International Application

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PREFIX*

Mr. Ms. Mrs.

First Name (Given Names)*

Middle Name*

Last Name (Surname/Family Name)*

Phone Number - Local*

Phone Number - Foreign

Foreign Address*

This is your home country permanent address

US Address*

Email Address*

Date of Birth (Month/Day/Year)*

Place of Birth (Country or State, if U.S.A.)*

Country of Citizenship*

Other Name(s) under which your records appear

How did you hear about OCCC?

1. Current OCCC Student 2. My high school 3. College 4. Agency or Company 5. Family members

Name of person that referred you*

Student ID of person that referred you*

Location for the name of the high school the student attended

Location for the name of the college the student attended

Location for the agencies name and address, payment student made to agency

Family members

The following information is voluntary and will be not be used for the purpose of admission but for compliance with state and federal reporting purposes.

Have your parents earned a college degree?

Yes No

Start term in which you plan to attend:

Year*

Fall Spring Summer

Educational Goals:

Choose the option applicable to your current goals.

Program or Area of Interest you are pursuing:*

http://catalog.occc.edu/content.php?catoid=2&navoid=48

Degree or certificate seeking*

I plan to earn a degree at OCCC I plan to complete my basic coursework here and earn a degree at a four-year college I plan to apply for optional practical training after completion

Academic History:

Last High School Attended*

State/Country

High School Diploma:

Yes No

Year of Completion*

How many other colleges or English Language Schools have you attended while in the United States?

0 1 2 3

1. Please list the school name

Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application.

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

1. Please list the school name

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

2. Please list the school name

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

1. Please list the school name

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

2. Please list the school name

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

3. Please list the school name

Upload an official transcript

No File Chosen

File uploads may not work on some mobile devices.

Total Hours Earned:

My academic standing at the most recent institution attended was:

Good Probation Suspension

Please provide the following information about your F-1 VISA status:

Are you currently in the United States on a student visa?*

Yes No

Where are you currently a full-time student (what institution is currently responsible for your immigration paper work?)*

Are you currently in good status with this institution and with USCIS?*

Yes No

If no, please state reason

Visa . (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application*

No File Chosen

File uploads may not work on some mobile devices.

Passport (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

I-20 from current institution (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

I-94 (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

https://www.cbp.gov/travel/international-visitors/i-94-instructions

Bank Statement (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

Sponsor letter of support

No File Chosen

File uploads may not work on some mobile devices.

Proof of English Proficiency (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

Proficiency (Score a minimum of 500 on the paper-based TOEFL, 173 on the computer-based TOEFL, 61 on the internet-based TOEFL (IBT), or 5.5 on the IELTS, Submit an official transcript reflecting 24 completed college hours of accredited college work at a college or university in the United States. Submit an official U.S. high school transcript, with date of graduation, which indicates that all curricular requirements have been met. A list of curricular requirements is available from the Admissions Office.)

Financial Verification (https://www.occc.edu/wp-content/legacy/admissions/pdf/FinancialVerification.pdf) Copy, paste, and download form. (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

Signed by you and your sponsor

High school proof of graduation (Please submit files in PDF, DOX or RTF format. Failure to do so will result in a denied application)*

No File Chosen

File uploads may not work on some mobile devices.

Description Area

If you have any dependents, please provide the following information:

How many dependents?

None One Second Third Fourth

1. Surname/Family Name, First name or given name

1. Expiration date of passport:

1. Relationship to student:

1. Country of citizenship:

1. Passport

No File Chosen

File uploads may not work on some mobile devices.

1. Visa

No File Chosen

File uploads may not work on some mobile devices.

1. I-20

No File Chosen

File uploads may not work on some mobile devices.

1. I-94

No File Chosen

File uploads may not work on some mobile devices.

1. Bank Statement

No File Chosen

File uploads may not work on some mobile devices.

1. Financial Verification

No File Chosen

File uploads may not work on some mobile devices.

1. Proof of English Proficiency (http://www.occc.edu/admissions/pdf/international-student-financial-verification-form-04-20-16.pdf) signed by you and your sponsor

No File Chosen

File uploads may not work on some mobile devices.

Proficiency (Score a minimum of 500 on the paper-based TOEFL, 173 on the computer-based TOEFL, 61 on the internet-based TOEFL (IBT), or 5.5 on the IELTS, Submit an official transcript reflecting 24 completed college hours of accredited college work at a college or university in the United States. Submit an official U.S. high school transcript, with date of graduation, which indicates that all curricular requirements have been met. A list of curricular requirements is available from the Admissions Office.)

2. Surname/Family Name, First name or given name

2. Expiration date of passport:

2. Relationship to student:

2. Country of citizenship:

2. Passport

No File Chosen

File uploads may not work on some mobile devices.

2. Visa

No File Chosen

File uploads may not work on some mobile devices.

2. I-20

No File Chosen

File uploads may not work on some mobile devices.

2. I-94

No File Chosen

File uploads may not work on some mobile devices.

2. Bank Statement

No File Chosen

File uploads may not work on some mobile devices.

2. Financial Verification

No File Chosen

File uploads may not work on some mobile devices.

