Chemeketa International Admissions Information
Thank you for your interest in attending Chemeketa. All documents can be sent by fax or scanned and e-mailed
The following checklist is designed to help you complete our application.
Application forms and documents to submit:
All new students:
Complete the International Admission Application pages (1–3)
A copy of your passport and any previous US visas
o of the account holder and
the amount of funds available. All statements must be dated within the last 60 days
o Submit a copy of your Scholarship A
indicating support guaranteed
o If anyone has agreed to sponsor you, please have them complete the International Student
Letter of Support (page 4)
Transfer students in the US:
If you are transferring from a school in the United States in addition to the items above you must–
o
dent Transfer
Form (page 5) and return it to Chemeketa
o Submit a transcript
o Submit copies of your I-20 from your current school
English language requirements:
NO TOEFL or IELTS scores are required for admissions.
Chemeketa o
rehensive language and college level studies and can accept students at all levels.
All students who enter Chemeketa will take required English and/or college placement tests
during orientation.
Test scores submitted during the admissions process are used for advising placement purposes only.
This process provides the student with successful class selection.
Contact us if you, your family, or your advisors have questions regarding our placement process
IP 2020 –2021 deadlines and dates
Academic year programs
Fall 2020 Winter 2021 Spring 2021
Overseas August 1 November 1 February 1
In-country transfer September 1 December 1 March 1
Visa appointment September 1 December 1 March 1
Arrival September 17 & 18 December 27 March 11 & 12
Orientation September 21-23 December 28-29 March 17-19
Start of Term September 28 January 4 March 29
E-mail, fax or mail all application documents to International Programs.
When your application is approved we will send you an acceptance e-mail and then mail you a packet that will
help you with the next steps, including–
Acceptance letter and U.S. Immigration form I-20. Transfer students from schools in the US will get their
new I-20 after registering.
F-1 visa and I-901 (Fee Remittance Form) assistance
Orientation and registration workshop information
Housing and arrival assistance
US government regulations require that all international students have-
Pr
o Financial documentation for intensive English and Academic degree programs needs to be for a budget
of one year. Documentation for summer programs varies based on length.
o If you plan to study at Chemeketa for a shorter length of time please indicate that on your application.
o These will be the same documents that you will need to take to your visa appointment.
o If you have been awarded a loan, please submit a copy.
equirements. Do not purchase any other medical insurance
plan.
o Chemeketa has chosen a high quality, reasonably priced insurance policy that meets the requirements.
(See application form page 2 for details.) Chemeketa requires international students to purchase this
policy.
o If your spouse and/or family is entering the U.S. with an F-2 visa, they will also need health insurance
coverage.
o This policy does not cover travel insurance, routine physical exams, or regular eye and dental care.
Contact us if you have questions or concerns regarding this policy.
Summer program 2021
Chemeketa o rm summer program through our Language and Culture Institute.
Summer (6-Week Program)
Overseas May 1
In-country transfer June 1
Visa appointment June 1
Arrival June 16
Orientation June 17 & 18
Summer students learn about American culture and language while exploring and improving English skills.
International students can choose to attend a variety of classes, activities and excursions over the four weeks.
For more information visit our website or contact us.
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
If you, your family, or your advisors have any questions please contact:
Start of Term June 21
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
ACADEMIC PROGRAMS
KEY
A – Associate of Applied Science degree
T – Transfer
O – Other
* Programs of other colleges located at Chemeketa.
