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.