International Student (F-1) Application

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

Spouse in US as F-2 Visa Holder?

Yes

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

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

Zip Code

Admissions Data

When do you plan to begin at NHCC?

Academic Program

You must select an Associate’s degree. If unsure select Liberal Arts & Sciences AA

Have you attended NHCC before?

Yes

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