ARTS AND COMMUNICATION
Art, T
Communication, T
English, T
Film Arts, T
Foreign Languages, T
Humanities, T
Journalism, T
Music, T
Philosophy, T
Religion, T
Visual Communications
Graphic Design, A
Interactive Media, A
Writing, T
BUSINESS AND MANAGEMENT
Accounting, A, C
Tax Preparation, C
Business Administration, T
Business Technology, C
Accounting Administrative Assistant, A
Business Software, C
Medical Administrative Assistant, A
Entrepreneurship, T
Hospitality Management, A, C
Event Management, C
Management, A
Procurement Management, C
Retail Management, C
Tourism and Travel Management, A, C
Destination Marketing, C
Wine Business, A
HEALTH SCIENCES
Computer Information Systems–Health Informatics, A
Dental Assisting, C
Dental Hygiene*, T
Emergency Medical Technology—Paramedic, A
Health Education, T
Health Information Management, A
Hemodialysis Technician, C
Medical Assistant, C
Nursing, A, C, T
Nutrition and Food Management, T
Pharmacy
Pharmacy Management, A
Pharmacy Technician, C
Physical Education and Human Performance, T
Pre-Professional Study (Medicine, Dentistry, Pharmacy,
Veterinary), T
HUMAN SERVICES AND SOCIAL SCIENCES
Anthropology, T
Chicano/Latino Studies, T
Counseling and Guidance, T
Criminal Justice, A, T
Basic Corrections, C
Basic Law Enforcement, C
Juvenile Corrections, C
Juvenile Justice, A
Law Enforcement, A
Early Childhood Education, A, C
Infant/Toddler, C
Preschool, C
Economics, T
Fire Protection Technology
Fire Prevention, A
Fire Suppression, A, T
Fire Service Supervision and Management, C
Geography, T
History, T
Human Services
Addiction Counselor Certication Preparation, C
Addiction Studies, A
Social Services—Non-Traditional Healthcare, C
Political Science, T
Psychology, T
Pre-Law, T
Social Science, T
Sociology, T
Speech-Language Pathology Assistant, A, C
Women’s Studies, T
INDUSTRIAL AND ENGINEERING TECHNOLOGY
Automotive Technology, A
Body Repair, C
Entry Level Technician, C
Machining, C
Computer Information Systems, A
Computer Programming, C
Computer Support Specialist, C
Computer Systems Administration, C
Database Developer, C
Network Management and Systems Security, C
Web Developer, C
Computer Science, T
Drafting Technology
Architectural Drafting, C
Computer-Assisted Drafting (CAD), A, C
Electronics Technologies
Computer Electronics, A
Electronic Engineering, A
Electronics, C
Industrial Electronics, A
Process Control, C
Process Control Technology, A
Renewable Energy Management, A
Engineering, T
Geomatics and Engineering Technology
Survey Technology, C
Machining Technology
Basic Manufacturing Technician, C
Computer-Aided Design/Computer-Aided
Manufacturing, A
Computer-Aided Manufacturing (CAM)
Fundamentals, C
Computer Numerically Controlled (CNC) Opera-
tor, C
Manual Machine Operator, C
Welding, C
Welding Fabrication, A
MATHEMATICS, SCIENCE AND NATURAL RESOURCES
Biology, T
Chemistry, T
Geology, T
Horticulture, A
Mathematics, T
Oceanography, T
Physics, T
Wine Studies
Vineyard Management, A, C
Wine Business, A
Winemaking, A
Chemeketa International Admission Application
General information Please type or print
Start term: Fall (Sept.–Dec.) Winter (Jan–March) Spring (April–June) Summer (June–Aug.) Year ________
Family Name _____________________________________________ First Name ________________________________________
Male Female Date of Birth: Month/Day/Year __________________Citizenship: Country ________________________
Place of Birth: City & Country ___________________________________________ Native Language ____________________
Passport # ______________________________________ Have you already applied for a visa to study in the US? Yes No
Visa type awarded F J M other ____________________________________ Date awarded _____________
Please include a copy of your passport and any previous visas with your application.
