Fillable International Student Requirements Packet (Minnesota State Community and Technical College)

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International Student Requirements Packet (Minnesota State Community and Technical College)

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International Student
Requirements Packet
Who is an International Student?
You are an international student if you are seeking admission to Minnesota State Community
and Technical College and you are not a United States citizen nor an immigrant to the U.S.
Permanent residents, refugees and political asylees do not need to submit this packet.
This packet must be filled out in its entirety and sent
electronically to admissions@minnesota.edu.
minnesota.edu/international
2 MStateInternaonalStudentRequirements
International Student Admission Checklist
ThischecklistoutlinestheprocessforinternaonalstudentsapplyingtoMState.AnacceptanceleerandI-20willbesentto
qualiedapplicants2-4weeksaerallrequireddocumentshavebeenreceivedbythecollege.Foraddionalinformaonabout
internaonalstudentadmissions,pleasevisitminnesota.edu/internaonalorcontactourSupportCenterat877.450.3322.
Date
Completed InternaonalStudentAdmissionsChecklistofInternaonalStudentAdmissionsRequirements
_______
1. Online Application and this International Student Requirements Packet
Completetheonlineapplicationatminnesota.edu/applyandsubmitthisInternational Student Requirements Packet.
_______ 2. Student Fees
Payrequired$20applicaonfee.
_______ 3. Academic Requirements
_______
1) Official High School Records
2) Official College Records
TheminimumrequirementforadmissiontoMStateisgraduaonfromanaccreditedsecondaryschooloritsequivalent.
Applicantsmustsubmitocialacademicrecordsfromallsecondaryandpost-secondaryinstuonsaended.Detailedocial
recordsofcoursestaken,marksreceivedandexaminaonspassedmustbesentdirectlytoMStatefromtheexaminaoncouncil
oreducaonalauthority.Recordsmustalsoincludediplomas,degreesorothercercatesreceived.
Ifdocumentsare
notinEnglish,allrecordsmustbetranslatedintoEnglishandsubmiedwithacopyoftheoriginaldocument
inthenavelanguage.Thistranslaonmustbeceredbyaschoolorpublicocialasatruecopyandtranslaonofthe
originaldocument.ThiscopyisinaddiontotheoriginalrecordsentdirectlytoMStatebyallcolleges/universiesaended.
MStatereservestherighttodeterminetheappropriatenessofthecercaonanddoesnotreturncercatesand/or
records.Somedocumentsmaybesenttoauthoriesforvericaonofauthencity.Whenthereisachargeforvericaon
ofauthencity,theapplicantisresponsibleforthecost.
_______ 4. English Requirements
TherearetwooponstofullltheEnglishprociencyrequirementforadmissiontoMState.
1) UndergraduateAdmission-TobeadmiedtoMStateinanyundergraduateprogramormajor,studentsmust
demonstrateoneofthefollowingmeasurementsofEnglishprociencytoMState:
• TOEFLscoreof:
550orhigher(papertest)
213orhigher(computer-test)
79-80orhigher(internet-basedtest)
• Compleonofacollege-levelcomposioncoursewithagradeof"C"orbeerfromanaccreditedU.S.college.
2) EnglishImmersionAdmission-EnglishimmersionstudentsmustcompleteonesemesterofEnglishLanguageLearners
(ELL)coursespriortoundergraduateadmission.AllELLcoursesaretaughtontheMState-Moorheadcampus.Students
mustsendthefollowingEnglishprociencymeasurement:
• TOEFLscoreof:
400orhigher(papertest)
97orhigher(computer-basedtest)
32orhigher(internet-basedtest)
_______ 5. Internaonal Student Agreement Form (includedinthispacket)
_______ 6. Financial Responsibility Statement (includedinthispacket)
ThismustbesubmiedbyallstudentswhowouldlikeanF-1orM-1studentvisawhileaendingMState.Studentsmust
providedocumentaonspecifyingsponsorship,fundingorsupportforalleducaonalandlivingexpenses.Supporng
documentaonsuchasbankstatementsoraleerfromthesponsor'snancialinstuonmustaccompanytheabove
documents.AlldocumentsmustbetranslatedintoEnglish.
_______ 7. Immunizaon Record
CompleteandelectronicallysubmittheMStateImmunizaonRecordfoundatminnesota.edu/forms.Minnesotalaw
requiresthatallstudentsbornaer1956andenrolledinapublicorprivatepostsecondaryschoolinMinnesotamust
beimmunizedagainstdiphtheria,tetanus,measles,mumpsandrubella,allowingforcertainspeciedexcepons.This
informaonwillbeavailableforreviewbytheMinnesotaDepartmentofHealthandlocalcommunityhealthboard.
