International Student Application Template Page 3

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International Student Application
SECTION I – Personal Information
Complete all sections, incomplete applications may delay processing.
Application for: K Fall
K Spring
K Summer 200___ (year)
SSN:__________________________ (if applicable)
K Male
K Female
Name: ____________________________________________________________________________
Last (Family Name)
First (Given)
Middle
Birthdate: ____ /____ /____ (Month/ Day /Year)
Native (First) Language:_______________________________________________
Country of Birth: _________________________________
Country of Citizenship:________________________________________________
U.S. Immigration requires that all international students provide a legal address in their home country.
Student’s Home Foreign Address (REQUIRED):
United States Address or Advising Center address:
Address 1:_______________________________________________
________________________________________________________
Address 2:_______________________________________________
________________________________________________________
City: ____________________________________________________
________________________________________________________
Province / Territory: _______________________________________
________________________________________________________
Postal Code: _____________________________________________
________________________________________________________
Country: ________________________________________________
________________________________________________________
Telephone Number: ______________________________________
Telephone Number: ______________________________________
Fax: ____________________________________________________
Fax: ____________________________________________________
Email: __________________________________________________
Email: __________________________________________________
Indicate where you want the I-20 sent: K Foreign Address
K United States Address
K Advising Center
How did you find out about Sierra College? ________________________________________________________________________________
K Freshman (applying directly from secondary level)
Applying as a:
K Transfer (By the time a student begins Sierra, the student will have completed some course of study in the
United States. This includes study at high school, English language school, college, or university.)
Major: _________________________________________________________ (REQUIRED)
SECTION II – Visa Information
Are you currently living in the U.S.? K Yes K No
If No: Country passport issued: ________________ Passport number: ________________ Passport expiration date: ________________
Are you currently in SEVIS?______________________
What is your SEVIS number?_______________________
If you are currently living in the United States, provide the following information:
Date of entry: ____________
I-94 expiration date: ____________
K F-1 Visa, issued by: _________________________________________________________________
Name of institution you are currently attending:
______________________________________________________________________________________________________________
K B-1/B-2 visa
K H visa
K J-1 visa
K other (specify): _________________
-Application continued to page 4-
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