Application Fee Payment Form

This form is required only as described in Supplemental Application Fee.

Application Fee Payment Form PDF, 1 page, 77 KB Requires Adobe Reader.

Instructions for Completing the Application Fee Payment Form

1. You must complete this form on a computer using Adobe Reader or Adobe Acrobat. If you're not familiar with these software products, see About Adobe Reader.

2. Download and Save Before Starting

   We recommend that you download and save the forms to your computer and complete them in Adobe Acrobat or Adobe Reader. If you instead view and complete the forms in your web browser, you might lose data you entered if you select a hyperlink which takes you to a different web page. Saving the forms to your computer and completing them in Adobe Acrobat or Adobe Reader prevents this problem.

   Saving the Information You Enter

   If you use the free Adobe Reader, be aware that Adobe Reader does not permit you to save the information you enter like Adobe Acrobat does. For details, see About Adobe Reader. If you don't have Adobe Acrobat and you don't want to purchase it, we recommend that you:

   1. Check what other resources available to you might have Adobe Acrobat: your public library, the computer lab at your school, nearby Internet cafés, your friends or family who are knowledgeable about computers. For example, work at Kinko's, saving your forms to your own USB drive.
   2. Or, complete each form only when you can do so in a single sitting where you have the ability to print. (You do not need to complete all the forms in a single sitting.)

   Adobe Acrobat is not required to complete our forms, and UCSF will not reimburse you for purchasing it.

3. Within Adobe Reader or Adobe Acrobat, you can make the form easier to read by using the zooming tools.

Federal Privacy Act of 1974

The Social Security number will be used by the University to verify your identity. Disclosure of your Social Security number is mandatory. This notification is provided to you as required by the Federal Privacy Act of 1974. The University's record-keeping systems relating to this application were established prior to January 1, 1975, pursuant to the authority granted to The Regents of the University of California under Article IX, Section 9, of the California Constitution. If you are a United States citizen and do not have a Social Security number, apply for one through the nearest district Social Security Office and notify the Office of the Registrar when you receive it. If you are not a United States citizen and live in another country, it is not necessary for you to secure a Social Security number.

Problems? Questions?

See Supplemental Application Help.

Next Step: Checklist

Done with all the forms? Prepare the forms for mailing.

Go To: Supplemental Application Forms or Supplemental Application