Fillable Form 2021: International Student Information (Community College of Rhode Island)

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Form 2021: International Student Information (Community College of Rhode Island)

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1
Thank you for your interest in the Community College of Rhode Island.
CCRI is New England’s largest community college in the nation’s smallest state. We
have students enrolled across four campuses in Warwick, Lincoln, Newport, and
Rhode Island’s capital city, Providence. We welcome students from around the world
to start their higher education here in Rhode Island!
We’re dedicated to providing students with the knowledge, skills, and training
necessary to enter high-quality careers or transfer to four-year institutions. We
are pleased you are interested in our college and hope you will consider CCRI as
you nalize your plans to become an international student.
Please be sure to carefully read all the information included in this packet. As a
prospective international student, you have several steps to complete before your
International Student Application can be considered.
Please note that CCRI does not have residence halls for its students, so as an
international student, you will be responsible for making your own arrangements
for housing and planning appropriate time needed for travel and relocation.
Thank you for your interest in the Community College of Rhode Island, and we
look forward to working with you as you take your next step toward an education
in the U.S.
Sincerely,
Rob Giovino
International Student Admissions
Community College of Rhode Island
International Student Information
2021
www.ccri.edu/oes/admissions/international
2
Application Checklist
Mail the following documents to apply as an international student.
_____ Application for Enrollment (llable document on pages 5 and 6)
_____ Personal Data Statement (llable document on page 8)
_____ Proof of English Prociency (if necessary -- see page 3)
_____ Declaration of Financial Recourses/Afdavit of Support (llable document on page 9)
_____ Notarized bank letter (obtain ofcial documentation from your bank -- see page 12)
_____ Education documentation (obtain ofcial documentation from your school -- see page 4)
_____ Copy of I-20 (if currently attending school in U.S.)
_____ Copy of passport
After you are accepted, you will need to bring these items to register for classes.
_____ Signed I-20 (included in your acceptance packet)
_____ F-1 VISA
_____ I-94
_____ I-901 payment receipt
_____ Completed Immunization Form for International College Students (included in your
acceptance packet)
Mail all documents to:
Rob Giovino
PDSO-International Student Admissions
Community College of Rhode Island
400 East Avenue
Warwick, RI 02886 USA
www.ccri.edu/oes/admissions/international
3
Admission Requirements
ADMISSIONS DEADLINES
International students are only accepted for the fall semester. Applications not complete after the
deadline will not be considered.
May 31: Students outside the U.S.
June 30: Students already in the U.S.
APPLICATION FOR ENROLLMENT
Fill out the International Student Application for Enrollment included on pages 5 and 6 of this
packet. You can ll out the form online, but will need to print, sign and mail the form to submit.
PERSONAL DATA STATEMENT
We need the summary of vital background information included on page 8 of this packet to process
your International Student Application for Enrollment.
PROOF OF ENGLISH PROFICIENCY
International students may not take ESL courses at CCRI. Applicants whose native country’s ofcial
language is English are not required submit proof of English prociency.
Evidence of English prociency is demonstrated by submitting one of the following:
• Ofcial test results of the Test of English as a Foreign Language (TOEFL), with a
minimum score of 500 on the paper-based TOEFL or 61 on the internet-based
TOEFL. Find out more about the TOEFL at www.ets.org/toe.
• Ofcial transcript from an accredited college or university indicating completion of an
equivalent three-credit ENGL-1010 Composition course with a minimum grade of C.
• Acceptable score on English placement exam given by CCRI’s Department of Advising
& Counseling. This test is available only if you are presently in the United States.
PROOF OF FINANCIAL SUPPORT
International student are charged out-of-state tuition and fees. Students/sponsors must show
that there is nancial funding available to support the student while in the United States by
completing both the following dated within the last six months:
• CCRI Declaration of Financial Resources/Afdavit of Support (see page 9), signed by
the sponsor and notarized
• Notarized letter on bank letterhead with signature from ofcials showing a minimum
cash savings balance equivalent to at least $29,900 U.S. dollars in sponsors account
www.ccri.edu/oes/admissions/international
4
Admission Requirements
EDUCATION DOCUMENTATION
Certication of a U.S. high school diploma equivalent must be submitted directly from an ofcial
evaluating agency to the Community College of Rhode Island. See a list of ofcial evaluation agencies on
page 10. Submit ofcial transcripts of all study completed at the high school and college level.
