International Admissions Application
Admissions and Records
Arapahoe Community College
5900 S. Santa Fe Drive
Littleton, CO 80160-9002
Email: admissions@arapahoe.edu
PLEASE COMPLETE USING BLACK INK
Select the first semester and year
you plan to enroll: Fall Spring Summer Year 20__
______________________________________________ ______________________________
Social Security # or Tax
ID # - if you have one SEVIS ID Number
Legal Name: ________________________________________________________ Date of Birth:
______________________
Last First Middle
(as it appears on your passport)
Foreign Mailing Address: ___________________________________________________________
_____________________
Number and Street or PO Box
City: ________________________________ State/Province: __
____________ Country: __________________________
U.S. Mailing Address: _____________________________________________________
______________________________
Number and Street or PO Box
City: __________________________________ State: ___________________ Zip Code:
__________________________
Current Phone Number: ________________________________________________________________________________
Email Address: ________________________________________________________________________________________
Country of Birth: _______________________ Country of Citizenship: ______________________
If you have dependents accompanyi
ng you who will require an F-2 visa:
# of Dependents _______ List dependent informa
tion on Financial Statement form
How did you hear about ACC? ________________________________________________________________________
____
Intended U.S. Visa Type: __________ Current U.S. Visa Type: __________
I-94 expiration date: _____________
Passport # _________________________________________
How do you want to receive y
our I-20: Pick-up Mail to: US address or Foreign address
Please check the box that best describes your ethnic origin: (I) American Indian or Alaskan
(O) Asian or Pacific Islander (H) H
ispanic (B) Black (W) White
NAMES OF SECONDARY SCHOOLS AND AL
L COLLEGES OR UNIVERSITIES ATTENDED
Name of Secondary School Location D
egrees/ Graduation
Diplomas Date
________________________________________________________________________________________________________
Colleges or Universities
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Do you have an I-20 from another school? ____ If yes, name of school _________________________________________
Intended ACC Major or Field of Study ________________________________________________________________________
I hereby certify that, to t
he best of my knowledge, the information Date ___________________________
Given is true and complete. I understand that if it is found to be
Otherwise, it is sufficient for rejection or dismissal Signature ______________________________________
Revised 12.5.2016
Visa #: ________________________