_______ 8. Insurance Requirement
AllinternaonalstudentsarerequiredtohaveinsurancecoveragethroughouttheduraonoftheiraendanceatMState.
ThecollegewillprocuretheproperpolicyontheirbehalfandthecostwillshowontheirMStatebill.
_______ 9. Transfer and Eligibility Status Form (availablefortransferstudentstodownloadatminnesota.edu/internaonal)
_______ 10. Submit copies of passport and visa/I-94
MStateInternaonalStudentRequirements 3
Required International Student Information
ThisenrepacketmustbecompletedandsubmiedtobegintheMStateinternaonaladmissionsprocess.
Select Locaon:
DetroitLakes FergusFalls Moorhead Wadena Baudee
Intended Start Date:
Fall(year)_______Spring(year)_______
ExpectedMajor/Program: __________________________________________________
Haveyouaendedthiscollegebefore? Yes No
Ifyes,lastyearaended: ___________________________________________________
_____________________________________________________________________________________________________________________________________
FamilyName Firstname MiddleName EmailAddress
_____________________________________________________________________________________________________________________________________
PermanentAddress(Providecorrectmailform) City State/Country Zip/PostalCode
_____________________________________________________________________________________________________________________________________
MailingAddress(Providecorrectmailform-excludingP.O.boxes) City State/Country Zip/PostalCode
_____________________________________________________________________________________________________________________________________
PermanentTelephoneNumber CellPhoneNumber Birthdate(MM/DD/YYYY)
_____________________________________________________________________________________________________________________________________
CityandCountryofBirth CountryofCizenship NaveLanguage Gender
Personal Informaon:
IfalreadyintheU.S.,specifytypeofvisa:B F-1H-1H-4J-1AppliedforpolicalasylumOther.
Specify:_________________.IfyoualreadyholdaU.S.visa,specifyyourI-94admissionnumber:___________________
Aach copies of visa and I-94.
Visa Informaon
In the United States:
_____________________________________________________________________________________________________________________________________
Name(Last,First,Middle) Relaonship
_____________________________________________________________________________________________________________________________________
CompleteAddress PermanentTelephone CellPhone
In Home Country:
_____________________________________________________________________________________________________________________________________
Name(Last,First,Middle) Relaonship
_____________________________________________________________________________________________________________________________________
CompleteAddress PermanentTelephone CellPhone
Emergency Contacts
For Oce Use Only
DateApplic.Rec'd: ________________________
ID# _____________________________________
CollegeTranscript:___________________Rec'd
TOEFL,ELSRec'd;AssessmentRec'd
ImmunizaonFormRec'd
InternaonalStudentAgreementRec'd
EligibilityStatusFormRec'd
FinancialStatement
w/documentaon(Ifneeded)Rec'd
TransferI-20Rec'd;I-94Rec'd;
U.S.VisaCopyRec'd
DateAdmied/I-20Issued: __________________
4 MStateInternaonalStudentRequirements
*Applicants for selecve admissions programs such as: Cardiovascular Technology-Invasive, Dental Assisng and Hygiene,
Medical Laboratory Technology, Nursing, Pharmacy Technology, Radiologic Technology and Surgical Technology must
sasfy specic admissions criteria and submit a separate applicaon to become a candidate for those programs. Your
I-20 will show your intended major/program but that does not guarantee that you will be admied into that program.
Educaonal Record:
Listallpriorsecondaryschools,collegeanduniversiesyouhaveaended,beginningwithyoursecondaryschool(s)
andconnuingthroughtheschoolyoumostrecentlyaendedorarecurrentlyaending.Youmustrequestthatocial
transcriptsbesentdirectlytotheMStateProcessingCenterbythelistedschools,collegesand/oruniversies.Unocial
copieswillnotbeaccepted.
ListAllPriorSecondarySchools,Colleges
orUniversiesAended
AddressofInstuon
Dateof
Entering
Dateof
Leaving
Nameof
Cercaon,Diploma
orDegreeObtained
YearReceived
Cercaon (This document must be signed and dated)
IcerfythattheinformaonIhaveprovidedonthisapplicaonandallother
materials is complete, accurate and true to the best of my knowledge. I
understandthatitismyresponsibilitytorequestthatocialtranscriptsfrom
eachacademicinstuonIhaveaendedbesentdirectlytoMinnesotaState
CommunityandTechnicalCollege.