2. Proof of English Proficiency (http://www.occc.edu/admissions/pdf/international-student-financial-verification-form-04-20-16.pdf) signed by you and your sponsor

No File Chosen

File uploads may not work on some mobile devices.

Proficiency (Score a minimum of 500 on the paper-based TOEFL, 173 on the computer-based TOEFL, 61 on the internet-based TOEFL (IBT), or 5.5 on the IELTS, Submit an official transcript reflecting 24 completed college hours of accredited college work at a college or university in the United States. Submit an official U.S. high school transcript, with date of graduation, which indicates that all curricular requirements have been met. A list of curricular requirements is available from the Admissions Office.)

3. Surname/Family Name, First name or given name

3. Expiration date of passport:

3. Relationship to student:

3. Country of citizenship:

3. Passport

No File Chosen

File uploads may not work on some mobile devices.

3. Visa

No File Chosen

File uploads may not work on some mobile devices.

3. I-20

No File Chosen

File uploads may not work on some mobile devices.

3. I-94

No File Chosen

File uploads may not work on some mobile devices.

3. Bank Statement

No File Chosen

File uploads may not work on some mobile devices.

3. Financial Verification

No File Chosen

File uploads may not work on some mobile devices.

3. Proof of English Proficiency (http://www.occc.edu/admissions/pdf/international-student-financial-verification-form-04-20-16.pdf) signed by you and your sponsor

No File Chosen

File uploads may not work on some mobile devices.

Proficiency (Score a minimum of 500 on the paper-based TOEFL, 173 on the computer-based TOEFL, 61 on the internet-based TOEFL (IBT), or 5.5 on the IELTS, Submit an official transcript reflecting 24 completed college hours of accredited college work at a college or university in the United States. Submit an official U.S. high school transcript, with date of graduation, which indicates that all curricular requirements have been met. A list of curricular requirements is available from the Admissions Office.)

4. Surname/Family Name, First name or given name

4. Expiration date of passport:

4. Relationship to student:

4. Country of citizenship:

4. Passport

No File Chosen

File uploads may not work on some mobile devices.

4. Visa

No File Chosen

File uploads may not work on some mobile devices.

4. I-20

No File Chosen

File uploads may not work on some mobile devices.

4. I-94

No File Chosen

File uploads may not work on some mobile devices.

4. Bank Statement

No File Chosen

File uploads may not work on some mobile devices.

4. Financial Verification

No File Chosen

File uploads may not work on some mobile devices.

4. Proof of English Proficiency (http://www.occc.edu/admissions/pdf/international-student-financial-verification-form-04-20-16.pdf) signed by you and your sponsor

No File Chosen

File uploads may not work on some mobile devices.

Proficiency (Score a minimum of 500 on the paper-based TOEFL, 173 on the computer-based TOEFL, 61 on the internet-based TOEFL (IBT), or 5.5 on the IELTS, Submit an official transcript reflecting 24 completed college hours of accredited college work at a college or university in the United States. Submit an official U.S. high school transcript, with date of graduation, which indicates that all curricular requirements have been met. A list of curricular requirements is available from the Admissions Office.)

Admissions Agreement:

I certify that all information given here is complete and correct to the best of my knowledge. I understand that failure to list all previously attended colleges or the submission of false information/academic records is grounds for denial of admission or immediate suspension. I agree to submit all required credentials, including those specifically listed, and realize that failure to do so will result in my being denied readmission and a hold being placed on my academic records. As a student of Oklahoma City Community College, I authorize all other previously attended educational institutions to release to this college all records pertaining to my academic/student history. I understand that this institution may release student directory information to other institutions, agencies or individuals unless I specifically, in writing, request otherwise.

I also understand that I am required to provide official copies of all requested educational records to OCCC. Failure to do so may result in a hold being placed on my student account of other disciplinary actions may be taken. I also understand that it is my responsibility to ensure that OCCC has a complete and accurate academic history during my time as an active student.

I further agree that upon admission to Oklahoma City Community College it is my responsibility to read the College Catalog and to abide by its rules and regulations regarding conduct and other obligations which have been made by properly constituted authorities.

Information for persons with disabilities:

Oklahoma City Community College, in support of and in compliance with the Americans wih Disabilities Act, welcomes requests for reasonable accommodation. Please contact the Office of Student Support Services for further information. 405-682-7520

Student Vaccination Status:

In compliance with Oklahoma Law and in accordance with Oklahoma City Community College Board of Regent Policy, the following information is required of all new students.

Please check ONLY one of the following:*

I hereby certify that I have received the vaccinations for measles, mumps, rubella, and hepatitis B I hereby certify that the administration of the vaccines for measles, mumps, rubella, and hepatitis B conflict with my moral or religious tenets

If my status at this institution changes so that the above claimed exemption no longer exists, I understand it is my responsibility to notify the institution of these changes and to provide my vaccination information before I enroll in additional courses.

By typing my name below I certify that the information and supporting documentation is true and accurate to the best of my belief. I understand that falsification of this document is a violation of the Student Conduct code and such conduct could result in suspension, expulsion, or other disciplinary action taken by the college.*

Date/Time