CCS Application
Placement Counselor
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CCS International Programs
INTERNATIONAL STUDENT ADMISSION APPLICATION I AM APPLYING TO: (CHECK ONE BOX) Spokane Falls Community College (SFCC) Academic student ESL student Send your application to: Spokane Falls Community College 3410 W Fort George Wright Dr MS 3011 Spokane WA 99224-5288 USA
Spokane Community College (SCC) Academic student ESL student Send your application to: Spokane Community College 1810 N Greene St MS 2151 Spokane WA 99217-5399 USA
ADMISSION APPLICATION REQUIREMENTS Applicants should send: 1. 2.
Completed and signed International Student Admission Application form and a copy of your passport. U.S. $100 application fee. Pay by check or money order payable to: Community Colleges of Spokane. Payment also may be made by credit card. Credit card type VISA MasterCard Name on credit card Account number Expiration date 3-digit CVV code An original bank statement verifying funds in the amount of U.S. $17,475 USD available applicant’s educational and living expenses during attendance.
3.
* If bank statement is NOT in applicant’s name, the bank account owner must submit an official Affidavit of Support, with the Bank Statement, stating his/her relationship to applicant and the amount of bank funds for applicant’s expenses during U.S. study. 4. A.
ESL ONLY: PROOF OF HIGH SCHOOLCOMPLETION OR GED IS NOT REQUIRED
B.
DIRECT ACADEMIC ADMISSION (not ESL): PROOF OF HIGH SCHOOL COMPLETION OR GED IS REQUIRED TOEFL score of 61 (IBT), or 500 (paper-based) or completion of a U.S. based accredited ESL program, IS REQUIRED
C.
ENROLLING IN ACADEMIC STUDY AFTER COMPLETING SCC/SFCC or other U.S. ESL PROGRAM: NO TOEFL REQUIRED! You are guaranteed admission to academic studies at SCC or SFCC, when you complete ESL at SCC or SFCC, if you have proof of High School graduation or GED. * Academic students with foreign college transcripts should contact the International Programs Offices for assistance. Date received
PLEASE TYPE OR PRINT WITH A BALL POINT PEN STUDENT ID NUMBER What quarter do you plan to begin?
Family name (as on passport)
Year
SHADED AREAS FOR OFFICE USE ONLY Gender
Fall (Sept. – Dec.)
Summer (June-Aug.)
Given name
M.I. Apt. No. State
U.S. address: number and street
ZIP Apt. No.
/
Birth date
Male
FOREIGN address: number and street (no PO Box accepted) City
Female
Month
Winter (Jan. – March)
/ Day
Year
Spring (March – June)
E-mail Day telephone (country code – city code – number) Evening telephone (country code – city code – number) In case of emergency, phone: Name
City
State
Zip
CO-ADMISSION PROGRAM - By special arrangement, you are permitted to pre-apply at one or more of our partner universities: University of Idaho www.uidaho.edu
Eastern Washington Univ. www.ewu.edu
Washington State Univ. www.wsu.edu
Northern Arizona Univ. www.nau.edu
MBA PROGRAM - By special arrangement with Eastern Washington University, you may pre-apply for admission to the EWU MBA program. MBA option www.ewu.edu/mba
Your enrollment at the Eastern Washington University is conditional upon completion of your associate of arts degree from SCC, and your baccalaureate degree from EWU. Further details related to this transfer option will be provided upon your admission to SCC and SFCC.
WHAT RACE DO YOU CONSIDER YOURSELF TO BE? White (800)
Filipino (608)
Black/African-American (872)
Korean (612)
Alaskan Native or American Indian (597)
Vietnamese (619)
Chinese (605)
Japanese (611)
CITIZENSHIP U.S. CITIZEN?