Home country:
Number and Street ____________________________________________________________________________
City __________________________________________________________________________ Province/State _____________
Country ______________________________________________________________________ Postal Code _______________
E-mail _________________________________________ Phone Number ______________________________ ______________
Emergency Contact Person:r Name ________________________________________
Phone _____________________________ E-mail _______________________________________________________________
Address _________________________________________________________________________________________________
Please indicate if your I-20 should be mailed to a di rent address:
Home country:
Number and Street ________________________________________________
City __________________________________________________________________________ Province/State _____________
Country ______________________________________________________________________ Postal Code _______________
E-mail _________________________________________ Phone Number ________________ Cell Number _______________
What is the highest education level you have completed and where? ________________________________________________
admissions. If submitted with application, they will be used for placement purposes only.
What do you plan to study at Chemeketa?
Intensive English studies
Degree studies (please indicate which Chemeketa degree you are seeking) _______________________________________
What do you plan to do after completing your studies at Chemeketa?
Transfer to a 4 year bachelor’s program Graduate school studies Return home Undecided
Are you transferring from another college or language institute in the U.S.? Yes No
Name of institution __________________________________________________________________________________________
International advisor name ___________________________________________________________________________________
Advisor phone and e-mail ____________________________________________________________________________________
How did you learn about Chemeketa? Friend or relative Advisor Agent Brochure
Web site Other _______________________________________________________________________________________
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
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Relationship to you: _____________________
Chemeketa requirements statement
Please read and sign
International programs will be allowed to use the above information for purposes of processing the following services: admissions,
immigration, medical and/or other items provided by the program.
The college is obligated to disclose information to the U.S. Immigration and Customs Enforcement Agency through the electronic
system called SEVIS (Student and Exchange Visitor Information System).
Academic Requirements
The following academic requirements are based on college and federal policy governing international students on an F-1 visa.
They apply to you once you are admitted. If you do not meet these requirements, it may result in academic probation or dismissal.
Failure to comply with items related to the USCIS ruling governing F-1 student status could aect your status with the U.S. Depart -
ment of Immigration.
1.
Each student must complete a minimum of 12 credit hours with a 2.0 GPA each term or 18 hours per week
(non-credit), with the exception of one term a year which is considered a vacation term. A vacation term only occurs after
courses may not apply.
2.
Each student must complete his/her study in an appropriate timeline, as printed on the I-20, or request an extension.
3. Each student must inform Chemeketa of his/her current address, phone and e-mail within one week of change.
4. Each student must participate in the orientation and Student Success process, which will include a registration workshop,
classes, and supplemental instruction advising. All international students will take placement testing upon arrival. All stu -
dents will take or successfully challenge required Orientation classes.
5. Students are required to attend Chemeketa for at least one term before transferring to another school. This rule applies
when the student enters the USA using a Chemeketa I-20. If a student enters with Chemeketa’s I-20 but chooses to attend
another school, their record at Chemeketa is cancelled. In that case, the student is free to either-
a) Request a transfer of their terminated I-20 record to apply for reinstatement or
b) Obtain an initial I-20 from the new school and leave the USA and re-enter with the initial I-20 from the other school
Health Insurance Requirements
Each student is required to obtain illness and accident insurance through Chemeketa that meets the requirements listed below.
Prior to registration the insurance premium must be paid in full No insurance coverage is provided until full payment is received:
ximum: Coverage payable at 100% after $20 co-pay.)
$50,000 for medical evacuation: (If you become ill or have an accident and need to be sent home for care, this will pay for
your transportation.)
$25,000 for repatriation of remains: (If you die because of an accident or illness, this pays for the return of your body to
your country.)
Insurance coverage is applicable anywhere in the world including the student’s home country.
Insurance must remain active from date of arrival in the U.S. until date of departure or transfer.
All funds payable in the U.S.
By signing this form, I certify that I have read, understood and agree to the terms and conditions listed-
Academic requirements: (see above)
Health insurance requirements: (see above)
Chemeketa Community College release of information: Chemeketa releases only very limited information regarding a student’s:
enrollment status, dates of enrollment, degree or certicate, program of study, athletic status, or honors awarded.
I certify that all statements on this application are complete and true.
