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
* http://ip.northseattle.edu/
TO APPLY, PLEASE SEND:
ëA completed application and a $50 U.S. application fee (non-refundable)
ëA current bank statement of $20,125U.S. (minimum)
ëA copy of your passport photo page / q New Student q Transfer Student
qConcurrent Students q Returning to NSC
Student number ______(If transferring 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) / First or Given Name / Middle Name
Permanent address in home country / City / State/Province / Zip/Postal Code / Country
Telephone number (area code + number) / Fax / Email
Date of Birth (month/day/year) / Gender
qMale
qFemale / Marital Status
qMarried
qSingle / Country of Birth / Country of Citizenship

ADDITIONAL CONTACT INFORMATION q Send my I-20 to this address

U.S. or agent name (if applicable) / Address
City / State/Province / Zip/Postal Code / Country
Telephone number / Fax / Email


PROGRAM INFORMATION

What is your intended program of study? (Mark all that apply) Major: ______

q Intensive English (ESL) q High School conversion qAssociate Degree/University Transfer

Applying for:

qFall _____ (Sept - Dec) q Winter _____ (Jan - Mar) q Spring _____ (Apr- Jun) q Summer _____ (Jun - Aug)
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 qWashington State qUniversity of Washington, Bothell qUniversity of Washington, Tacoma q Western Washington U.

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 ______
(If you are attending school in the U.S., you need to submit a copy of your I-20, I-94 and visa) / HOUSING
q I do not need help with housing
q Please advise me of my options
qHomestay
qApartment
qRoom
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)______
qNorth 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)

01.05.16 AR