Online Application - SCC International Programs


	International Programs
	Student Services

Online Application for
International Students

Personal Information

Name (Please type as it appears in your passport.)

Family Name:

First Name:

Middle Name Initial:

E-mail Address:

Permanent Address/Contact Information
(in your country of citizenship)

Street Address:

Apartment Number:

City:

State or Province:

Postal Code:

Country:

Phone Number:

Fax Number:

Mailing Address/Contact Information
(if different than above)

Street Address:

Apartment Number:

City:

State or Province:

Postal Code:

Country:

Phone Number:

Fax Number:

Birth Date

Date of Birth:

(mm/dd/yyyy)

Gender:

Female Male

What race do you consider yourself to be?

White (800)

Black/African-American (870)

Alaskan Native or American Indian (597)

Chinese (605)

Filipino (608)

Korean (612)

Vietnamese (619)

Japanese (611)

Other Asian or Pacific Islander (621)

Other race (799)

Are you of Spanish or Hispanic origin?
No (999) Yes (717)

Citizenship

Are you a U.S. Citizen or U.S. permanent
resident (Green Card holder)?

Yes
No

If you are a U.S. Citizen or U.S. permanent resident,
please apply through Web Admissions Center.

If you are not a U.S. Citizen or U.S. permanent
resident, please answer the following questions:

Country of Citizenship:

Country of Birth:

Are you currently in the U.S.?

Yes
No

What type of VISA do you have now?

Other VISA Type:

VISA Expiration Date:

(mm/dd/yyyy)

Admission Information

What quarter do you plan to begin?

Year:

What is your intended area of study?

Have you previously attended SCC?

Yes
No

If yes, please give the dates of enrollment:

From:

(mm/yyyy)

To:

(mm/yyyy)

Name of school you are currently attending:

Academic History

High School

Name of Institution:

City:

State or province:

Country:

Attended From:

(mm/yyyy)

To:

(mm/yyyy)

Degree:

Most Recent College/University

Name of Institution:

City:

State or Province:

Country:

Attended From:

(mm/yyyy)

To:

(mm/yyyy)

Degree:

Other College/University

Name of Institution:

City:

State or Province:

Country:

Attended From:

(mm/yyyy)

To:

(mm/yyyy)

Degree:

English Language Institute

Name of Institution:

City:

State or Province:

Country:

Attended From:

(mm/yyyy)

To:

(mm/yyyy)

Degree:

Electronic Signature and Financial Statement

Please follow this section carefully. No application can
be processed without having the applicant's agreement
and his/her financial statement.

Student's Electronic Signature
This certification must be accepted or rejected by selecting "I agree" or "I disagree" below. Agreeing means you understand and agree with the following terms:

I understand that withholding information requested on this application or giving false information may make me ineligible for admission to the college or subjected to dismissal. I certify that the statements I have made on this online application are correct and complete. Further, I agree to maintain an accurate address to which my statement of account can be mailed and to make payment for all due amounts by published deadlines.

Full Name:

Agreement:

I agree I disagree

Date:

(mm/dd/yyyy)

After submitting, please wait for
the confirmation page to appear.