Yes
Other Asian or Pacific Islander (621) Other race (799) Are you of Spanish or Hispanic origin? No (999)
Yes (717)
Citizenship status
No
Res. code
Fee status
If not U.S. citizen, country of citizenship If not U.S. citizen, country of birth If not U.S. citizen, what type of visa do you have now (check one)? Include a photocopy of your current visa with your application. None Student (F-1 or M-1) Visitor (B-1 or B-2) Exchange visitor or dependent (J-1 or J-2) Other (specify)
PREVIOUS EDUCATION Name
City and country
Fr: Mo / Yr
To: Mo / Yr
Degree
H.S. code
High School Most recent college/university Other colleges/universities English language institute
FINANCES U.S. law requires you to establish your financial support while attending this college. Please answer the following carefully and accurately. I plan to support my education by: Amounts/term Amounts/year Personal funds, self-support
$
$
Family funds (parents or individual sponsors)
$
$
Government scholarship
$
$
EDUCATIONAL INTENT - Please check the ONE box that describes your educational intent LIBERAL ARTS I plan to earn the community college Associate of Arts (liberal arts) degree or associate of science (professional/technical) degree, but do not plan to transfer to a four-year institution. I plan to enroll in classes that will transfer to a program at another two-year institution. I plan to earn the community college Associate of Arts (liberal arts) degree to transfer to a four-year institution OR earn credits to transfer to a four-year institution. Four-year institution: Major: I plan to enroll in classes that will prepare me to enter a professional/technical program. PROFESSIONAL/TECHNICAL
NON-DEGREE SEEKING: JOB SKILL UPGRADE, PERSONAL ENRICHMENT
I plan to earn a two-year associate in applied science degree.
I plan to upgrade my job skills.
I plan to earn a one-year professional/technical certificate.
I plan to take classes for personal interest. (Not seeking a degree)
Major: ESL only
APPLICANT’S SIGNATURE - I certify that all the statements on this form are true. Applicant’s signature
Date
INSURANCE REQUIREMENT All international students are required to have health insurance and may purchase Lewer insurance for about $213 for 3 months at SFCC or SCC upon arrival. If you purchase other health insurance instead of Lewer, you are required to bring Proof of Coverage (in English). Community Colleges of Spokane does not discriminate on the basis of race, color, national origin, sex, disability, sexual orientation or age in its programs, activities or employment.
CCS 40-104 (Rev. 11/13)
Marketing and Public Relations
Reset form
CCS International Programs
INTERNATIONAL STUDENT ADMISSION APPLICATION I AM APPLYING TO: (CHECK ONE BOX) Spokane Falls Community College (SFCC) Academic student ESL student Send your application to: Spokane Falls Community College 3410 W Fort George Wright Dr MS 3011 Spokane WA 99224-5288 USA
Spokane Community College (SCC) Academic student ESL student Send your application to: Spokane Community College 1810 N Greene St MS 2151 Spokane WA 99217-5399 USA
ADMISSION APPLICATION REQUIREMENTS Applicants should send: 1. 2.
Completed and signed International Student Admission Application form and a copy of your passport. U.S. $100 application fee. Pay by check or money order payable to: Community Colleges of Spokane. Payment also may be made by credit card. Credit card type VISA MasterCard Name on credit card Account number Expiration date 3-digit CVV code An original bank statement verifying funds in the amount of U.S. $17,475 USD available applicant’s educational and living expenses during attendance.
3.
* If bank statement is NOT in applicant’s name, the bank account owner must submit an official Affidavit of Support, with the Bank Statement, stating his/her relationship to applicant and the amount of bank funds for applicant’s expenses during U.S. study. 4. A.
ESL ONLY: PROOF OF HIGH SCHOOLCOMPLETION OR GED IS NOT REQUIRED
B.
DIRECT ACADEMIC ADMISSION (not ESL): PROOF OF HIGH SCHOOL COMPLETION OR GED IS REQUIRED TOEFL score of 61 (IBT), or 500 (paper-based) or completion of a U.S. based accredited ESL program, IS REQUIRED
C.
ENROLLING IN ACADEMIC STUDY AFTER COMPLETING SCC/SFCC or other U.S. ESL PROGRAM: NO TOEFL REQUIRED! You are guaranteed admission to academic studies at SCC or SFCC, when you complete ESL at SCC or SFCC, if you have proof of High School graduation or GED. * Academic students with foreign college transcripts should contact the International Programs Offices for assistance. Date received
PLEASE TYPE OR PRINT WITH A BALL POINT PEN STUDENT ID NUMBER What quarter do you plan to begin?
