Form 5-24
INTERNATIONAL STUDENT APPLICATION
www.cascadia.edu/international
Please submit to [email protected]
PERSONAL INFORMATION
Last Name: First Name:
Date of Birth: (mm/dd/yyyy) Age: City of Birth:
Sex: Male Female Country of Birth: Citizenship:
Student’s Email Address:
CONTACT INFORMATION
Home Country Mailing Address: _______________________________________________________________________________________
City_____________________________State_____________________________Postal Code________________Tel#____________________
IMPORTANT DATES
4 EASY STEPS TO APPLY
1. Complete this application for admission.
2. Collect the following documents:
Bank statement issued within 3 months, in English, and shows funds for 1 academic year ($23,199
USD)
High school or college transcript (unofficial is acceptable)
Passport copy
US Visa copy (if applicable)
Optional: Ofcial score of TOEFL (iBT): 70 (MyBest™ score is accepted), TOEFL (Essentials): 7.5,
IELTS: 6.0, Pearson PTE: 48, iTEP: 4.0, STEP/Eiken: Pre-1, Duolingo 95, or SAT 480 ERW Section
3. Submit this application and above documents to [email protected] and follow the instructions to pay the
$50 non-refundable application fee
4. Wait for good news! Cascadia is able to process completed applications within 2 business days!
Online Application:
You can also apply online at
www.cascadia.edu/international.
Quarter
Overseas
Deadline
Transfer
Deadline
Orientation Dates Class Dates
Summer 2024 5/24 6/17 6/24 - 6/27 7/1 - 8/22
Fall 2024 8/12 9/9 9/17 - 9/20 9/25 - 12/13
Winter 2025 11/27 12/19 12/30 - 12/31 1/6 - 3/21
Spring 2025 2/21 3/17 3/24 - 3/27 3/31 - 6/13
Form 5-24
IMMIGRATION INFORMATION
Are you currently residing in the U.S.? Yes No
If yes, what is your immigration status? F-1 Other __________________________________
Will family members [spouse/child(ren)] accompany you to the U.S. on an F-2 dependent visa? Yes No
If yes, please include a copy of their passports as well as an additional USD $5,000 per dependent on the bank statement.
PREVIOUS EDUCATION
Have you completed secondary/high school? Yes No
Are you currently studying at a school in the United States? Yes No
If yes, do you plan to leave the U.S. before starting your program at Cascadia? Yes No N/A
Last school attended:
Name:________________________________________________City:________________________ Country:__________________________
Dates of Attendance: ______ /______ to _______/_______ Graduated? Yes No
Type: Secondary/High School College/University English as a Second Language (ESL)
Month Year Month Year
PROGRAM INFORMATION
Have you previously attended Cascadia? Yes No If yes, date:
When would you like to start at Cascadia? Year:
Fall (September) Winter (January) Spring (March) Summer (July)
What is your intended major? Undecided
What program(s) would you like to complete at Cascadia College? (Check all that apply)
English Foundations (EF) High School Completion (HSC)
2-year Associate Degree/University
Transfer
4-year Bachelor of Applied Science
in Sustainable Practices
4-year Bachelor of Applied Science
in Mobile Application Development
ENGLISH PROFICIENCY
Do you have a proof of English prociency with a required score? Yes No
If yes, please select one of the following:
TOEFL (iBT): 70 TOEFL (Essential): 7.5 STEP/Eiken: Pre-1 Duolingo: 95
IELTS: 6.0 iTEP: 4.0 Pearson PTE: 48 SAT 480 ERW Section
English 101 (or equivalent) at_______________________________
Test Score: ____________________________________ Date Taken: _____________________________________________
Note: Proof of English prociency is not required for admission to the English Foundations (EF). If you have an ofcial score of
one of these English tests, you will be directly placed in our college program. The ofcial score must be sent directly to Cascadia
College from the testing agency.
If you do not meet the requirements for English prociency, you will be required to take an English placement test for EF.
Form 5-24
FINANCIAL RESPONSIBILITY AGREEMENT
Cascadia College is legally required to verify that international student applicants have sufficient funds available to cover tuition
and living costs before we can issue an I-20. The estimated amount for one academic year at Cascadia College is U.S. $23,199. It is
important that applicants have sufcient funding available for the entire duration of the academic program. Applicants will be asked
to provide this information when applying for a visa at the U.S. Embassy or Consulate. For students with dependents, an additional
$5,000 is required for each dependent.