If you successfully attended a U.S. college or university full time for at least one year, the diploma
equivalent requirement will be waived. Ofcial transcripts from all U.S. colleges you attended are
required.
AFTER ACCEPTANCE
Upon entrance to the United States, schedule an appointment with Rob Giovino in the CCRI
Admissions Ofce: rgiovino@ccri.edu or 401-825-2288. At this meeting you will receive all the
information you need to register for classes, including scheduling an ACCUPLACER test time.
Please bring the following to this meeting:
• Signed I-20 (included in your acceptance packet)
• F-1 VISA
• I-94
• I-901 payment receipt
• Completed Immunization Form for International College Students (included in your
acceptance packet)
IMMUNIZATION FORM FOR COLLEGE STUDENTS
All full-time students and students entering with a visa must complete Sections A and B of the
Immunization Form for College Students. This form is available online at www.ccri.edu/immunization.
ACCUPLACER TEST
This mandatory test will help place you in the appropriate rst semester classes at CCRI. Find out
more about the test and how to prepare at www.ccri.edu/accuplacer.
4
www.ccri.edu/oes/admissions/international
International Student
5
APPLICATION FOR ENROLLMENT
1
2
3
Tell us about your interest in CCRI. Please share this information with us so that we can better advise you on your best
course of action at CCRI.
First time in college. I have never attended any college before.
Transfer. I am entering CCRI and I have previous college-level coursework.
Complete this form after you have read the application instructions and after you have reviewed our program listings. Please print clearly.
Mo / Day / Yr
Previous/Maiden Name
Mailing Address
How long have you lived at current address?
Date of Birth
Home Telephone Number
__________________/_____________________If less than nine months, please list previous address:
Gender:
Cell Number
E-mail Address:
Date of Application
Street _____________________________________________________________City ______________________________________State _______ZIP ___________ Country ___________________________________________
City
Male
Female
Name as it appears on passport
ZIP
Country
Years
months
Last Name
First Name
Middle Initial
Last Name
First Name
Middle Initial
Number of years at previous address
The information that you provide helps us to comply with federal statistical reporting requirements only and will not, in any way, affect an
admissions decision on your application. Federal regulations require colleges to report enrollment data by racial, ethnic and gender categories.
Ethnicity: (Not used for admission. Please check one.)
Not Hispanic or Latino
Hispanic or Latino
Federal regulations require colleges to report enrollment data
by racial, ethnic and gender categories
Race: (Not used for admission. You may check more than one race.)
American Indian or Native American
Asian
Black of African American
Important Information:
One or both parents (biological or adoptive) earned a four-year degree
Single parent with custody of a child under 18
Speaker of English as a second language
Displaced homemaker*
Ethnicity/Race data reporting for federal purposes has changed. The selections that you see in this section are the choices as mandated by the federal government for higher education reporting
purposes. Only statistical numbers are reported. No individual data appears on the Federal reports.
* The term displaced homemaker refers to women or men who have worked mainly in the home for a minimum of two years caring for home and family. Due to loss of family nancial
support (usually through death, disability or divorce), these individuals must leave the home and seek to support themselves and their families.
YES NO
YES NO
YES NO
YES NO
I declare my legal residence to be the following foreign country: __________________________________________
______________________________________________________________________________________________
A.
Ofce Use
(Check all that apply.)
Native Hawaiian of Pacic Islander
White
Choose not to report
State
CCRI ID Number:
For Ofce Use
Please note: Misrepresentation concerning residency and/or citizenship is grounds for immediate dismissal from the college and liability
for all tuition and fees that may result.
International Student
6
4
5
6
7
Please indicate your program choices. Please print clearly.
Why are you enrolling at the Community College of Rhode Island? Please help us to better serve each of our
students by providing us with the primary reason that you are seeking to enroll at CCRI (please check only one of the following):
I wish to obtain an associate degree from CCRI.
I wish to obtain an associate degree from CCRI and then transfer to a four-year school.
Please Note
CCRI has a performance-based application process for Health Science programs. Those who apply to these programs are
accepted into General Studies. Once preadmission requirements for the desired Health Science program are completed
successfully, the students must submit a performance-based Health Science application. Acceptance is based on a point system
where points are earned by academic achievement. Submission of a performance-based Health Science application does not
guarantee acceptance into the program.
