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This application is for international students only.  U.S. citizens or immigrants should visit http://www.highline.edu/home/admissio.htm for application information.

 

Name as Printed on Passport (in English)

Last/Family Name:
First/Given Name:
Middle Name:
Present Home Information
Street Address:
City/State Country:
Postal Code  
Telephone: Fax:
Email Address:
Permanent Home Information
Permanent Street Address:
City/State Country:
Postal Code    
Telephone: Fax:
Country of birth: Country of
Citizenship:

Date of Birth (month/day/year):

Sex:
Marital Status:
List spouse and /or children who will accompany you to the United States.
Name:
Birth Date (mm/dd/yy):
Relationship to Applicant:
Name:
Birth Date (mm/dd/yy):
Relationship to Applicant:
Name:
Birth Date (mm/dd/yy):
Relationship to Applicant:
Educational Interests
Starting Quarter: Year:
How long do you plan to attend HCC?   
Desired program of study:
University Transfer Program Major:
Professional Technical Program 1 year (Certificate)
2 year (AAS Degree)
Major:
Undecided
Previous Education:
Prior education upon entry to HCC
What was the language of instruction at your  high school?
Name of last high school attended: City:
Country:
Graduated?
Yes No
Year:
Years Attended:
Have you attended university? No
Yes
Years Attended:
What  university did you attend?
Country:
Did you graduate from university? No
Yes
Year Graduated:
Testing
Have you taken your TOEFL exam?
Yes No
Test date:
TOEFL Score:
Have you taken another English proficiency exam?  If yes, which one? Test Score:
Visa Information
Do you currently have a valid U.S. Visa?
Yes No
If yes, what kind?
F-1 M-1
J-1 Other: 
If you are currently studying in the U.S.:
What institution issued your I-20?
Where are you
currently studying?
Current SEVIS ID from I-20 Form:

 
Passport
expiration date:

 
Have you applied for permanent residence (green card)? Yes No
Do you plan to travel outside the United States prior to the beginning of the quarter?
Yes No Don't know yet
If yes, please indicate date and location of travel:
Date (mm/dd/yy):

Location:

Medical Insurance
International students are required to carry medical insurance while attending Highline Community College. Students who are already covered by a sponsor or private company must show proof. Students not already covered must purchase insurance through the school's provider.
I will provide proof of International Student Insurance in English.
I will buy insurance through Highline Community College.
Housing
Living Arrangements: Homestay
Dormitory
I will find my own housing
Sponsorship/Financial Statement
How will you pay for your tuition and living expenses? My Own Funds
Family Funds
Government
Scholarship
Company Scholarship
Other:

To be signed by the sponsor/person responsible for the student's financial obligations.

In signing this document, I hereby agree to be financially responsible for (please type student's name) while attending Highline Community College. I understand that the expenses outlined here are estimates and are subject to change.

Sponsor's name
Relationship to applicant:
Type your name in the box below to indicate your agreement to pay all educational expenses for this student.

Sponsor's signature

Sponsor's address (please include city and country):
I agree that all information provided in this document is true and correct. (Type full name):

Student's signature:

Comments/Questions:

Please print a copy of this application for your records
BEFORE  you click the button below.

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