2019_2月3月_留学カタログ_h1_p1_p12_p34_1023.indd

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個室利用予定 1家庭に2名以上の場合早大生含め日本人と同じ家庭の場合あり食事 1日2食朝夕同行員添乗員教職員は同行しません利用予定航空会社日本航空全日空デルタ航空ユナイテッド航空アメリカン航空査証学生ビザ F1 が必要各自にてまたは旅行代理店により代理申請にて手続きいただきます募集要項国内及び現地空港諸税燃油サーチャージ旅客保安サービス料

豊富な講師陣から学べる話す聞くに重点を置いてアメリカ文化をテーマに楽しく学べる現地学生や地元の方と会話の練習ができる都市はカリフォルニア州の最南端メキシコとの国境に位置するビーチシティでスペイン統合時代の歴史からエキゾチックな雰囲気が漂う街ですカリフォルニア大学校はダウンタウンから約２０北上したラホヤにありスペイン語で宝石と名付け

快適な環境の中で2万人を越える学生が勉学に励んでいます本プログラムが実施されるUCSD のエクステンションEnglish Language Institute ELI には世界中から学生が集まり自然に囲まれた緑豊かなキャンパスで学んでいますプログラム参加者の主な国籍日本韓国イタリアスイスブラジル台湾など平均的な参加者数 50 100名 1クラスあたりの人数 1 15名

1 コース No.５アメリカ 28日間アメリカでもっとも天気のいい街で温暖な南カリフォルニアの魅力満喫カリフォルニア大学校スペイン語で宝石といわれる街南カリフォルニアの明るい陽気と雰囲気の中実践的な会話力を磨く 2019年研修期間 3月3日日 3月30日土研修旅行代金 579,000円最少催行人数 6名最大募集人数 30名対象語学レベル英語力初級上級宿泊先ホームステイ個室利用予定 1家庭に2名以上の場合早大生含め日本人と同じ家庭の場合あり食事 1日2食朝夕同行員添乗員教職員は同行しません利用予定航空会社日本航空全日空デルタ航空ユナイテッド航空アメリカン航空査証学生ビザ F1 が必要各自にてまたは旅行代理店により代理申請にて手続きいただきます募集要項国内及び現地空港諸税燃油サーチャージ旅客保安サービス料国際観光旅客税は含みません最少催行人数に達しない場合も研修が実施できる場合がありますが研修旅行代金が増額となりますその場合改めて代金を示し参加の意向を確認します MyWasedaでの申請後指定期間に以下の書類を提出します申込みに必要な書類全プログラム共通短期留学プログラム申込書写真添付海外留学プログラム誓約書パスポートのコピー全米大学でも首位にランキングされる学校で経験豊富な講師陣から学べる話す聞くに重点を置いてアメリカ文化をテーマに楽しく学べる現地学生や地元の方と会話の練習ができる都市はカリフォルニア州の最南端メキシコとの国境に位置するビーチシティでスペイン統合時代の歴史からエキゾチックな雰囲気が漂う街ですカリフォルニア大学校はダウンタウンから約２０北上したラホヤにありスペイン語で宝石と名付けられたように美しい海と丘陵が広がり高級リゾート地や住宅街となっていますカリフォルニア大学校 UCSD はアメリカの留学先トップ大学であるカリフォルニア大学 UCシステムのキャンパスの一つです