International Student Application
. Email other required documents to:
International@highland.edu
. Review all application information prior to contacting Highland Community College
I plan to enroll:
FALL (August)
SPRING (January)
BIOGRAPHICAL INFORMATION
Last/Family Name:
First Name:
Preferred Name:
Middle:
Maiden name (if married):
Date of Birth:
U.S. Social Security Number (if you have one):
Gender:
Male
Female
Other
City of Birth:
Country of Birth:
Country of Citizenship:
Is English your native language?
Yes
No
If no, what is your first or native language?
I am currently:
Present in the USA with a visa.
Planning to enter the USA with a visa.
Has either parent earned a Bachelor's Degree or greater?
Yes
No
Your employment status:
Employed
Unemployed and seeking employment
Unemployed and not seeking employment
Your marital status:
Single
Married
Legally separated
Divorced
Widowed
Your parental status:
Not a parent
Parent
Pregnant
Are you Hispanic or Latino (or of Spanish origin)?
Yes
No
Please identify your primary race/ethnic group (select one):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Choose not to respond
Are you from one or more of the following racial groups (select all that apply):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Choose not to respond
ADDRESS INFORMATION
Legal/Permanent Address Street Address:
City:
State/Country:
Zip Code:
Telephone Country Code:
Phone Number:
U.S. Telephone Number (if you have one):
Email address:
ACADEMIC TESTING INFORMATION
Academic Tests Taken:
TOEFL
SAT
ACT
TOEFL Score:
SAT Score:
SAT Date Taken:
ACT Score:
ACT Date Taken:
ACADEMIC INFORMATION
I am a:
First time college student
Transfer student
I am a student athlete wanting to play a sport at Highland Community College:
Yes
No
If Yes: What sport(s) do you play?
I am interested in an athletic scholarship:
Yes
No
Academic Intent
Field of Study:
I am planning to pursue the following programs at Highland Community College:
Associate in Arts or Science (University Transfer)
Associate in General Studies
Education
High School Graduate:
Yes
No
If yes, year graduated:
If no, did you receive a GED?
Yes
No
If yes, year received GED:
High School Last Attended
Name of high school last attended:
City:
Country:
From (Month/Year):
To (Month/Year):
Institution Attended since High School
Name:
Degree earned:
City:
Country:
From (Month/Year):
To (Month/Year):
STATEMENT OF INTENT
In English, please explain why you are choosing your particular field of study and how you intend to make use of your education.
What are your reasons for selecting Highland Community College?
How did you first learn about Highland Community College?
CERTIFYING STATEMENT
I understand withholding information requested on this application or giving false information may make me ineligible for admission to the College or subject to dismissal. With this in mind, I certify the above statements are correct and complete.
I have read and understood the terms of being an F1 student at Highland Community College.
After pressing the 'Submit' button below, you will be asked to electronically sign this form.
Questions?
Contact Highland Admissions at international@highland.edu or 815-599-3414.
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