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SpecialAPPProgramApplicationpage4AdditionalInormationCertifcatesandPaymentHowdidyoufrsthearaboutusFromwhomdidyoureceivethisbrochureREFUNDSMakesureyouhavereadandunderstandourReundPolicyonPage20.1.TuitionbalancecanonlybereundeduponreceiptotheollowingBEFOREtheprogramstartdateasindicatedonyourI-20nawrittenrequestorwithdrawalromtheprogramntheoriginalI-20issuedbyUniversityoCaliorniaRiversideExtensioniapplicable.2.Ithevisaisdeniedbythegovernmentthenon-reundabletuitiondepositortheAdmissionPreparationProgramisreundable.3.NoreundswillbegrantedAFTERtheprogramstartdate.4.Reundrequeststakesixtoeightweekstobeprocessedandaprocessingeewillbeassessed.5.Programapplicationeesandhousingplacementseesarenon-reundable.6.ALLREFUNDSWILLBEASSESSEDA10PROCESSINGFEE.IIEPcancelsyourprogramyoureceiveaullreundandthereisnoprocessingee.REQUIREDCERTIFICATIONSIhavereadunderstandtheReundPolicyasstatedaboveandonpage20othePathwaysbrochure.SignatureDateIcertiytheinormationonthisentireormiscorrecttothebestomyknowledge.Igivemypermissionoranyorallinormationonthisormcanbeusedorscholarshipconsideration.IgivemypermissionortheUniversityoCaliorniaRiversideExtensionInternationalEducationProgramstoprovidealltheinormationontheentireormtotheOfceoUndergraduateAdmissions.SignatureDateADDITIONALREQUIREDSUPPLEMENTALAPPLICATIONMATERIALSMakesureyouhaveincludedtheollowingwithyourAPPProgramApplicationnAPPProgramApplicationeeo200whichisnon-reundablenCopyoyourpassportinopagenCopyoalltranscriptsor9thgradethrough12thgradetranslatedinEnglish.nCopyoyourTOEFLorIELTSresultsandresultsromanyotherexaminationsyouhavecompleted.IELTSoverallscoreo5.5withnobandlowerthan5TOFELoverallscoreo71withnoskillscorelowerthan14StudentswillalsotakeaplacementtestuponarrivalnFinancialsupportstatementalongwithabankstatementshowingaminimumamountoatleastUS41600USDromthepersonsponsoringyourstudiesintheU.S.nIyouareunder18yearsoldyourparentorguardianmustsigntheParentalReleaseAuthorizationoremergencymedicalcareandtripparticipation.NoteOnceallapplicationmaterialsarereceivedstudentsarenotifedoacceptanceintotheprogram.Studentshave30daystoaccepttheoeratwhichtimethe10000depositisdue.UponpaymentotheinitialdeposittheI-20willbemailedtothestudent.TheremainingtuitioneesaredueonemonthpriortothestartotheAPPprogram.PleasemailaxoremailyourapplicationmaterialstoInternationalEducationProgramsUCRiversideExtension1200UniversityAve.RiversideCA92507-4596U.S.A.Phone1-951827-4346Fax1-951827-5796Emailiepapplicationucx.ucr.eduForofceuseonlySIDProgramReceivedPAYMENTPayyourapplicationeeswithacashierscheckmoneyordermadepayabletoUCRegentsorbyVisaorMasterCard.CreditCardNumberCardholdersNameExpirationDate3-DigitSecurityCodeAuthorizingSignatureIauthorizeUCRtocharge200EnrollmentApplicationFee200HousingPlacementFeeOtherORMoneyOrderorCashiersCheckenclosed