UCSDは生物工学電気工学コンピューターサイエンスなどの科学分野で世界的評価を得ておりまた経済学政治学国際関係など社会科学においても全米トップクラスの実力を誇っています快適な環境の中で2万人を越える学生が勉学に励んでいます本プログラムが実施されるUCSD のエクステンションEnglish Language Institute ELI には世界中から学生が集まり自然に囲まれた緑豊かなキャンパスで学んでいますプログラム参加者の主な国籍日本韓国イタリアスイスブラジル台湾など平均的な参加者数名 1クラスあたりの人数 1 15名 ELIは充実したプログラムを提供している語学学校です本プログラムでは Conversation and Fluency と題された会話力向上を目的としてアメリカ文化をトピックの一つとして取り上げながら英語を学ぶカリキュラムを受講します特に会話力を向上させたい方を対象としたプログラムでConversation Leaders UCSD の学生や地元の方々との会話練習の時間やプレゼンテーションゲストスピーカーによる講演フィールドドリップも予定されていますまた講師陣は経験を積んだ英語教育の専門家が揃っており学習相談などにも丁寧に対応してくれるので充実した留学ライフを送ることができます太平洋沿岸の美しい街にあるカリフォルニアの名門校で質の高いカリキュラムで充実した留学生活が堪能できます申込前に確認をプログラム別 UCSD Extension 指定願書登録料 USD150支払いのためクレジットカード情報要 UCSD Extension 指定同意書研修旅行代金に含まれるもの研修費用宿泊費プログラム期間中の食事 1日2食朝夕日程表に記載したエコノミークラス利用海外往復航空券現地空港と研修先または宿泊先間の往復送迎費早大プログラム開発運営費企画料金 P.34記載の取消料規定はこの企画料金を基準とします企画料金は62,900円と定め研修旅行代金に充当します研修旅行代金に含まれないもの上記の他は含まれませんその一部を例示します超過手荷物手数料海外旅行保険日本国内の交通費食費宿泊費 UCSD 登録料ビザ申請料通学費課外活動費その他個人的生活諸費用国内空港施設使用料 2,610円外国諸税 7,080円燃油サーチャージ旅客保安サービス料 28,600円国際観光旅客税 1,000円国内空港施設使用料外国諸税燃油サーチャージ国際観光旅客税は2018年8月24日現在のもので予告なく変更となる場合がありますこれらの費用は最終確定金額として研修旅行代金とあわせてお支払いただきます日程表日都市羽田もしくは成田 1 プログラム参加スケジュールクラスクラス課外活動などスケジュールは一般的な例で日により異なります過去のスケジュールの場合もあります 2 26日目は研修旅行取扱会社無手配日ですホームステイ泊送迎車にて空港へ移動各自にてチェックイン発羽田もしくは成田へ日付変更線通過機中泊羽田もしくは成田到着後解散予定羽田もしくは成田発へ日付変更線通過到着到着後送迎車にて宿泊先へ移動ホームステイ泊羽田もしくは成田到着上記のフライトスケジュールは日本航空利用の例です現地でのスケジュールは留学先機関天候等の諸事情により一部変更となる場合があります申し込み結果通知後クレジットカードにて登録料 USD150相当をお支払いただく手続きがありますのでクレジットカードをご準備くださいプログラム別の申込書類およびスケジュール詳細は留学センターウェブページに掲載しています 16

