California City Studios, Film School
6 week Introduction to film making
Application For Enrollment
To help ensure the success of students, the admissions at C.C.S FILM School focus on selecting self-motivated responsible
learners who are qualified for enrollment. All applications are assessed for qualifications in relation to the academic and creative
demands of the program.
Student Information
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Last Name First Name Middle Initial
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Othe Names Appearing on Previous Academic Records Nickname or Preferred Name
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Social Security Number (last four only for application) Date of Birth Country of birth Country of Citizenship
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Permanent Street Address City State Zip County
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Local Street Address (if applicable) City State Zip County
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Telephone Number (day) Telephone Number (evening) E-Mail Address
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Current Occupation Current Place of Employment
Emergency Contact Information
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Name Relation ship Address (City, State) Telephone/ E-Mail
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Program And Start Date Information
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A new class begins every 8 weeks. Please indicate below your start date preference.
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Preferred Start Date
Citizen Information
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() I am a citizen of the United States
() I am a resident of the United States. My alien registration number is
A-____________________________________
(Please attach a copy of your Alien Registration card.)
() I am an international student and a citizen
of________________________________________________________
International Students Only
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If you are currently living in the U.S with an international visa, please indicate the type of visa below (e.g FI. Student visa, MI
student
visa, tourist visa, etc )
____________________, expiration date_____/____/_____
If you already have a student Visa, please indicate the name and address of the last school you were authorized to attend:
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School City State ZIP
Notice: Please note that in order to enroll in any of the programs at C.C.S Film School, international students must have an FI
Visa. In order to obtain an FI Visa, you will be asked to provide financial verification that you can cover cost of tuition and living
expenses per Homeland Security requirements. Information about how to obtain an FI student Visa is mailed to students upon
acceptance to the program.
Although the Test of English as a Foreign Language (TOEFL) is not required students for enrollment consideration, a copy of
scores is appreciated if scores are available. All instruction is conducted in English; therefore, applicants should have a strong
command of the English language.
Veteran Benefits
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Are you eligible for veteran benefits? () Yes () No
Veterans interested in applying for benefits under the Montgomery GI Bill should contact their regional VA Office for an
Application for Educational Benefits ( Form 22-1990)
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Submit all application materials to;
California City Studios
Film School
1610 Pesch Dr
Mojave California 93501
For questions on all aspects of the application process call 760-373-4966
I certify that the information that I have provided on this application is true and correct to the best of
my knowledge.
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Signature Date