Wayne County Community College District - International Student Application For Admission Page 2

Admission Information

Wayne County Community College District

(PLEASE PRINT OR TYPE)

– ANSWER ALL ITEMS –

International Student

WELCOME

• Statement of Financial Support (form must have original signatures; download and

Wayne County Community College District (WCCCD) welcomes applications from

complete) along with Original bank letter from the student's financial supporter showing a

Application for Admission

international students who have completed secondary education and are eligible for

minimum amount of $17,209 (More money must be shown for dependents, $4,350 for a

admission to college-level studies. An accredited two-year community college, WCCCD

spouse and $4,350 for each child) signed by an authorized bank official on bank letterhead.

WCCCD ID:________________________________________

offers the following degrees: Associate of Arts, Associate of Science, Associate of Applied

Computer print-outs are not acceptable

STUDENT INFORMATION

Science, Associate of General Studies and certificates in a variety of programs.

ALL FINANCIAL DOCUMENTS WILL BE VERIFIED BEFORE AN ADMISSION

Please ensure your name is spelled correctly. Per guidelines issued by the Department of Homeland Security (DHS), the passport has been designated as the official name-giving

DECISION IS MADE

document. Therefore, please write your name exactly as it is shown on your passport.

ABOUT WAYNE COUNTY COMMUNITY COLLEGE DISTRICT

The College serves as a leader providing educational services and training to residents of

TRANSFER STUDENTS

☐ Mr. ☐ Ms. Name: (Given) ____________________________(Middle) ______________________(Family) ________________________________Gender ______________

Southeast Michigan. Distinctive in its purpose and history, WCCCD was established by

If you are currently an F-1 student in the U.S. and want to transfer to Wayne County

a public mandate and chartered in 1967. In 1969, the first classes were offered by the

Community College District, you must submit the following documents.

PRESENT ADDRESS

institution known as the “college without walls,” reflecting that WCCCD had no

Complete steps 1-5 listed above under New Students (above) and the steps listed below:

Number and Street________________________________________________________Town/City ________________________Province/State ______________________Country ______________Zip Code _ _ _ _ _ _ _ _ _ _ _ _

buildings or facilities of its own. By 1982, the College had constructed five campuses

• An International Student Transfer Clearance Form completed by the International

within its 550-square-mile service district. As a two-year “open door” institution,

Student Advisor at your current school.

Permanent Address (Overseas)

WCCCD is committed to providing an affordable high-quality education in an

• A photocopy of your I-20, Visa page of your passport and copy of your I-94 card

atmosphere of friendly support and encouragement.

(front and back) if your most recent entry to the U.S. was prior to April 30, 2013.

Number and Street________________________________________________________Town/City ________________________Province/State ______________________Country ______________Zip Code _ _ _ _ _ _ _ _ _ _ _ _

If your most recent entry occurred after April 30, 2013, print out an electronic copy

LOCATION

of the I-94 at

Telephone Number __________________________________________________________ Email Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Wayne County Community College District’s six facilities are located in suburban,

• Submit all documents at least 2 months prior to the start of the semester you plan to

Country of Birth ____________________________________________________________ Date of Birth (month/day/year)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

urban, and rural areas of Wayne County. Metropolitan Detroit offers a broad choice of

begin classes.

cultural institutions and recreational activities, including major sports teams. In addition

Country of Citizenship ______________________________________________________

to being the world’s automotive capital, Detroit is host to leading medical institutions,

GENERAL INFORMATION

high-technology manufacturers, and international-class financial institutions.

Wayne County Community College District has no financial aid or scholarships for

If currently in U.S., State VISA Status ____________Expiration Date of VISA ____________________________

international students. In addition, it is a commuter college and has no dormitory

EMERGENCY CONTACT (in the United States)

INTERNATIONAL STUDENT ADMISSION POLICY

facilities. It is the student’s responsibility to locate and finance living accommodations.

• A completed Wayne County Community College District International Student

☐ Mr. ☐ Ms. Name: (Given)____________________________ (Middle) ______________________(Family) ______________________________________

Application (with original signatures, no copies) for Admission form submitted by

STATEMENT OF COMPLIANCE WITH FEDERAL AND STATE LAW

the application deadline. Please provide complete information. Incomplete forms will

Wayne County Community College District, pursuant to the requirements of Titles VI

Number and Street________________________________________________________Town/City ________________________Province/State ______________________Country ______________Zip Code _ _ _ _ _ _ _ _ _ _ _ _

result in delays in reviewing applications.

and VII of the Civil Rights Act of 1964; Title IX of the Education Amendments of

• Official high or secondary school transcript/certificate

1972; Section 504 of the Rehabilitation Act of 1973; the Age Discrimination Act of

Telephone Number____________________________________________________________________

a. All foreign Secondary School and College credentials not in English must be evaluated

1975; The Vietnam-Era Veterans Readjustment Act of 1974; the Elliott-Larsen Civil

Relationship: ☐ Parent

☐ Legal Guardian

☐ Spouse

☐ Uncle/Aunt

☐ Other

by Educational Credential Evaluation (ECE) or World Education Services (WES).