I understand that submitted materials will not be returned.
Student signature _____________________________________________________________Date __________________________
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
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signature
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Name of student: ____________________________________________________________________________________________
amounts required.
If married, will your family accompany you to the U.S.? Yes No List the name(s) and r elationships below:
Name ____________________________________________ Date of Birth __________________ Relationship _______________
Name ____________________________________________ Date of Birth __________________ Relationship _______________
Name ____________________________________________ Date of Birth __________________ Relationship _______________
Required information and documentation:
ort
in US dollars.
One term (3 months) Academic year (9 months)
Tuition and fees $3,800 $11,400
Books and supplies (does not include a computer) $ 280 $ 840
Housing and food (estimated housing costs based on host
family or roommate)
$2,400 $ 7,200
Health insurance $ 440 $ 1,760
TOTALS $6,920 $21,200
*Tuition estimates are subject to change. Estimates are based on average full-time registration of 12 credit hours of
college level or 20 contact hours of Intensive English. Credit level programs require a min. of 12 credits per term at $291
per credit. Intensive English study is charged at $165 per contact hour. Required fees will include health insurance. Academic
Personal Funds
Name on account: _________________________________________________ Guaranteed Support $ __________________ USD
Family Funds
List name: ________________________________________________________ Guaranteed Support $ __________________ USD
Relationship to you __________________________________________________________________________________________
funds available. All statements must be dated with in the last 60 days.
Scholarship, grant or loan _____________________________________________________________________________________
Name of Agency ___________________________________________________Guaranteed Support $ ___________________USD
Address: ____________________________________________________________________________________________________
Sponsor or other source (specify) Name of grantor: __________________Guaranteed Support $ __________________ USD
Address: _____________________________________________________________________________________________________
nd the
amount of funds available. All statements must be dated within the last 60 days.
Community College may either reject my application or terminate my enrollment if these resources are found to be inadequate
Student signature _________________________________________________________ Date _____________________________
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signature
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International Student Letter of Support
Please copy this letter then type or print information. Submit one letter for each sponsor.
To Whom It May Concern:
I, ___________________________________________________________________________________________________________
(name of par ent or sponsor)
________________________________________________________________________________
(student’
while he or she studies at Chemeketa Community College.
Estimated Budget
One term (3 months) Academic year (9 months)
Tuition and fees $3,800 $11,400
Books and supplies (does not include a computer) $ 280 $ 840
Housing and food (estimated housing costs based on host
family or roommate)
$2,400 $ 7,200
Health insurance $ 440 $ 1,760
TOTALS $6,920 $21,200
*Tuition estimates are subject to change. Estimates are based on average full-time registration of 12 credit hours of
college level or 20 contact hours of Intensive English. Credit level programs require a min. of 12 credits per term at $291
per credit. Intensive English study is charged at $165 per contact hour. Required fees will include health insurance. Academic
& technology fees vary depending on course registration.
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
To request this publication in an alternative format, please call 503.399.5192.
Signature of parent or sponsor: _______________________________________________________________________________
Date: _____________________________ Relationship to student: ___________________________________________________
Financial responsibility includes (please check all that apply):
Tuition and fees ________________________________________________________________________________________
Health Insurance ________________________________________________________________________________________
Books and supplies _____________________________________________________________________________________
Housing, food, transport and other personal expenses ______________________________________________________
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Sponsor Phone: _____________________________ Sponsor Email: ___________________________________________________
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signature
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International Student Transfer Form
If you have been attending school in the United States, please have the appropriate ofce or person
(International Student Advisor) from the last school you were authorized to attend complete this form. Your
signature below indicates that you give that person permission to answer the following questions. We must
also receive a transcript from most recent school attended in the U.S. before we will process your application.