Family name (as on passport)
Year
SHADED AREAS FOR OFFICE USE ONLY Gender
Fall (Sept. – Dec.)
Summer (June-Aug.)
Given name
M.I. Apt. No. State
U.S. address: number and street
ZIP Apt. No.
/
Birth date
Male
FOREIGN address: number and street (no PO Box accepted) City
Female
Month
Winter (Jan. – March)
/ Day
Year
Spring (March – June)
E-mail Day telephone (country code – city code – number) Evening telephone (country code – city code – number) In case of emergency, phone: Name
City
State
Zip
CO-ADMISSION PROGRAM - By special arrangement, you are permitted to pre-apply at one or more of our partner universities: University of Idaho www.uidaho.edu
Eastern Washington Univ. www.ewu.edu
Washington State Univ. www.wsu.edu
Northern Arizona Univ. www.nau.edu
MBA PROGRAM - By special arrangement with Eastern Washington University, you may pre-apply for admission to the EWU MBA program. MBA option www.ewu.edu/mba
Your enrollment at the Eastern Washington University is conditional upon completion of your associate of arts degree from SCC, and your baccalaureate degree from EWU. Further details related to this transfer option will be provided upon your admission to SCC and SFCC.
WHAT RACE DO YOU CONSIDER YOURSELF TO BE? White (800)
Filipino (608)
Black/African-American (872)
Korean (612)
Alaskan Native or American Indian (597)
Vietnamese (619)
Chinese (605)
Japanese (611)
CITIZENSHIP U.S. CITIZEN?
Yes
Other Asian or Pacific Islander (621) Other race (799) Are you of Spanish or Hispanic origin? No (999)
Yes (717)
Citizenship status
No
Res. code
Fee status
If not U.S. citizen, country of citizenship If not U.S. citizen, country of birth If not U.S. citizen, what type of visa do you have now (check one)? Include a photocopy of your current visa with your application. None Student (F-1 or M-1) Visitor (B-1 or B-2) Exchange visitor or dependent (J-1 or J-2) Other (specify)
PREVIOUS EDUCATION Name
City and country
Fr: Mo / Yr
To: Mo / Yr
Degree
H.S. code
High School Most recent college/university Other colleges/universities English language institute
FINANCES U.S. law requires you to establish your financial support while attending this college. Please answer the following carefully and accurately. I plan to support my education by: Amounts/term Amounts/year Personal funds, self-support
$
$
Family funds (parents or individual sponsors)
$
$
Government scholarship
$
$
EDUCATIONAL INTENT - Please check the ONE box that describes your educational intent LIBERAL ARTS I plan to earn the community college Associate of Arts (liberal arts) degree or associate of science (professional/technical) degree, but do not plan to transfer to a four-year institution. I plan to enroll in classes that will transfer to a program at another two-year institution. I plan to earn the community college Associate of Arts (liberal arts) degree to transfer to a four-year institution OR earn credits to transfer to a four-year institution. Four-year institution: Major: I plan to enroll in classes that will prepare me to enter a professional/technical program. PROFESSIONAL/TECHNICAL
NON-DEGREE SEEKING: JOB SKILL UPGRADE, PERSONAL ENRICHMENT
I plan to earn a two-year associate in applied science degree.
I plan to upgrade my job skills.
I plan to earn a one-year professional/technical certificate.
I plan to take classes for personal interest. (Not seeking a degree)
Major: ESL only
APPLICANT’S SIGNATURE - I certify that all the statements on this form are true. Applicant’s signature
Date
INSURANCE REQUIREMENT All international students are required to have health insurance and may purchase Lewer insurance for about $213 for 3 months at SFCC or SCC upon arrival. If you purchase other health insurance instead of Lewer, you are required to bring Proof of Coverage (in English). Community Colleges of Spokane does not discriminate on the basis of race, color, national origin, sex, disability, sexual orientation or age in its programs, activities or employment.
CCS 40-104 (Rev. 11/13)
Marketing and Public Relations