Asastudentinapublicinstuon,Iunderstandthatmyphotomaybetakenin
agroupseng,classroomorlargegroupgatheringforpromoonalpurposes.
Applicant’sSignature: ____________________________________________
Date: _________________________________________________________
Access to your student records and data privacy noce
Minnesota State Community and Technical College complies
withfederalandstateprivacylawsandregulaons.Thosewho
maygainaccesstoinformaoninyourstudentrecordsinclude
sta and faculty who have a job-related need to gain access,
instuons involved with providing or documenng eligibility
fornancial aid, and outside agencies inlimitedcircumstances
asauthorizedbystateorfederallaw.Inaddion,youmayreview
your student records. No one else may review your student
records without your wrienconsentor a court order. Certain
elementsofdataonastudent/applicantareconsidereddirectory
informaon and may be disclosed without consent unless you
nofytherecordsoceinwring thatthis informaonshould
notbereleased.Theseinclude:name,address,phonenumber,
enrollmentstatus,dates of aendance,degreeearned, honors
andmajoreldofstudy.
Have all ocial documents listed above sent to:
M State Processing Center
1414CollegeWay
FergusFalls,MN56537
click to sign
signature
click to edit
MStateInternaonalStudentRequirements 5
International Student Agreement
Please read, sign and date this agreement and submit it with your packet.
IfadmiedtoMinnesotaStateCommunityandTechnicalCollege,Iagreeto:
1. MaintainmystatuswithrespecttoU.S.DepartmentofHomelandSecurityregulaonsfortheduraonofmystudies
atMState.
Thisincludes,butisnotlimitedto:
A. Enrollingasafull-mestudentoncampus(atleast12credits)everysemester.
B. Accepngemploymentonlywhenproperauthorizaonhasbeengranted.
C. MaintainingavalidpassportandU.S.visaatallmes.
2. MaintainmedicalinsurancethroughtheUnitedHealthcareStudentInjuryandSicknessInsurancePlan,whichis
specicallydesignedforinternaonalstudents.Studentpolicieswillbeprocuredbythecollegeeveryyearthatthestudent
isenrolledandthecostwillbebilledtothestudent.Allinsuranceinformaonisavailabletoreviewatwww.uhcsr.com
(searchforMinnesotaCommunity&TechnicalColleges).MStateassumesnoresponsibilityformedicalexpenses.
3. HaveadequatefundstomeetallexpensesduringmystudiesatMState.Ifadmiedtothecollege,IunderstandImay
berequiredtomakeanadvancedepositforallorpartoftherstyear’seducaonalexpensesinordertoreceiveanI-20.
Internaonalstudentsmustpayinfulleverysemesterandarenotallowedtouseanytypeofpaymentplan.
4. AbidebyMStatepoliciesandproceduresrelatedtostudentconductandacademicprogress.
5. MeetwithmyAcademicAdvisorandDesignatedSchoolOcialatleastoncepersemesterandletMStateknowofall
contactandmajor/programchanges.
StudentSignature ___________________________________________________________________________________
Date ______________________________________________________________________________________________
Copywillbeprovidedtostudentuponwrienrequest.
click to sign
signature
click to edit
6 MStateInternaonalStudentRequirements
Financial Responsibility Statement
Minnesota State Community and Technical College
This statement must be completed and returned with all required documentaon aached.
MState requirescercaonof adequatenancial support fromapplicantswith non-immigrantvisas. This nancial
cercaonmustbeonlewiththecollegebeforeadmissionwillbeconsidered.Astudentmustbepreparedtopaynon-
residenttuionratesandfeesaswellaschargesforbooks,livingexpensesandinsuranceeachsemester.
ESTIMATED COSTS TO ATTEND M STATE FOR AN ACADEMIC YEAR
Thesechargesareesmatesandsubjecttochangewithoutnoce,andstudentsshouldbepreparedforanyadjustmentin
expenses.Atpresent,esmatedexpensesforasingleundergraduatestudentareasfollows(U.S.dollars):
Item FallSemester Springsemester FullYear
($175x12credits) ($175x12credits) (24credits)
Tuion&Fees(Approximately$175/Credit) $2,100 $2,100 $4,200
Books&Supplies $1,200 $1,200 $2,400
MedicalInsurance(Required)* $800 $800 $1,800
Room&Board** $3,000 $3,000 $6,000
Miscellaneous:PersonalExpenses,Transportaon,Etc $1,350 $1,350 $2,700
Total $8,450 $8,450 $16,900
*MedicalinsurancewillbeprocuredonbehalfofthestudentthroughUnitedHealthcare.
Thetotalcostofthepolicywillbebilledtothestudent.
