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ADMISSION APPLICATION – NORTH SEATTLE COLLEGE
Please submit your application to:
International Programs
North Seattle College
9600 College Way N.
Seattle, WA 98103 USA
Tel: 1-206-934-3672 * Fax: 1-206-934-3794
[email protected] * http://ip.northseattle.edu/
TO APPLY, PLEASE SEND:
ëA completed application and a $50 U.S. application fee (non- q New Student q Transfer Student
refundable)
qConcurrent Students q Returning to NSC
ëA current bank statement of $18,400 U.S. (minimum)
Student number ______________________(If transferring
ëA copy of your passport photo page
from a WA State school)
STUDENT INFORMATION (Please print or type)
q Send my I-20 to this address
Surname or Family Name (as appears on passport)
Permanent address in home country
City
Telephone number (area code + number)
Date of Birth (month/day/year)
Gender
qMale
qFemale
First or Given Name
State/Province
Zip/Postal Code
Fax
Marital Status
qMarried
qSingle
Country of Birth
U.S. or agent name (if applicable)
Country
Email
ADDITIONAL CONTACT INFORMATION
City
Middle Name
Country of Citizenship
q Send my I-20 to this address
Address
State/Province
Telephone number
PROGRAM INFORMATION
What is your intended program of study? (Mark all that apply)
q Intensive English (ESL)
q High School conversion
Zip/Postal Code
Fax
Country
Email
Major: ___________________________
qAssociate Degree/University Transfer
Applying for:
qSpring 2015 (Apr-June) q Summer 2015 (June - Aug) q Fall 2015 (Sept - Dec) qWinter 2016 (Jan - Mar)
Did you graduate from high school? q No q Yes, name of High School_____________________________________
University Conditional Admission (check only one)
North has conditional admission to partner universities for students in the college transfer program. If you are interested in receiving
conditional acceptance, check one of the universities. https://ip.northseattle.edu/transfer
By selecting this option you understand that North will release your contact information to the school of your choice.
q Arizona State U. q California State U, Northridge q California State U, San Marcos q Eastern Washington U q Indiana
University Purdue University Indianapolis (IUPUI) q Montana State U. q San Francisco State U. q Seattle University (by Fall
2017) q SUNY Oneonta q University of Alaska, Fairbanks, College of Engineering and Mines (apply by Spring 2016)
q UMASS Dartmouth q University of Nevada Las Vegas qWashington State qUniversity of Washington, Bothell qUniversity
of Washington, Tacoma q Western Washington U.
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STUDENT NAME: (Print): ________________________________________________________
VISA INFORMATION
Are you currently in the U.S.A.? q No q Yes
Visa type: _______________________
Are you attending school in the U.S.? q No q Yes
Name of school __________________________
HOUSING
q I do not need help with housing
q Please advise me of my options
qHomestay
qApartment
qRoom
(If you are attending school in the U.S., you need to submit a
copy of your I-20, I-94 and visa)
REFERRAL/AGENT INFORMATION
How did you hear about North Seattle College?
q Agency (Name) _______________________________
q Language School (Name) ________________________
q Friend or Relative (Name) _______________________
q Education fair (Name/Year) ______________________
q Embassy (location) _____________________________
q Website ______________________________________
q Advertisement (magazine) ______________________
q Teacher or Advisor (name)_ ______________________
qNorth student (name) ________________________
q Other _____________________________________
PAYMENT
$50 U.S. non-refundable application fee is required to process
your application.
To pay by credit card, please complete the credit card
authorization form:
http://facweb.northseattle.edu/ardenli/creditcard.pdf
HEALTH INSURANCE
Students will need to purchase health insurance through North.
FINANCIAL RESPONSIBILITY
All international applicants are required to show proof of financial support to live and study in the US. This includes sufficient
funds available to pay for all necessary expenses and tuition for the time you are studying in the US. The sources of these funds will
continue through the duration of your study at North. This section must be completed and signed before admission. Please attach a
bank statement (not more than 6 months old) with this application. Please visit North's website for current tuition fees:
(ip.northseattle.edu/costs). I understand that I am not eligible to receive financial aid, such as grants or loans. I also understand the
tuition and fees refund policies as outlined on the website.
North will require an advance refundable deposit of US $4500 to ensure that applicants with sponsor's from these countries are
financially prepared to study in the US., and that applicants intend to enroll as international students. Following is a list of countries
affected by this policy: Congo, Gambia, Guinea-Conakry, Kenya, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Somalia,
Sudan, Tanzania.
I will pay my tuition and living expenses with: (check all that apply)
q Personal Funds q Family Funds q Government sponsorship from home country q Company sponsorship
q Sponsor within the U.S. (additional documents required) q Other _________________________________
SIGNATURE
I verify that I understand the above questions and that the information I have provided is complete and true. I authorize North to
release my information from my records which is needed by US immigration officials pursuant to 8 CFR 214.3(g) to determine my
nonimmigrant status.
Signature: ______________________________________________ Date: __________________________________
Your application is not complete until you have submitted all the required documents!
*Passport photo page (REQUIRED)
*Bank/Financial statement (REQUIRED)
*High school transcript (if applying for high school completion or under 18 years old)
*I-20, I-94 and visa (if transferring)
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