International Students Application About You First Name What's your first name? Last Name What's your last name? Age What's your Age? Date of Birth What is your date of birth? Mailing Address Street What is your street address? City What city do you live in? Province/State What state do you live in? Country What country do you live in? Postal Code What is your zip code? Permanent Address Street What is your home street address? City What is your home city? Province/State What is your home state? Home Country What is your home country? Postal Code What is your home zip code? Birth Country What is your birth country? Country of Citizenship What is your country of citizenship? Phone Please provide a valid phone number. Cell Phone Please provide a valid cellphone number. Email Please provide a valid email address. What is the best way to contact you? What is the best way to contact you? Status Single Married Please provide your status. Number of Children What is the best way to contact you? Which programs are you interested in? Radio TV/Video Production Please tell us in which programs you are interested. Where did you hear about The Academy? Where did you hear about The Academy? Education High School Attended Which high school did you attend? Date of Graduation When did you graduate? Date GED Attained When did you attain GED? College/University Attended Which college/university did you attend? Years Attended Please tell us which years you attended. Field of Study Please inform field of study. Date of Graduation Please inform the date of graduation Degree Attained Please inform the degree attained. Other Schools Attended Please inform other schools attended. Type of Training Please inform the type of training. Visa Information Do You Currently Have A U.S. Visa? Yes No Do you currently have a U.S. Visa? Date Visa Expires Month Please inform visa expiration month. Year Please inform visa expiration year. Will You Be Applying For Change of Status? Yes No Do you currently have a U.S. Visa? Are You Currently In The U.S.? Yes No Are You Currently In The U.S.? Are You Currently Attending School in the US With An I20? Yes No Are You Currently In The U.S.? If yes, please give your school's information School Name What's the school name? Address What's the school address? City What's the school's city? State What's the school's state? By submitting this form, you are giving your express written consent for Academy of Radio and Television Broadcasting to contact you regarding our programs and services using email, telephone or text - including our use of automated technology for calls and periodic texts to any wireless number you provide. Message and data rates may apply. This consent is not required to purchase goods/services and you may always call us directly at 714-842-0100. I understand & agree Please agree to the terms.