International Student Admission Application

Transcription

1 Dear Prospective International Student: International Student Admission Application Thank you for your interest in Century College, a two-year college with over 10,000 students, located in White Bear Lake, Minnesota, a suburban community located about 10 miles north of the state capital, Saint Paul. White Bear Lake has a population of 26,000, and is part of Twin Cities (Minneapolis-St. Paul) metro, which includes over 2.9 million residents. Century College offers over 40 programs of study leading to two-year Associate Degrees in Arts, Sciences, or Applied Sciences. Century also offers courses that allow students to complete the general education courses of a wide range of majors, transferable to four-year colleges and universities. The academic year is divided into two semesters, during which an international student must be enrolled full time with 12 or more credits, usually taking three to four different courses each semester. The fall semester runs from late August through mid- December and the spring semester runs from mid-january to mid-may. Minnesota s climate includes all four seasons. The weather ranges from 21 to 32 degrees centigrade (June through August), and -6 to-12 degrees centigrade (December through February). Century College offers many opportunities for involvement through our Student Life activities, as well as our Intramurals and Athletics programs. You can learn more about Century College by visiting Century College s vision is to be a national leader in transforming lives through an innovative, rigorous, and compassionate approach to education. Its mission is to inspire, prepare, and empower students to succeed in a changing world. I am sure you will find Century College to be an excellent choice at which to pursue your educational goals and to experience the Minnesota lifestyle. We look forward to welcoming you to our campus. Sincerely, International Student Admissions Century College 3300 Century Avenue North, West Campus White Bear Lake, MN USA phone: toll free: ext fax: International@century.edu Century College is an equal opportunity, affirmative action employer and educator, and a member of the Minnesota State College and University system. This document can be made available in alternative formats to individuals with disabilities by calling or MN Relay Service

2 Application Deadlines All required documentation MUST BE RECEIVED in the Admissions Office BY THE DEADLINE dates listed below. Late arrivals will be considered for the following semester. Academic Terms Arrive By Fall Semester 2018 August 20 Spring Semester 2019 January 7 Fall Semester 2019 August 12 Spring Semester 2020 January 1 **Application Deadlines** Begins On Ends On From Outside U.S. Inside U.S. Transfers August 27 December 20, 2018 May 1, 2018 July 1, 2018 January 14 May 16, 2019 October 1, 2018 December 1, 2018 August 19 December 12, 2019 May 1, 2019 July 1, 2019 January 7 May 10, 2020 October 1, 2020 December 1, 2020 Who should use the International Student Application? Foreign students living abroad who wish to receive an I-20 Form to study as a full time student. Non-immigrant aliens currently in the US, with any type of visa, who wish to change their visa status to F-1. Additional documentation will need to be submitted to the Immigration Service. Non-immigrant aliens currently in the US with visas such as B, F, H, J, K, TPS, and etc., and applicants for political asylum. If you are not trying to change your current visa to a student visa, please submit all application materials except the Financial Responsibility Form, bank documents, and International Student Agreement Form. Those having B-1/B-2 and F-2 visa status must apply for a change of non-immigrant visa status through the U.S. Immigration Service, and must have approval of their visa status change prior to registering for any courses. United States Citizens, Permanent Residents, Refugees, Approved Asylees, and Undocumented Individuals should apply with the standard new student application online at SPECIAL APPLICATIONS, PREREQUISITES, and HIGH DEMAND PROGRAMS Due to the high demand for the career programs listed below, Century College cannot guarantee that you will be able to start in your intended career program immediately upon admission to Century College. In some cases, students academic plans will need to change, due to limited openings in certain career programs. Special application forms and/or processes are required for the following programs: Dental Assisting and Dental Hygiene Kitchen and Bath Design Certification (on-line) Medical Assistant Nursing Orthotic Technician and Orthotic Practitioner Orthotic and Prosthetic Clinical Applications Paramedic Prosthetic Technician and Prosthetic Practitioner Radiologic Technology ENGLISH PROFICIENCY REQUIREMENTS FOR ADMISSION Century College requires the following minimum English proficiency scores for admission: TOEFL Internet Based Test (ibt) 53 TOEFL Paper & Pencil Based Test 480 IELTS Test Century College s Accuplacer-ESL Test placement into ESOL 0020 level courses or higher Century College assessment testing is required for all new students at the college to receive course placements and complete course registration. Students may receive placement into ESOL, pre-college, or college-level courses. Completion of ESOL and pre-college courses is generally required before students can register in courses of his or her intended degree program. ESOL and pre-college courses are numbered below 1000 and provide credits to satisfy visa fulltime enrollment requirements, but do not provide credits toward graduation or college transfer. Assessment testing must be taken upon students arrival on campus.