2 UC San Diego Extension, English Language Institute March 2019 Conversation & Fluency and Conversation Programs TENTATIVE Schedule Note: A class-hour is 50 minutes; Conversation Program students do not have Integrated Skills classes Monday Tuesday Wednesday Thursday Friday Registration and Placement Testing 8:15 11:30 Campus Tours According to Tour Ticket Times New Student Orientation 14:00 15: :30 12: :30 12:20 Field Trip Mission San Luis Rey & The California Surf Museum Meet the bus at 8:15 on the sidewalk of Scholars Dr N Michael Garcia The US Legal System Ellen Shively Seal Society of The Sierra Club 29 8:30 12:20 Field Trip The Birch Aquarium & Cabrillo National Monument Meet the bus at 8:30 on the sidewalk of Scholars Dr N Casey Gill Wells Fargo History Certificate Ceremony 11:20-12:10 Advising Hours are from 12:30 16:00 weekdays in Building A, or you can sferry@ucsd.edu anytime. Cesar Chavez Holiday No Class UC San Diego is Closed

3 UC San Diego Extension International Programs Personal Information (Please print very CLEARLY and read instructions on page A1. Incomplete applications will not be processed and will be sent back to the student or agent. PLEASE NOTE: Hanmail, Hotmail, Daum, and Naver accounts are blocked by UC San Diego .) Family Name (surname) (ATTACH COPY OF PASSPORT NAME PAGE) First Name (given name) (as it appears in your passport) Male Female Country of Birth Date of Birth month/day/year (e.g. JAN 01, 1990) Country of Citizenship Student s (Please print clearly.) Native Language Student s permanent address in home country (required): m Check here if this is where you want your I-20 and acceptance materials to be mailed. Agent s (Please print clearly.) I will pick up my acceptance information from the UC San Diego Extension office, Bldg E, OR Address to which I-20 and acceptance materials should be mailed: Address Street Apartment Number Student Name or Agency Name Address (continued) Address Street Apartment Number City Postal Code Country City Postal Code Country Telephone (country code/city code/number) Telephone (country code/city code/number) Fax (country code/city code/number) 2. Program Information I am applying to the following program(s) (check all that apply and indicate start-date for each): I plan to enroll for: 1 session 2 sessions 3 sessions 4 sessions not sure 2-Week and 4-Week English Language Programs Start-Date Certificate Programs: Business Conversation part-time* Business Essentials Conversation and Fluency full-time part-time* Business Essentials (1 quarter) University Preparation Academy Business English full-time full-time part-time* Business Essentials (2 quarters) Business Essentials (3 quarters) Legal English for Business full-time part-time* English for Engineering & Technology full-time part-time* Business Essentials Specialized Programs English for Pharmaceutical Sciences full-time part-time* Business Analytics (1 quarter) Medical English full-time part-time* Digital Marketing (1 quarter) 4-week Academic English full-time part-time* Leadership and Management (1 quarter) 2-week Academic English full-time part-time* 8-Week Intensive Language Programs Communication and Culture Intensive Communication and Culture Intensive Academic English Intensive TOEFL Preparation Intensive IELTS Preparation Academic English Through Service Learning Intensive Business English Intensive Legal English Youth Programs Academic Connections International (ACI)* Leadership and Entrepreneurship* American University Experience* University Credit Programs University and Professional Studies Summer University Program, part-time* Summer University Program, full-time Please go to our website to obtain the ACI or ESL Youth Programs applications: ip.extension.ucsd.edu How did you learn about our programs? Agent University Friend or Family Other Business Management (2 quarters) Please choose specialization: Finance Marketing International Business Accounting Business Management (3 quarters) Please choose specialization: Finance Marketing International Business Accounting Business Management Pre-Master s (2 quarters) Business Management Pre-Master s (3 quarters) Project Management (2 quarters) Certificate Programs: TEFL TEFL Proficiency Special Studies TEFL Professional Certificate (6-MONTH FORMAT) TEFL Professional Certificate (HYBRID FORMAT) *This program does not qualify for an I-20. Start-Date 3. Transfer Students Will you be coming directly from another school in the U.S.? No. If no, we need no further information regarding your transfer status. Yes. If yes, you must submit the UC San Diego Extension International Programs Academic Verification Form with the application to be considered for transfer. Students may request the Academic Verification Form from ipadmission@ucsd.edu. Current school name Telephone Dates of attendance ( Start & End) A3

