International Student (F-1) Additional Information Admissions & Outreach Educational Services, ES 70 763-424-0724 Admission@nhcc.edu Indicates required field Student Information First Name Last Name Email Address U. S. Phone Number If available Marital Status - Select -SingleMarried Spouse in US as F-2 Visa Holder? Yes No Do you plan for our spouse to be in the US as an F-2 dependent visa holder? City of Birth Country of Birth Country of Citizenship Current Immigration Status in US New F-1 Visa Applicant F-1 Student Seeking Reinstatement Transfer Student - Current F-1 Status Seeking Change of Status to F1 Name & Location of Current Institution/School Your Current Visa Type Do you currently live in Minnesota? Yes No How long have you lived in Minnesota? Permanent Address in Home Country (foreign address required) Address City Province/Territory eg. State/Province/Department/Region/District/Territory or similar. Country Postal Code Address in the USA where you will live or are currently living (if known) Street Address Apartment No. City State - None -MinnesotaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Admissions Data When do you plan to begin at NHCC? When do you plan to begin at NHCC? - None -Spring 2021Fall 2021Spring 2022Fall 2022Spring 2023Fall 2023Spring 2024Spring 2025Fall 2024Other… Enter other… Academic Program - None -Non-Degree Seeking.NET Programming (Cert)Accounting Management and Computer Systems (Cert)Accounting Skills (Cert)Accounting Technology AASAccounting Transfer Pathway ASAmerican Sign Language (Cert)Application Programming (Cert)Art Transfer Pathway AFABiology Transfer Pathway ASBuilding Inspection Technology (Cert)Business Transfer Pathway ASBusiness Communications and Technology Essentials (Cert)Business Computer Systems and Management AASBusiness Computer Systems and Management ASBusiness Principles (Cert)Chemistry Transfer Pathway ASComputer Science Transfer Pathway ASCommunication and Computer Skills (Cert)Communications Studies Transfer Pathway AAConstruction Management ASConstruction Management (Cert)Construction Quality Assurance and Quality Control (Cert)Construction Technology AAS Construction Technology ASCore Accounting Skills (Cert)Creative Writing AFACorrections ASCorrections (Cert)Criminal Justice ASData Science ASDigital Knowledge Analysis (Cert)E-Commerce Essentials (Cert)Economics Transfer PathwayElementary Education Transfer Pathway ASEngineering Broadfield ASEnglish Transfer Pathway AAEnglish Language for Academic Purposes (Cert)Entrepreneurship AASEntrepreneurship (Cert)Environmental Science ASEthnic Studies AAExercise Science Transfer Pathway ASFilm Emphasis AAFinance and Investments (Cert)Finance Management AASGame Programming (Cert)Gender and Women's Studies Emphasis AAGraphic Design ASHealth ASHealth Science Broad Field ASHistory Transfer Pathway AAHuman Services ASIndividualized Studies ASInternet Programming (Cert)Law Enforcement Transfer Pathway ASLiberal Arts & Sciences AAManagement AASManagement CertificateMarketing Specialist AASMarketing Specialist (Cert)Mathematics Transfer Pathway AAMedical Laboratory Technology AASMicrosoft Office Essentials (Cert)Microsoft Office Principles (Cert)Microsoft Office Specialist (Cert)MN Transfer CurriculumMusic AFANursing (MANE) ASNutrition ASObject-Oriented Programming (Cert)Paralegal ASParalegal (Cert)Personal Training (Cert)Phlebotomy (Cert) Political Science Transfer PathwayPre-Engineering ASPre-Social Work Transfer Pathway ASProject Management Essentials (Cert)Psychology Transfer Pathway AARacial Justice & Social Transformation (Cert)Sociology Transfer PathwaySpanish Language (Cert)Theatre Transfer Pathway AFAVideo Game Studies CertWeb Graphic Design and Programming and e-Commerce (Cert)Wellness Coach (Cert)Written Communication Technologies (Cert)Other You must select an Associate’s degree. If unsure select Liberal Arts & Sciences AA Have you attended NHCC before? Yes No What is your current educational intent? Earn Associates Degree Earn Associates and transfer to another institution Date of Last Attendance Family Data Dependents (If Applicable): List dependent spouse and children who are seeking entry into the U. S. on an F-2 visa. Dependents Last Name/Family Name/Surname First Name Date of Birth Relation to Student Last Name/Family Name/Surname First Name Date of Birth Relation to Student Emergency Contact Emergency Contact Information Last/Family/Surname First Name Country of Residence Email Address Last/Family/Surname First Name Country of Residence Email Address Signature By signing this application, I certify that the information I have provided on this application form and in all other admission application materials is complete, accurate, and true to the best of my knowledge. I also certify that I have reviewed and agree to all of the terms listed on the F-1 Student Contract. Student Signature Sign above