3 International Student Admission Application INTENDED START DATE: ** Application Deadlines on previous page. [] Fall Semester (year) [] Spring Semester (year) (Page 1 or 3) *INTERNATIONAL STUDENT ADMISSION DOES NOT ADMIT F-1 VISA SUMMER SEMESTER START OR TRANSFER.* Have you attended this college before? [] Yes [] No If yes, last year attended: A non-refundable Application Fee of $20.00 USD, made payable to Century College, is required with this application. Western Union or banks handling international accounts can provide you a check payable in U. S. Dollars. Thank you. PERSONAL INFORMATION (Print your name clearly, just as it appears on your passport.*) Address: Surname/Family Name* Given/First Name Middle Name Home Country Address City State Country Mailing/ZIP Code U. S. Mailing Address City State Mailing/Zip Code Cell Phone Number Other United States Phone Number Birth Date (Month/Day/Year) Gender ( ) Male ( ) Female City of Birth Country of Birth Country of Citizenship Native Language - - Note: Many colleges/universities use Social Security numbers for student identification purposes on student records. U.S. Soc. Sec. # (optional if available) Providing your Social Security number is voluntary. If you do not provide this number, your application will still be processed. This data is requested for purposes of administration, program evaluation and consumer and alumni data. Your number may also be used to create summary information about system programs through data matches with other state agencies.. List below family members who will travel with you and have F-2 visa status: Full Name and Relationship Full Name and Relationship Full Name and Relationship VISA INFORMATION ** (Only complete if you are already in the United States) **Attach to this application, copies of passport, visa, BOTH SIDES of I-94 form, and current I-20, if applicable. Specify current visa type: [] B [] F-1 [] F-2 [] H-1 / H-4 [] J-1 []K []R [] Other Classification: Are you seeking to change your visa status to F-1, prior to registering for courses at Century College? Yes No

4 EMERGENCY CONTACTS In the United States: (Page 2 of 3) Name (Last, First, Middle) Relationship Address Complete Address, City, State, Mailing/Zip Code Telephone Number In your Home Country: Name (Last, First, Middle) Relationship Address Complete Address, City, State, Country, Mailing/Zip Code Telephone Number EDUCATIONAL GOALS: What is your current educational intent at Century College? Only mark one [] box. [] Complete courses, but not a degree (not an option for F-1 students on I-20 s at Century College) [] Earn an occupational certificate/diploma. Please list program name: (not an option for F-1 students) [] Earn an online Kitchen and Bath Design Certificate (for International Students not seeking I-20 or to travel to United States) [] Earn an Associate in Fine Arts (AFA) Degree in Music and transfer to a four-year college or university to major in:. [] Earn an Associate in Arts (AA) Degree and transfer to a four-year college or university to major in:. [] Earn an Associate in Science (AS) Degree in the program circled below: 5901 Business Transfer Pathway 5109 Computer Science 5901 Biology Transfer Pathway 5504 Criminal Justice 5107 Computer Information Systems 5900 Engineering Broad Field 5597 Human Services 5505 Law Enforcement 5258 Nursing * 5031 Horticulture Science 5021 Education 5899 Psychology Transfer Pathway 5839 Health Sciences Broad Field 5895 Addiction Counseling 5833 Individualized Studies for Transfer Associate in Applied Science Degree Programs Circle your intended program: [] Earn an Associate in Applied Science (AAS) Degree in the program circled below: D Animation (VCT) 5030 Accounting 5881 Additive & Digital Manufacturing 5060 Administrative Assistant 5897 Applied Big Data Analytics 5040 Business Management 5036 Cloud Computing & Virtualization Security 5598 Cosmetology 5854 Cybersecurity, Virtualization & Forensics 5629 Dental Assistant* 5223 Dental Hygiene* 5637 Paramedic* 5816 Energy Technical Specialist 5391 Engineering CAD Technology 5850 Enterprise Computing Technology 5834 Individualized Studies for Occupation 5885 Facilities Maintenance Engineer 5875 Filmmaking & Video Production (VCT) 5873 Graphic Design (VCT) 5322 Heating, Vent. & Air Cond. Tech 5891 Horticulture Technology 5035 Information & Telecommunications 5455 Interior Design 5050 Marketing Management 5052 Marketing Communications Tech 5093 Medical Office Assistant 5288 Orthotic Technology* 5843 Orthotic & Prosthetic Fitter 5883 Professional Photography (VCT) 5289 Prosthetic Technology* 5506 Public Safety 5256 Radiologic Technology* 5025 Translating and Interpreting 5869 Web Design (VCT) *Special Program Applications and Admission Requirements are needed for acceptance into the following programs: Dental Assistant, Dental Hygiene, Emergency Medical Services - Paramedic Technology, Nursing, Orthotic Technology, Prosthetic Technology, and Radiologic Technology. An application form, separate from that used for admission to Century College, is required.