Rights Act, and Executive Order 11246, complies with all Federal and State laws and

b. For Secondary School credentials: If selecting ECE, you must request the General

regulations prohibiting discrimination and with all requirements and regulations of the

Intended field of study_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Evaluation report. If selecting WES, you must request the Document-by-Document

U.S. Department of Education.

Educational objective: ☐ Transfer to a senior college

☐ Associate’s degree only – not transferring to senior college

☐ Associate’s degree and transfer to a senior college

Evaluation.

It is the policy of WCCCD that no person, on the basis of race, color, religion, national

• Official university/college transcripts (if applicable) For College credentials and transcripts:

origin, age, sex, height, weight, marital status or handicap, shall be discriminated

What type of application is being filed?

If selecting ECE, you must request the Course-by-Course Evaluation. If selecting WES,

against, excluded from participation in, denied the benefits program, or activity for

you must request the Comprehensive Course-by-Course Evaluation. You must request that

which it is responsible or for which it receives financial assistance from the U.S.

☐ New Student

☐ Transfer Student

☐ Change of Status

☐ Guest ☐ Other ______________________________

the ECE or WES evaluation of college credentials be mailed directly to Wayne County

Department of Education. (Policy adopted by the Wayne County Community College

(Specify)

Community College District at the address listed on the Admission Application.

District Board of Trustees July 28, 1993)

☐ Fall

☐ Spring

☐ Summer

☐ Year ____________

• English Language Proficiency Scores. Wayne County Community College District

Check semester you wish to begin at WCCCD:

international student applicants are required to provide the Office of International Programs

NOTICE OF NONDISCRIMINATION POLICY

☐ Yes

☐ No

Did you take the TOEFL TEST?

Date taken ____________Score ____________________ (Official scores must be sent to the Admissions Office)

and Global Partnership with valid documentation of English proficiency. Confirming one

Any questions concerning Title IX of the Education Amendments of 1972, which

or more of the following options will meet the English proficiency requirement at WCCCD:

prohibits discrimination on the basis of sex, or inquiries related to Section 504 of the

☐ Yes

☐ No

Did you take the Michigan test?

Date taken ____________Score ____________________ (Official scores must be sent to the Admissions Office)

a. An official high school transcript from an accredited U.S. high school with the

Rehabilitation Act of 1973 which prohibits discrimination on the basis of handicap,

graduation/completion date clearly listed or

and inquiries related to Title II of the Americans with Disabilities Act (ADA), which

SECONDARY SCHOOL FROM WHICH YOU GRADUATED OR WILL GRADUATE

b. Official TOEFL or IELTS results within the score range of: Paper-based TOEFL = 500

provides comprehensive civil rights protection for individuals with disabilities, or the

Dates Attended

or above; Computer-based TOEFL = 173 or above; Internet-based TOEFL = 61 or

College’s Statement of Compliance with Federal and State law, should be directed to

Name of Institution

Location

From

To

Name of Diploma/Certificate

Date Received

above; IELTS = 6.

Director of Human Resources, Wayne County Community College District,

c. (NOTE: TOEFL scores must be sent directly from Educational Testing Service and

801 W. Fort, Detroit, MI 48226 or by calling: 313-496-2887.

cannot be more than 2 years old. To order a test report from ETS, call: 609-771-

7100. WCCCD's school code is 1937. For IELTS, test scores should be mailed

ACCREDITATION

from the IELTS test administrator to the International Programs and Global

Wayne County Community College District is accredited by the Higher Learning

UNIVERSITY OR INSTITUTIONS OF HIGHER LEARNING ATTENDED

Partnership Office, WCCCD, 801 W. Fort Street, Detroit, MI 48226). Or

Commission of the North Central Association of Colleges and Schools (230 South

Dates Attended

d. At least 24 hours of college level credit from a U.S. college or university that will

LaSalle Street, Suite 7-500, Chicago, Illinois 60604-1411, phone: 1-800-621-7440).

Name of Institution

Location

From

To

Name of Diploma/Certificate

Date Received

transfer to Wayne County Community College District or

In addition, specific program accreditation have been granted by several

e. The student comes from a country that uses English as the official/main language of

accrediting bodies. For more information on program accreditations, visit

communication. Students who use English as a first language, are NOT required to

submit TOEFL / IELTS scores; however proficiency testing once the student arrives

may require the student to take developmental English classes.

• Complete a valid Affidavit of Support, Form I-134 if your sponsor is in the United States,

accompanied by evidence of financial ability to provide for your education and other

expenses in the amount of $17, 209.

SPONSOR’S NAME/ADDRESS

☐ Mr. ☐ Ms. Name: (Given) ____________________________ (Middle) ______________________(Family) ______________________

Number and Street________________________________________________________Town/City ________________________Province/State ______________________Country ______________Zip Code _ _ _ _ _ _ _ _ _ _ _ _

10-2014

Return completed form to: International Programs Office, Wayne County Community College District, 801 W. Fort, Detroit, MI 48226