Fillable Concurrent Enrollment Form

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Concurrent Enrollment Form

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Country of origin: US
File type: PDF

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International Student Program El Camino Community College
16007 Crenshaw Blvd, Torrance, CA 90506
Concurrent Enrollment-Permission to take ECC class
You must fill out this form COMPLETELY.
Bring this form along with your completed El Camino College "In the US" International Application, copy of
the first page of your I-20, and letter from your I-20 issuing school (on school letterhead) giving permission to
take class(es) at ECC to the ISP office at least 5 days before the enrollment deadline.
CONTACT INFORMATION
Last Name First Name
Gender
Street Address Apt #
City State ZIP Code
E-mail Phone
Class Intended to Take:
Class Online or On Campus:
Student Signature Date
Office Use Only
Units SEVIS # N00 Major
Start Date
End Date F1-R Code In Status
Yes
Current School Name:
REQUEST
Current Visa Status:
Semester/Session
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Concurrent Enrollment Form

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Completed 26 May 2020

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