4 4. I-20 Request Student s FAMILY name (surname) FIRST name (given name) Do you need an I-20? YES. If yes, please select one: for an F-1 visa for school transfer for change of status NO, I do not need an I-20. I am (please check one): U.S. Citizen/Permanent Resident Other non-immigrant status (specify) Financial Verification Please check source of your funds: Personal/Own Family Other (specify) A. REQUIRED FOR I-20: A bank statement or signed letter of sponsorship in English by an approved company or school, dated within the last 90 days and showing enough funds for all programs which the student is applying to, plus living expenses and other costs. Please see Tuition, Fees, and Financial Verification on page A5 of the application form to determine total funds needed. If the bank statement is in a foreign currency, it must show enough funds when converted to U.S. dollars. Name of account holder Bank location (city and country) Amount of available funds in equivalent U.S. dollars (must equal or exceed amount needed per session in cost calculator on page A5) Name of bank Date (within last 90 days) Official Bank Seal/Stamp Name and Title of Bank Official Signature of Bank Official B. REQUIRED FOR I-20: The family member or other person who is financially responsible for you must read this statement and sign below. I have read the information regarding the cost of tuition and living expenses and other costs for the period of study at UC San Diego Extension. I certify that these funds are available, and I accept full responsibility for these expenses. Name of person financially responsible (print clearly) Signature Relationship to student Date (m/d/y) Dependents If you plan to bring your spouse (wife or husband) and/or children on F-2 visas, you must list them here. Attach additional sheet if more space is needed. Please include copy of passport name-page for each family member. (Parents and siblings are not considered dependents.) Family name Given name Birthday (e.g., JAN 01,1997) Country of birth/country of citizenship Relationship to you Male Female Family name Given name Birthday (e.g., JAN 01,1997) Country of birth/country of citizenship Relationship to you Male Female 5. Payment Procedure You must submit the non-refundable application fee and express mail fee, if selected, with your application. Application fee/express mail fee must be paid by credit card. All other fees must be paid in full 30 days before your program, or you may include full or partial payment now. Payment for the UC San Diego photo ID card and for textbooks CANNOT be made in advance and can only be purchased after arrival at UC San Diego. Please indicate the amount you are enclosing with this application: English Language Programs application fee: $150 Youth Programs application fee: $200 University Credit Programs application fee: $200 Certificate Programs application fee: $200 Partial or full tuition amount (ESL programs only): $ International Student Services fee (see pg. A5): $ PAYMENT OPTIONS (Please do not mail cash or traveler s checks.) 3-day express mail delivery of I-20 due with application: $50 (Strongly recommended because regular airmail can take weeks for delivery. Fee may vary depending on location.) Medical insurance from UC San Diego Extension (see pg. A5): $ Program change fee: $150 Other: TOTAL amount enclosed with this application: $ u I have enclosed a money order/cashier check in the amount of $ (Checks must be drawn on a U.S. bank and payable to UC Regents.) I would like to pay by credit card. If paying by credit card, write your full name at the top of this page and send it to our secure fax. Do not send your credit card number by . MasterCard Visa AMEX Diners Club Discover $ Credit card number Expiration date (month/year) Total to be charged Name on credit card Authorized card holder s signature 6. Signature (Application cannot be processed without a student signature.) I certify that all application information is true and that I have read and understand the policies described in this application and the UC San Diego Extension International Programs brochure. I acknowledge that I am required to pay the non-refundable application fee even if I decide to withdraw or cancel my enrollment. Signature of applicant Date REFERRING AGENCY/UNIVERSITY (REQUIRED TO DOCUMENT STUDENT REFERRAL) Please fax, express mail, or completed application and required documents to: Express Delivery Address: University of California, San Diego Extension International Student Services 9600 N. Torrey Pines Road, Bldg. E La Jolla, CA Fax: ipadmission@ucsd.edu ip.extension.ucsd.edu Agency/University name Contact name Fax A4

5 INTERNATIONAL STUDENT SERVICES UCSD EXTENSION, 0176 D 9500 GILMAN DRIVE LA JOLLA, CALIFORNIA AUTHORIZATION FOR RELEASE OF STUDENT RECORDS TO THIRD PARTY I, hereby authorize UCSD Extension International Student Services to release information concerning my records to the following person(s): Sincerely, Student s signature Date Student s name in block-printed letters (last name, first name) REDISCLOSURE NOTICE The enclosed information is being released to you in accordance with the provisions of the Federal Family Educational Rights and Privacy Act 6f 1974 (Buckley Amendment). In providing this information, it is the responsibility of the University of California, San Diego to inform you that such information is being transferred on the condition that you will not permit any other party to have access to such information without the written consent of the Student, except that the information may be used by your organization's officers, employees and agents, but only for the purposes for which the Disclosure was made to you.

コース No.17 フィリピンマニラ 22日間公用語は英語とタガログ語東洋の真珠マニラ聖トマス大学欧米と比較すると圧倒的な安さ今話題のフィリピンで英語留学しよう 2019年研修期間 2月7日木 2月28日木研修旅行代金 221,000円募集要項最少催行人数 7名最大募集人

コース No.17 フィリピンマニラ 22日間公用語は英語とタガログ語東洋の真珠マニラ聖トマス大学欧米と比較すると圧倒的な安さ今話題のフィリピンで英語留学しよう 2019年研修期間 2月7日木 2月28日木研修旅行代金 221,000円募集要項最少催行人数 7名最大募集人コース No.17 フィリピンマニラ 22日間公用語は英語とタガログ語東洋の真珠マニラ聖トマス大学欧米と比較すると圧倒的な安さ今話題のフィリピンで英語留学しよう 2019年研修期間 2月7日木 2月28日木研修旅行代金 221,000円募集要項最少催行人数 7名最大募集人数 20名対象語学レベル英語力初級上級宿泊先学生寮相部屋利用予定食事なし同行員添乗員