH). You may also pay by bank-to-bank transfer via Western Union Business Solutions. Western Union Business Solutions offers a competitive rate of exchange for processing payments in many international currencies. For more information about this method of payment, please email

[email protected]. If paying by credit card, please do not send your credit card number to us by email. Please only send your credit card number to our secure fax number: +1-858-534-5703.

G) Am I required to purchase UC San Diego medical insurance?

Yes, you are required to purchase UC San Diego Extension medical insurance. Please see page 27 of the International Programs brochure.

H) Do I have to provide the Tuberculosis (TB) Form?

The Tuberculosis (TB) Form is only required for University Credit, Academic Connections International, and Certificate programs. These include: • Academic Connections International

• University and Professional Studies • Summer University Program • Business Essentials • Business Management • Project Management • Business Analytics • Digital Marketing

• Leadership and Management • TEFL Proficiency

• Special Studies In TEFL • TEFL Professional Certificate • TEFL Professional Certificate (Hybrid) • Any other certificate program

The TB Form is not required for English language programs

.

Frequently Asked Questions

A5

A4

* Additional fees may be required

in some programs. Please ask at

[email protected].

** Financial Verification is the

estimated total amount a student

will need to study and live abroad

for the duration of their program.

This verification is required for the

Form I-20. It includes an estimate

cost of books and materials,

transportation, housing, food and

incidentals. If you plan to bring

your spouse and/or children, your

financial verification must include

an additional $500 per month for

your spouse and $300 per month

for each child.

Waseda University

(5)

INTERNATIONAL STUDENT SERVICES UCSD EXTENSION, 0176 D

9500 GILMAN DRIVE

LA JOLLA, CALIFORNIA 92093-0176

AUTHORIZATION FOR RELEASE OF STUDENT RECORDS TO THIRD PARTY

I __________________________________________________, hereby authorize UCSD

Extension International Student Services to release information concerning my records to the

following person(s):

___________________________________________________

___________________________________________________

___________________________________________________

Sincerely,

___________________________________

______________________

Student’s signature

Date

___________________________________________________________

Student’s name in block-printed letters (last name, first name)

REDISCLOSURE NOTICE

The enclosed information is being released to you in accordance with the provisions of the Federal Family Educational Rights and Privacy Act 6f 1974 (Buckley Amendment). In providing this information, it is the responsibility of the University of California, San Diego to inform you that such information is being transferred on the condition that you will not permit any other party to have access to such information without the written consent of the Student, except that the information may be used by your organization's officers, employees and agents, but only for the purposes for which the Disclosure was made to you.

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