What program of study are you interested in pursuing?
I am interested in a degree program
1st choice ______________________ __________________________________________
2nd choice ______________________ __________________________________________
Campus Program of study name
YEAR
High school history: Please complete as appropriate. Please print clearly.
I have or will have:
High school diploma
†
Code
GED
®
credential †
† Please forward a copy of your translated and evaluated ofcial high school transcript or GED
®
credential to the Ofce of Enrollment Services as soon as it is available.
_______________________________________________________
_______________________________________________________
Code
MONTH/DAY/YEAR
MONTH/DAY/YEAR
DATE RECEIVED
DIPLOMA DATE
College history. Please list ALL colleges and universities previously attended and submit ofcial transcripts with translations and
evaluations. Please print clearly.
College/University name Code City State Degree
College/University name Code City State Degree
College/University name Code City State Degree
COLLEGE 1:
COLLEGE 3:
COLLEGE 2:
If prior college experience, please indicate highest degree earned: ________________________________________________
_________________________________________________________________________ _____________________________________________ _________________________ _______________
_________________________________________________________________________ _____________________________________________ _________________________ _______________
_________________________________________________________________________ _____________________________________________ _________________________ _______________
Agreement:
I certify that the information that I have provided on this application is true and correct. Further, by signing this form, I agree to abide
by the rules and regulations at, and fulll all nancial obligations to, the Community College of Rhode Island.
Applicant's signature Application date
Campus Program of study name
Intended Entry Date
Fall
2 0 2 1
x
4 0 9 7 7 7
7
Business Administration
Degree
Accounting
Financial Services
General Business
Management
Marketing
Chemistry
Degree
Chemical Technology
Communication and Film/Media
Degree
Communication and Film/Media
Communication
Film/Media
Computer Studies
and Information Processing
Degree
Computer and Networking
Technology
Computer Desktop
Technology
Computer Networking
Technology
Computer Programming
Cybersecurity
General Information Processing
Information Technology Support
Specialist
Networking
Web Technologies
Fine Arts
Degree
Art
Music
Jazz Studies Concentration
Music Concentration
Theatre
Performance Concentration
Technical Concentration
General Studies
Degree
General Studies
Health Sciences
ALLIED HEALTH
Degree
Diagnostic Medical Sonography
Histotechnician
Medical Laboratory Technology
Radiography
Respiratory Therapy
DENTAL HEALTH
Degree
Dental Hygiene
EMERGENCY/DISASTER
MANAGEMENT
Degree
Emergency Management/
Homeland Security
Fire Science/Emergency
Medical Technician
NURSING
Degree
Nursing
REHABILITATIVE HEALTH
Degree
Occupational Therapy Assistant
Physical Therapist Assistant
Human Services
Degree
Early Childhood Education
and Child Development
Education and Special Education
Social Service Majors:
Gerontology
Mental Health
Social Work
Substance Abuse
Legal Studies
Degree
Law Enforcement
Paralegal Studies
Liberal Arts
Degree
Liberal Arts
Liberal Arts – English
Liberal Arts – World Languages
Physics and Engineering
Degree
Advanced Manufacturing
Technology
Engineering Systems Technology
CNC Manufacturing
Concentration
Electrical Concentration
Energy Utility Concentration
Mechanical Concentration
Engineering Transfer
Biomedical Concentration
Chemical Concentration
Chem-Biology Concentration
Civil Concentration
Computer Concentration
Electrical Concentration
Industrial Concentration
Mechanical Concentration
Ocean Concentration
Professional Studies
Degree
Administrative Assistant/
Secretary
Legal Administrative Assistant/
Secretary
Medical Administrative Assistant/
Secretary
Science
Degree
Science
Programs of study
For more information:
401-825-2003
webadmission@ccri.edu
Knight Campus
400 East Ave.
Warwick, RI 02886
Flanagan Campus
1762 Louisquisset Pike
Lincoln, RI 02865
Liston Campus
One Hilton St.
Providence, RI 02905
Newport County Campus
One John H. Chafee Blvd.