Student Name (print)_________________________________________________ Date___________________________
Signature __________________________________________________________________________________________
To be completed and mailed, faxed or scanned to Chemeketa by your current international student advisor.*
1. Is this student enrolled in your school? __________________________________________________________
2. How long has this student been attending your institution? ________________________________________
Date student rst attended ____________________________________________________________________
Date student last attended ____________________________________________________________________
Has the student recently taken a vacation term? __________________________________________________
If the student is currently not attending, is this a vacation term? ____________________________________
3. How many credit hours is this student currently taking? ____________________________________________
4. Has this student maintained legal status with U.S. Immigration regulations? __________________________
If no, please explain circumstances _____________________________________________________________
5. Type of Visa _________________________________________________________________________________
6. Has this student experienced academic difculties? _______________________________________________
If yes, in what areas? __________________________________________________________________________
7. Did this student use practical training while at your institution? _____________________________________
If yes, how many hours? _______________________________________________________________________
8. Is this student embassy sponsored? _____________________________________________________________
9. Do you recommend the student for transfer to Chemeketa Community College? _____________________
If no, please explain __________________________________________________________________________
10. SEVIS ID#: _______________________________ SEVIS Release Date: _________________________________
Print Advisor Name __________________________________________________________________________________
Title _______________________________________________________________________________________________
Signature __________________________________________________________________________________________
Date ______________________________________________________________________________________________
Name of School ____________________________________________________________________________________
Phone ______________________ Fax __________________________ E-mail __________________________________
*School Ofcials please fax or send a scanned e-mail copy of this form to:
International Programs, Chemeketa - Attention International Admissions
Fax: 1.503.365.4768; e-mail: Internationaladmissions@chemeketa.edu
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signature
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signature
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Information on Transferring Credits to Chemeketa
Transferring Credits to Chemeketa from a College or University Outside of the United States
your transcripts translated into English and a course-by-course evaluation completed. The translation and evaluation must
be completed by a service that is a member of the National Association of Credential Evaluation Services. We recommend
Academic Credentials Evaluation Institute, Inc. (ACEI)
Step 1: Complete the Application for Evaluation of Foreign Educational Credentials.You will need to obtain
your application (step 2 below) and one copy to Chemeketa.
Academic Credentials Evaluation, Inc.
9461 Charleville Boulevard, Box 188
Beverly Hills, CA 90212
www.acei1.com
Step 2: Complete the application and request a “comprehensive report” (course-by-course with grades and
course levels). The cost for a course-by-course evaluation is included in the application material. Be
sure to include the fee for this service. Allow one month for the company to complete the evaluation.
Request that the company send the results and your transcripts to–
Chemeketa Community College
Enrollment Center
P.O. Box 14007
Salem, OR 97309-7070
Step 3: Complete a Request for Evaluation and Transfer of Previous Credit form and turn in to the Enrollment
Center (Building 2, Room 200). There is no fee for this service. Allow for 4-6 weeks for processing.
Step 4: Once your transcripts are evaluated, you will receive an e-mail in your My Chemeketa student e-mail
account informing you that the process is complete and how to view the courses transferred on your
Chemeketa transcripts.
Transferring Credits From Another U.S. College or University to Chemeketa
Step 1:
Chemeketa Community College
Enrollment Center
P.O. Box 14007
Salem, OR 97309-7070
Step 2: Complete a Request for Evaluation and Transfer of Previous Credit form and submit to the Enrollment
Center (Building 2, Room 200.) There is no fee for this service. Allow for 4-6 weeks for processing.
Step 3: Once your transcripts are evaluated, you will receive an e-mail in your My Chemeketa student e-mail
account informing you that the process is complete and how to view the courses transferred on your
Chemeketa transcripts.
Chemeketa International Programs
Internationaladmissions@chemeketa.edu | 1.503.399.2527 Desk |1.971.719.7893 Cell | 1.503.365.4768 Fax
www.chemeketa.edu/international | 4000 Lancaster Dr. NE, PO Box 14007, Salem, Oregon 97309 USA
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