**Roomandboardesmatesincluderent,mealsandulies.
SinglestudentsmustprovideevidenceofminimumnancialsupportintheamountofUS$16,900tomeetexpensesfor
oneacademicyearintheUnitedStates.
Studentswithdependents(marriedstudentsandstudentswithfamilies)mustusetheabovechartandadd$3,500for
spouseand$2,500foreachchildorotherdependent.Youmustshownancialsupportforalladdionalfamilymembers.
MSTATEMAYREQUIREANADVANCEDEPOSITFORALLORPARTOFTHEFIRSTYEAR’SEDUCATIONALEXPENSESBEFORE
ISSUINGANI-20.
MStateInternaonalStudentRequirements 7
Financial Responsibility Statement
I,_________________________________________________________________armthat:
1. IwillhavesucientfundsavailabletopayallofmynecessaryexpensesintheamountindicatedontheFinancial
ResponsibilityStatementfortheduraonofmystudiesatMinnesotaStateCommunityand
TechnicalCollegeandwillfurtherbeabletopayfortraveltoandfrommyhomecountry.
2. IunderstandfurtherthatIwillnotreceivenancialaid(ascholarship,grantorloan)fromMinnesotaState
CommunityandTechnicalCollegeandIwillnotreceiveauthorizaontowork.
3. ThespeciedsourcesofmyfundsinU.S.dollarstobereceivedfromeacharelistedbelow:
If you are married and/or have dependents, you must include $3,500 for your spouse and $2,500 for each child or other
dependent. For example, if you have a spouse and one child, you should add $3,500 for your spouse and $2,500 for your
child to the minimum total of $16,900, making your adjusted total $22,900.
Source of Funds
(MarkallthatapplywithanX) Supporng documents to be aached Amount-U.S. Dollars
______ PersonalFunds/Self-supporng BankstatementorCercateofBankBalance $ ____________________
________ Parents/Family(specifynameandrelaonship): BankstatementorCercateofBankBalance $ ____________________
_____________________________________
________ Sponsorsupport(specifyname): BankstatementorCercateofBankBalance $ ____________________
_____________________________________
________ Governmentscholarship(specifyname): Signedcopyofawardleer $ ____________________
Signedleerwithcompletedetails
_____________________________________
________ Ifafriendorrelaveisprovidingyourroom AdavitLeerofSupport
andboard,youmusthavealeerof (Availableatwww.uscis.gov.SearchforFormI-134.) $ ____________________
vericaonfromthatsource(specifyname):
_____________________________________
TOTAL FUNDS: $ ____________________
(musttotalatleast$16,900)
Ocial Cercaon of Funds and Amounts
Source contribung the largest amount must complete this secon
THIS FORM MUST BE CERTIFIED BY A NOTARY PUBLIC
WITH OFFICIAL STAMP OR SEAL.
ThisistocerfythatIhavereadtheinformaonfurnishedbytheapplicanton
thisform.Thesearetrueandaccuratestatements.Fundswillbeavailableand
willbeprovidedaslongasthestudentisenrolledatMinnesotaStateCommunity
andTechnicalCollege.
Name ___________________________________________________________
Address:
________________________________________________________ Mycommissionexpireson: _______________________________
Signature:___________________________________Date: _______________ Notary/LegalSignature: ____________________________
STUDENT MUST COMPLETE THIS SECTION
ThisistocerfythatI,thestudentapplicant,havefurnishedtrueand
accurateinformaononthisform,andthatfundswillbeavailablefor
educaonalandlivingexpensesformetostudyatMinnesotaState
CommunityandTechnicalCollege.Iunderstandthatanymisrepresentaon
maybecauseforrefusingorrevokingmyapplicaon.
Name ___________________________________________________________ Mycommissionexpireson: _______________________________
Signature:___________________________________Date: _______________ Notary/LegalSignature: ____________________________
Note: you may be required to present documentary evidence of nancial support at the time you apply for a visa and again when you enter the U.S.
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Moorhead
Detroit Lakes
Wadena
Fergus Falls
Baudette
Fargo
NORTH
DAKOTA
SOUTH
DAKOTA
CANADA
WISCONSIN
MINNESOTA
Minneapolis
St. Paul
Duluth
Grand Forks
Minnesota State Community and Technical College,
AmemberoftheMinnesotaStatesystem,isanarmave
acon,equalopportunityeducatorandemployer.
LEARN more. EARN more.
minnesota.edu • 877.450.3322
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International Student Requirements Packet (Minnesota State Community and Technical College)

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Completed 29 January 2021

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