5 EDUCATIONAL RECORD: Please list all prior high schools, ESL programs, colleges, and universities that you have attended. Attach to this application, copies of your educational records, along with English translations. Include your high school and all schools, through the most recently attended. If you are seeking a degree, and have transferable foreign college/university credits, please request that your international transcript(s) be sent by your former school(s) directly to a credential evaluation service, such as, World Education Services, Inc. or Educational Credential Evaluators. Once an evaluation service has assessed your transcript(s), a Century College academic counselor can work with you to petition for the satisfaction of specific degree requires, based on your transferable credits. (Page 3 of 3) Name of your High School, College and/or University Location of Institution: City and Country Start Date Leaving Date What Certificate/Degree/ or Diploma Received & -> Month & Year Recv d The college is asking you to provide information that includes private and/or confidential information under state and federal law, in order to process your application. You are not legally required to provide this information; however, the college may not be able to effectively process your application if you do not provide sufficient information. With some exceptions, unless you consent to further release of private information, access to this information will be limited to school officials, including faculty who have legitimate educational interests in the information. Under certain circumstances, federal and state laws authorize release of private information without your consent: to schools in which you seek or intend to enroll, or are enrolled, to federal, state or local officials for purposes of program compliance, audit or evaluation, as appropriate in connection with your application for, or receipt of financial aid, to your parents, if your parents claim you as a dependent student for tax purposes, if the information is sought with a subpoena, court order, or otherwise permitted by other state or federal law, and to an organization engaged in educational research or an accrediting agency. CERTIFICATION: (Your application must be signed and dated) I certify that the information I have provided on this application and all other materials are complete, accurate and true to the best of my knowledge. I understand that is my responsibility to request that official transcripts from each academic institution I have attended be sent directly to Century College. As a student in a public institution, I understand that my photo may be taken in a group setting, classroom or large group gathering for promotional purposes. Applicant s Signature: Date: ====================================================================================================================== REQUEST FOR CONFIDENTIAL INFORMATION, not required for admission purposes: Providing the following information is voluntary. This information will assist Minnesota State Colleges and Universities in evaluating student recruitment and retention policies. It will not be used as a basis for admission. Are you Hispanic or Latino? (a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central America, or other Spanish culture, regardless of race)? [] yes [] no Race and ethnic background (select any that apply) [] American Indian or Alaska Native A person having origins in any of the original peoples of North, Central or South America and who maintains tribal affiliation or community attachment [] Asian A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent [] Black or African American A person having origins in any of the black racial groups of Africa [] Native Hawaiian or Other Pacific Islander A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands [] White A person having origins in any of the original peoples of Europe, the Middle East or North Africa What is the highest level of education for your parent (s)/guardian(s)? Please respond for the parent(s), step-parent(s), adoptive parent(s) or guardian(s) who raised you. Check only one box for each parent/guardian. Parent/Guardian #1 [] No high school diploma [] High school diploma [] Some college [] Two-year college degree/diploma [] Bachelor s degree or higher [] Don t know Parent/Guardian #2 [] No high school diploma [] High school diploma [] Some college [] Two-year college degree/diploma [] Bachelor s degree or higher [] Don t know

6 International Student Agreement Please sign and submit this agreement with your application. If admitted to Century College, I agree to: Maintain my status with respect to United States Citizenship and Immigration Service (USCIS) regulations and Minnesota State Colleges and Universities policy for the duration of my studies at Century College. F-1 visa status students must: 1. Be enrolled as a full-time student for 12 or more credits during Fall and Spring semesters. 2. Not be employed outside of Century College campus without proper authorization from Century College and/or USCIS. 3. Purchase the Minnesota State Colleges and Universities health insurance plan during enrollment. ** 4. Maintain a valid passport and form I-20 at all times. ** Students must maintain health insurance coverage throughout the duration of their attendance at Century College. Student coverage will be re-verified every year. It is the student s responsibility to make sure insurance is renewed every year of attendance. Century College reserves the right to suspend students who do not comply with this mandatory insurance requirement. Century College assumes no responsibility for medical expenses. Abide by Century College policies and procedures as they apply to student conduct and academic progress. Arrive in time prior to the start date of the semester at Century College in order to complete course placement testing, attend New Student and International Student orientations, and complete course registration. Complete the Tuberculin Skin Test (TST) at Century College s Health Services Office during the first semester to determine exposure to tuberculosis. Complete tuberculin follow-up exam and treatment, if recommended. Provide proof of immunizations for measles, mumps and rubella (MMR) and for diphtheria and tetanus (DT). Have adequate funds to meet all my expenses during my studies at Century College. Please print your name: Last First Middle Your signature: Date:

7 Financial Responsibility Form (Page 1 of 2) You must complete the reverse side of this statement and return it with your application. Please attach required bank documentation(s) along with required official stamps or seals noting that your identity was verified when signing this form. Century College requires certification of adequate financial support from applicants with non-immigrant visas. The certification statement on the next page must be on file at Century College before admission will be considered. A student must be prepared to pay for his/her first semester tuition and fees, books and supplies, and the annual injury and sickness insurance costs, immediately upon arriving at Century College. Financial aid is not available to international students. ESTIMATED COSTS FOR ATTENDANCE AND LIVING EXPENSIVES* * Tuition and fees are set by the Minnesota State Colleges and Universities Board of Trustees each July, preceding the academic year. Costs listed below are subject to change. Current tuition and fees are on the college s website, at Amounts shown below are in USDs. Items Estimated Full Year Cost for: Tuition and fees * (12 credits x 2 semesters x $ Rate) {Rate $190} = $4,560 {Rate $190} = $4,560 Books, supplies, and fees ** (2 semesters) 1,400 1,400 Injury & Sickness Insurance *** (12 months) 1,400 1,400 Room and Board/Food 9,600 9,700 Transportation 2,000 2,000 Miscellaneous/Personal Expenses 3,000 3,000 TOTAL $21,960 $22,060 If including a spouse as F-2 dependent $3,500 $3,500 If including a child as F-2 dependent $2,500 (per child) $2,500 Century College does not provide campus housing or make living arrangements for students. Students are responsible for arranging their own living and transportation accommodations prior to arriving to the college. * Tuition rates are generally higher by $20 per credit for on-line courses, by $35 per credit for Nursing discipline courses, and by $26 per credit for Dental Assisting & Hygiene, Orthotic Technician & Practitioner, and Prosthetic Technician & Practitioner discipline courses. Shown above is the rate for the minimum credit registration required during Fall and Spring Semesters (12+12=24 credits) in general academic discipline courses, including those within the discipline of English for Speakers of Other Languages (ESOL), and those courses numbered below 1000 and considered pre-college level or developmental level. Students often register for more than the minimum number credits during Fall and Spring semesters, and also take Summer Session courses, thus increasing expenses for tuition, fees, books, and supplies beyond the above estimated costs. ** Tools and materials in trade/technical programs can cost up to $3500, and are the student s responsibility. *** Injury and Sickness Insurance is required, and needs to be paid for each year prior to course registration. Century College offers a health insurance policy for students to purchase with UnitedHealthcare. Prices for the policy is subject to change each academic year. Single students must provide evidence of minimum financial support in the amounts shown above to meet expenses for one calendar year in the United States. If applicable, an Affidavit of Support form, USCIS Form I-134, available at can be completed to provide evidence of support for Room and Board, Transportation, and Miscellaneous/Personal Expenses, which composes the majority of the total annual costs, leaving the remainder to be covered by banking documents. Student who cannot demonstrate that they have sufficient funds will not be admitted to the college.

8 *Applicant and Financial Sponsor must sign this form and submit supporting financial documents. Financial Responsibility Form (Page 2 of 2) By signing this form, the student affirms that: 1. I will have sufficient funds available to pay all of my necessary expenses in the amount indicated on the reverse side of this form for the duration of my studies at Century College and will further be able to pay for travel to and from my home country. 2. I understand that I will not receive financial aid (grants, loans, or employment) from the college. 3. The source(s) of my supporting funds, listed below, are shown in US dollars: Source of Funds: mark with X all that apply Required Supporting Documents Amount in US Dollars Personal funds/self supporting Bank statement Parents/family: Relationship Bank statement Sponsor support: Name Bank statement Your government (Specify name) Signed copy of the award letter Scholarship: Signed letter with details of award Other: Name Affidavit of Support: Form I-134 and supporting evidence, see **If you are including other dependents staying in the US, you must include $3,500 for your spouse and $2,500 for each child in your minimum total. ** SPONSOR CONTRIBUTING THE LARGEST AMOUNT MUST SIGN CERTIFICATION OF SUPPORTING FUNDS: TOTAL FUNDS: (Total must equal at least the minimum estimated annual amount) ** ADJUSTED TOTAL: (For students with dependents) I,, have agreed to financially support the student named on this application. (Print Sponsor s Name) I have presented true and accurate information to demonstrate my financial ability to support the education and/or living expenses of the student named on this application to attend Century College. I have agreed for Century College to contact me regarding the education and/or living expenses of the student named on this application. Sponsor s Signature: Date: Relationship to Student: ** STUDENT MUST SIGN THIS SECTION I certified that I have presented true and accurate information on this form, and funds will be available for education and living expenses for me to study at Century College. I understand that any misrepresentation may be cause for denial of my admission to Century College. Student s Name: Student s Signature: Date: Relationship to Sponsor:

9 Century Community and Technical College Transfer Eligibility Form THIS FORM IS USED FOR ADMISSION DETERMINATION PURPOSES ONLY. IF ADMITTED, A LETTER OF ACCEPTANCE WILL BE ISSUED AND STUDENT S SEVIS RECORD WILL BE REQUESTED FROM YOU IN THE FUTURE. SECTION #1 F-1 students complete Section #1 of this form and then have your current school s International Advisor (Designated School Official) complete Section #2. Print name: Birth Date: Last First Middle Month /Day /Year I, (your signature) authorize the International Student Advisor (or Designated School Official) at to provide to Current or previous college/university/esl program Century College the information requested in Section #2 below. SECTION #2 International Student Advisor (Designated School Official), please complete A-E below; and then, fax, mail, or completed form to Century College. Above Student s SEVIS ID Number: A. The above student: [] Is currently enrolled full-time at this school during term/year, which ends on [] Is enrolled less than full-time at this school because [] Has completed his/her program of study at this school on (date) [] Did not complete his/her program of study. Last known date of attendance was [] Never reported to this school, as per I-20 issued to student. B. Is the above named student currently serving an ACADEMIC SUSPENSION at your institution? [] No [] Yes C. Has the above named student met all financial obligations to your institution? [] No [] Yes D. To the best of my knowledge, the above student is: [] In status with respect to Immigration and Naturalization Service regulations [] Out of status with respect to immigration regulations because: and [] A reinstatement for student status is pending [] Student has been advised that a reinstatement will be required by his/her new school E. Name of School Address Officials Printed Name Signature Telephone address Today s Date Fax, Mail or form to: International Admissions Century College 3300 Century Avenue North, West Campus White Bear Lake, MN USA phone: or x3274 fax international@century.edu

10 Application Checklist for International Students Applicants seeking an I-20 Form for an F-1 student visa, need to complete items A-O below. Applicants having J, H, L and other non-immigrant visas, complete only items A-E and L-O. If you have questions, please contact the International Student Admissions, at or international@century.edu. A. International Student Admission Application. Must include home country address and student s signature. B. Application Fee of $20 U.S. dollars. Application Fee is non-refundable. Int l Bank checks are acceptable. C. High school or secondary school diploma/certificate showing date of completion, with English translation. D. Optional: Official university/college transcripts can be submitted directly to or for transfer credit/degree evaluation, with Century College designated to receive evaluation results. E. Proof of English proficiency. TOEFL or IELTS scores must be sent directly from the testing center. Century College s school code is Minimum TOEFL scores are: Internet Based Test - 53 and Paper Test - 480; IELTS s is 5. If you are applying from inside the U.S., you can substitute Century College s Accuplacer-ESL test for the TOFEL or IELTS test. F. International Student Agreement Form, with student s original signature. G. Financial Statement Form with both Financial Sponsor s and Student s signatures notarized or certified. H. Supporting bank and/or or other financial documents. Documents must be certified originals or certified true copies, and prepared within 90 days of the submission of the application. I. If applicable, Transfer Eligibility Form signed by a Designated School Official at current school. J. If applicable, Photocopy of Application to Extend/Change/Reinstate Status Form, I-539. K. If applicable, Pay $200 USD Student and Exchange Visitor Information System (SEVIS) Form I-901 fee; see SEVIS program information at and fee payment information at All students with U.S. visas applying from within the United States must provide the following: L. Photocopy of all pages of current I-20 Form, or DS-2019 Form. M. Photocopy of the photo page of passport showing passport number and issue & expiration dates. N. Photocopy of current US visa. O. Photocopy of both sides of current I-94. Please , mail or bring application and supporting documents to: international@century.edu Century College International Student Admissions 3300 Century Avenue North, West Campus White Bear Lake, MN USA 55110