Sponsor, please read and agree to the following:
I afrm that I have sufcient funds available to pay for all of this applicant’s necessary educational expenses as estimated in the
amount indicated above and will further be able to pay for travel from and to applicant’s home country. (A detailed breakdown of
estimated expenses can be found online at www.cascadia.edu/international).
Name of Sponsor: ___________________________________________________ Amount (U.S dollars) _________________________
Signature of Sponsor: ________________________________________________ Relationship to Student: ______________________
Cascadia College is an equal opportunity institution and does not discriminate on the basis of race, color, religion, gender and/or sex, disability, national origin, citizenship status, age,
sexual orientation, veteran’s status, or genetic information. All Cascadia materials are available in alternative formats and can be requested by contacting the Human Resources oce.
INTERNATIONAL STUDENT APPLICATION
www.cascadia.edu/international
Please submit to [email protected]
HOW DID YOU HEAR ABOUT CASCADIA COLLEGE?
Online search (Google, Bing, etc.): Fair:
Friend or Family: Social Media:
Agency: Other:
Agency Contact: Agency Email:
UNIVERSITY PATHWAYS AND PARTNERS
Cascadia College has partnerships with several top universities to make transferring and completing your bachelor’s
degree easier. Which partner universities would you like to receive details about?
I understand that my name, email, address, date of birth may be shared with the university that I chose.
City University of Seattle Portland State University Troy University University of Washington (Bothell)
Indiana University - Purdue University Regis College University of Maine Washington State University
Johnson & Wales University Seattle Pacic University University of New Mexico Western Washington University
Kansas State University San Francisco State University University of Oregon Wichita State University
Northern Arizona University Seattle University University of Iowa
University of Massachusetts -
Dartmouth
Form 5-24
CASCADIA UNDERAGE STUDENT HOUSING POLICY
It is Cascadia College’s policy that all students under the age of 18 live with a homestay family in order to ensure their safety while
attending classes in the United States. Cascadia College strongly recommends that parents keep their child in a homestay where
they can be monitored and cared for until the age of 18, when they are legally considered to be adults in the U.S.
If parents decide to allow their underage child to live anywhere other than with a homestay family, they must sign the Housing
Policy Waiver below.
I hereby grant permission for my child to arrange for housing in an apartment/room for rent, etc. contrary to Cascadia College’s
policy that all underage students reside in a homestay. I understand the consequences of allowing my underage child to live
unsupervised and release Cascadia College from any and all liabilities in regards to any harm that may come to my child as a result
of my choosing to disregard their underage homestay policy.
_____________________________________________ ____________________________________
Signature of Parent/Guardian Date
To be completed by the student
Please read the following statement and sign on the line below
I understand that while I am under the age of 18, I must reside with a host family, immediate family member, or get the approval of
my parent/legal guardian to live independently. I also understand that it is my responsibility to notify the International Programs if I
change my address.
_____________________________________________ ____________________________________
Signature of Student Date
INTERNATIONAL STUDENT APPLICATION
Underage Form
Must be completed if applicant is under 18 years old.
STUDENT NAME (LAST, FIRST)
Medical Care and Treatment of Minor Children Consent
I authorize and consent to medical, surgical hospital care treatment, and procedures to be performed by a licensed physician
or hospital when, at the sole discretion of the attending physician, immediate care, treatment, and procedures are necessary or
advisable in the interest of my child’s health and well-being, and it is not advisable to take the time to contact me in advance. Under
the circumstances described above, I elect not to be informed in advance of the nature and character of the proposed treatment, its
anticipated results, possible alternatives, and the risks, complications, and anticipated benets involved in the proposed treatment
and the alternative forms of treatment, including non-treatment.
Off-Campus Activities and Trips Waiver of Liability
I understand and acknowledge that there is risk of injury to my child by his/her participation in off-campus activities and trips.
I also understand that it is voluntary for my child to participate, and that the college does not require his/her participation.
I hereby release Cascadia College and the State of Washington, its employees, ofcers, agents, and trustees, and waive any
and all right and claims for damages from any and all injuries that my child may suffer as a result of his/her participation in
trips and/or activities. I also agree to hold harmless and indemnify Cascadia College, its employees, ofcers, agents, and
trustees for any action, claim, or proceeding initiated as a result of any injury suffered by my child or any third party through
his/her participation in trips and/or activities.
_____________________________________________ ____________________________________
Print Name of Parent/Guardian Signature of Parent/Guardian
_____________________________________________ ____________________________________
Parent/Guardian email address Emergency phone of Parent/Guardian