Newport, RI 02840
Classes are also offered online:
ccri.edu/distance
and at:
Westerly Education Center
23 Friendship St.
Westerly, RI 02891
COMMUNITY COLLEGE OF RHODE ISLAND
ccri.edu/apply
2019–20 CCRI_ProgramsOfSudy_9/2019
8
Personal Data Statement
HOME COUNTRY ADDRESS
Name__________________________________________________ Mr. ___Mrs. ___Miss ___Ms. ___
Last First Middle (check one)
Address___________________________________________________________________________
City_______________________________Province/Territory_________________________________
Postal Code____________________________Country______________________________________
U.S. ADDRESS
Address___________________________________________________________________________
City________________________________________ State_____________ Zip__________________
Email Address__________________________________ Phone ______________________________
Country of Citizenship________________________ Country of Birth__________________________
Date of Birth______________________________ Native Language_____________________________
Month Day Year
Passport Number____________________________ Expiration Date____________________________
Month Day Year
Marital Status: ____ Married ____ Unmarried ____ Children
If you are married or have children, will your spouse or children come with you? _____Yes ____No
Contact Person in the U.S.__________________________________ Phone______________________
Where do you want us to send your I-20: ____Home Country ____U.S. Address ____Pick up
FOR APPLICANTS CURRENTLY IN THE UNITED STATES
What type of VISA do you have? (F-1 or other, please specify)___________________________________
Expiration Date of Current VISA_________________________________________________________
Month Day Year
I-94 Card Date on Entrance____________________________________________________________
Month Day Year
I-94 Card Date of Expiration ___________________________________________________________
Month Day Year
9
Declaration of Financial Resources/
Afdavit of Support
To be completed by Financial Sponsor
I, ________________________________, will nancially sponsor _____________________________
in his/her academic studies at the Community College of Rhode Island. I am fully aware that my sponsorship
will nancially cover a full course of study (12 or more credits) each semester the student is attending CCRI
under the F-1 Visa holder SEVIS I-20.
I, ________________________, will be directly responsible for all payments made to CCRI Bursar Ofce.
I, ____________________________, understand that any non-payment or late payments of student
tuition and/or fees resulting in a Bursar Ofce student account hold, under full course of study or any other
action affecting student enrollment is a direct violation of the students F-1 Visa status and SEVIS I-20.
I will be directly responsible for academic year 2021-2022 at the Community College of Rhode Island:
• Full-time tuition and fees = 12,900*
• Books and supplies = 1,500*
• Transportation = 1,800*
• Other education expenses = 2,400*
• Average room and board (includes utilities) - not available at CCRI = 11,300*
*Amounts are subject to change
Total rounded expenses to be reected in nancial form and notarized letter on bank
letterhead = $29,900
Name of family member or sponsor ______________________________________________________
Relationship to the student ____________________________________________________________
Email Address ______________________________________ Phone _________________________
Signature __________________________________________ Date __________________________
This Afdavit of Support MUST be notarized and accompanied by a notarized letter from your bank (in
English or translated) showing a minimum cash savings balance equivalent to at least $29,900 U.S. dollars.
Notary Stamp/Seal
Notary Signature ________________________________________ Date _______________________
10
Approved Agencies for the
Translations of Foreign Documents
Recognized Agency Contact Information
Center for Educational Documentation
Box 170116
Boston, MA 02117
Tel: 617-338-7171
Email: info@cedevaluations.com
Website: www.cedevaluations.com
Educational Credential Evaluators
PO Box 514070
Milwaukee, WI 53203-3470
414-289-3400
Website: www.ece.org
Education Evaluators International, Inc.
125-28 Queens Blvd, #701
Kew Gardens, NY 11415
Tel: 401-521-5340
Email: eval@educei.com
Website: www.educei.com
Globe Language Services, Inc.
305 Broadway, Suite 401
New York, NY 10007
Tel: 212-227-1994
Website: www.globelanguage.com
World Education Services, Inc.
Bowling Green Station
PO Box 5087
New York, NY 10274-5087
Tel: 212-966-6311
Website: www.wes.org
SpanTran Evaluation Services
450 Seventh Ave., Suite 400
New York, NY 10123
Tel: 646-475-2570
Website: www.spantran.com
All foreign credentials (i.e. high school and college academic transcripts) must be translated and evaluated by
one of the authorized agencies listed below in order to be reviewed for transfer credit. A course-by-course
evaluation with grade and credit hour equivalency is required by the Community College of Rhode Island.
Please have the agency send 2 ofcial evaluations to:
Community College of Rhode Island
Admissions Ofce
400 East Ave
Warwick, RI 02886
Attention: Rob Giovino
11
Frequently Asked Questions
These are some of the questions international students have about applying and acceptance at CCRI. If you
have any additional questions, please don’t hesitate to contact Rob Giovino: rgiovino@ccri.edu or
401-825-2288.
