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
_________________________________________________________________________

_________________________________________________________________________
Last Name                                                                                First Name                                                                              Middle Initial

________________________________________________________________________________________________________
Othe Names Appearing on Previous Academic Records                                                         Nickname or Preferred Name

________________________________________________________________________________________________________
Social Security Number (last four only for application)          Date of Birth       Country of birth                    Country of Citizenship

________________________________________________________________________________________________________
Permanent Street Address                    City                               State                                 Zip                                      County

________________________________________________________________________________________________________
Local Street Address (if applicable)    City                                State                                 Zip                                       County

________________________________________________________________________________________________________
Telephone Number (day)                                         Telephone Number (evening)                               E-Mail Address

________________________________________________________________________________________________________
Current Occupation                                                  Current Place of Employment


Emergency Contact Information

________________________________________________________________________________________________________
Name                                                Relation ship                             Address (City, State)                                Telephone/ E-Mail      
________________________________________________________________________________________________________
Program And Start Date Information
________________________________________________________________________________________________________
A new class begins every 8 weeks. Please indicate below your start date preference.       

                                                                                                                                  ______________________________________
                                                                                                                                                         Preferred Start Date                       
Citizen Information
________________________________________________________________________________
__

                     
()  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
________________________________________________________________________________
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:

_______________________________________________________________________________________________________
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
_______________________________________________________________________________________________________
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)
 
________________________________________________________________________________
                                                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.



__________________________________________________________________________________________
Signature                                                                                              Date