When can I apply to CCRI as an international student?
We only accept international students in the fall. To make sure we have time to process your application,
prospective students outside the U.S. need to submit everything on the application list by May 31 for the
fall semester, which starts in August Students already in the U.S. can submit applications until June 30.
What are the registration and placement requirements at CCRI?
Registration and placement in classes is dependent upon English prociency, ACCUPLACER testing
and individual program requirements.
Do all my admissions requirements have to be submitted before I can register for classes?
You will only be admitted and allowed to register for classes after all admission requirements are fullled.
These requirements must be completed prior starting in the fall.
How do I show English prociency?
The Test of English as a Foreign Language (TOEFL; nd out more at www.ets.org/toe/ibt/register/) is offered
worldwide several times during the year. CCRI requires this test, as international students are not eligible to
take English as a Second Language (ESL) classes.
If my native and rst language is English, do I need to take the TOEFL?
No, but you will be required to take the ACCUPLACER assessment test (www.ccri.edu/accuplacer).
If I completed an ESL program at another institution, do I still have to take the TOEFL when
applying to the college?
Yes, and you will need to meet the minimum score of 500 on the paper-based TOEFL or 61 on the online
version.
If I arrive in Rhode Island after classes start, can I still attend?
No. You must arrive in Rhode Island prior to the start of your SEVIS I-20, but not more than 30 days before
the start date. You must arrive before classes begin to ensure all necessary documentation has been
submitted, and that you have time to complete ACCUPLACER testing, registration and orientation.
Will I be able to participate in varsity sports at CCRI?
If you are interested in varsity athletics, you are welcome to try out. Find out more about athletics and teams
at CCRI: www.ccri.edu/athl.
Is nancial aid available for international students?
As an international student, you are not eligible for nancial aid through the Community College of Rhode
Island. EduPASS (www.edupass.org/naid/) has more information about resources available to international
students.
12
Frequently Asked Questions
What needs to be in a notarized bank letter?
CCRI requires a notarized letter from your bank as part of your application. This letter needs to be on
bank letterhead, signed by bank ofcials, dated in the last six months, and show a cash savings balance
equivalent to at least $29,900 U.S. dollars in your sponsor’s account.
How do I receive an I-20 form?
After you are ofcially accepted to the Community College of Rhode Island, you will receive a SEVIS Form
I-20 in your CCRI acceptance packet. A SEVIS I-20 is not a visa.
What is SEVIS?
The Student Exchange Visitor Information System (SEVIS; nd out more at www.ice.gov/sevis) is a webbased
system for maintaining international student and exchange visitor information in the United States.
What is the SEVIS I-901 fee?
You or your sponsor must pay the SEVIS I-901 fee (www.fmjfee.com/#) of $350 dollars before applying for
your F-1 Visa. You must have the reciept to petition for your F-1 Visa.
How do I get my F-1 Visa?
Make an appointment with a United States Embassy or Consulate (www.usembassy.gov/) in your home
country to petition for an F-1 Visa after you are accepted to CCRI. You will need to provide the following
documentation: SEVIS Form I-20, I-901 fee receipt, copy of the CCRI Declaration of Financial Resources/
Afdavit of Support document, copy of notarized bank letter and CCRI acceptance letter.
If my home country denies my petition for an F-1 Visa, do I have to pay the fee again?
If you apply to CCRI again, we will issue a new I-20, with a new identication number, so your previous
SEVIS I-901 fee receipt will not match. You will be required to pay the SEVIS I-901 fee again.
Are there U.S. Citizenship and Immigration Services requirements for an F-1 student?
You must maintain full-time status (a minimum of 12 credits) each semester while maintaining all F-1
regulations in accordance with the U.S. government. Find out more at www.ice.gov/sevis/students.
Can I work while on an F-1 Visa?
As an international student on an F-1 Visa, your primary objective is to study and attend class as a student.
After your rst successful semester, you can apply for on-campus work only. You may work 20 hours a
week during the academic semester and 40 hours a week during the summer. However, due to limited
oncampus job availability, do not assume there will on-campus jobs available.
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Form 2021: International Student Information (Community College of Rhode Island)

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Completed 4 October 2020

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