Fillable Out Of The US Admission Packet4

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Out Of The US Admission Packet4

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Butte College
International Admission Instructions ______________
Deadline:
Step 1. International Student Application:
Students wishing to be considered for admission must complete an application and submit all supporting
documents. Completed application packets received will be processed within five business days. If
you are admitted, you will be emailed a confirmation and sent an I-20 form along with an acceptance
letter. You will receive instructions by e-mail with options for receiving your original documents. When
admitted to Butte College, you will be required to take at least twelve (12) units per term.
Step 2. English Language Proficiency: (Only applies if English is not your primary language)
Students must be able to read, write and speak English at a level necessary to actively pursue an
academic program. English proficiency can be demonstrated by meeting the minimum score on one
of the following language proficiency tests.
Tra
nscripts from a U.S. university/college showing completion of college level English with a grade of C or higher.
Note: If you do not meet our English requirement you can still be offered conditional admission to Butte College but you will attend
the intensive English language school, (ALCI) until you have reached a level of English language proficiency that is high enough for
full
admission. For this option please contact us on
international@butte.edu to provide you with the application and guide you through
the process.
Fall Term : June 30
Spring Term: November 15
Test Title
Minimum Score Before Admission
TOEFL Internet Based
http://www.ets.org/toefl
45
TOEFL Paper Based
http://www.ets.org/toefl
50
IELTS
http://www.ielts.org/
5.0
PTE Academic
https://www.pearsonpte.com/
39
EIKEN (Japan)
http://www.eiken.or.jp/eiken/en/
2
GTEC CBT (Japan)
http://www.benesse-gtec.com/cbt/
900
ELS
http://www.els.edu/en
109
Butte College
Step 3. Financial Guarantee & Current Bank Statement (Should not be older than 3 months):
Foreign students must present evidence of financial solvency. Evidence shall be presented in the
form of a statement from the student sponsor or a bank official indicating that sufficient funds are
available to cover all expenses incurred by the student during his/her stay at Butte College. Students
sponsored by their government or other agency will need a scholarship award letter indicating the
amount of award and beginning and ending dates of their scholarship. Students applying from
Nigeria, Cameroon, or Ghana are required to mail original bank statements directly from the
bank to our office. The documents can be mailed to the address below:
Butte Community College
Attn: International Admissions
3536 Butte Campus Drive
Oroville, CA 95965
Step 4. Tuberculin Skin Test or Vaccination:
Butte College requires international students to be free from Tuberculosis (TB). For your
convenience, a Health Statement form is enclosed in this packet. Please have your health care
provider complete and sign it to certify your negative test result. The TB test results must be current
- within three months. Students may instead provide proof of Bacillus Calmette–Guérin (BCG)
vaccination.
It is recommended that student immunization status be current as well. This includes Tetanus,
Measles, Mumps, Rubella and Polio.
Step 5. Academic Records/ Transcripts (for students under the age of 18)
Foreign academic records are only required from students who are under the age of 18 to verify the
completion of secondary-level/high school education. Otherwise, they are not required.
Step 6. Passport copy (Optional)
Please provide a copy of your passport if you already have one. It will help us when we create your I-20.
Step 7. Submitting your documents
Upon the completion of your application and collection of the required documents, scan all
the documents and then send them by e-mail to international@butte.edu as a PDF file or
JPEG.
Contact Information:
Mariam Chatila
International Student Admission Officer
E-mail:
Website:
Phone:
Address:
international@butte.edu
www.butte.edu/international
+1-530-893-7549
3536 Butte Campus Dr.
Oroville, CA 95965
Out Of The U.S. Admission Instructions, Continued________________
1
Butte College
International Student Application____________________________
Please type in your information, print, sign, and submit.
Applicant Info
rmation
Applicant Address
Language Proficiency
(Check all that apply)
English is my country’s primary/ official language.
I have completed one of the following Language Proficiency Tests. (Must submit proof of scores)
TOEFL IELTS EIKIN GTEC CBT
I have attended U.S. College/University, High School, or English Program. (Must submit letter of completion or transcript)
ALCI KAPLAN ELS
2+ years in US high School English U.S. College/ University Transfer Level English
NAME: ____________________________________________________________________________________________________________________________
LAST (FAMILY) FIRST: (GIVEN) MIDDLE
PREFERED NAME:________________________________ DATE OF BIRTH: _____________________
MALE FEMALE
(Optional) (month/ day/ year)
COUNTRY OF BI
RTH: ______________________ COUNTRY OF CITIZENSHIP:_________________________________
PRIMARY LANGUA
GE: _____________________ E-MAIL:____________________________________________________
(Check your e-mail regularly)
MAJOR: ____________________________________________ EDUCATIONAL GOALS: ______________________________________________
TERM APPLYING FOR: FALL 20 ______ SPRING 20 ______
HO
ME COUNTRY – PERMENANT ADDRESS
U.S. CURRENT ADDRESS (If available)
______________________________________________________
NUMBER & STREET
__
____________________________________________________
CITY STATE POSTAL CODE
_________________________________________________
N
UMBER & STREET
____
_____________________________________________
CITY STATE/PROVINCE/PREFECTURE
_________________________________________________
______________________________________________________
CELL
OR TELEPHONE NUMBER
COUNTRY POSTAL CODE
____
____________________________________
CELL OR TELEPHONE NUMBER
For office use only
Student ID # ___________________
UNKNOWN/ OTHER
[Select One]
2
Butte College
How Did You Hear About Butte College? (Check all that apply)
A Friend or Family Member Your Own Research
Referred by Your Current School Butte Website
I Attended an Educational Fair: City ____________ Educational Agent/Advisor_______________________
Study in the USA Other:_________________________________________
Emergency Contact Information
Release of Information
Social Media (Optional)
Certification
I certify that all statements on this form are true and complete.
________________________________________ ________________________________
Applicant Signature Date (month/ day/ year)
With regard to matters pertaining to your health and personal safety, Butte College may need to release your information to an
outside agency, institution, or person. Please sign below to authorize the release of your information.
________________________________________ ________________________________
Applicant Signature Date (month/ day/ year)
We would like to connect with you through social media. You can either add us on Facebook or provide your social media so that we add you.
1) Our Facebook URL is https://www.facebook.com/dash.butte
2) If you want us to add you, then please provide one of the following:
a. Facebook URL_________________________________________________________
b. Instagram ____________________________________________________________
c. Other________________________________________________________________
DISCLAIMER: This will neither affect your admission nor be used to evaluate your application. It is another way to connect with you and share the
fun activities that the international students do during the semester.
This information will remain on file for the duration of your enrollment. If a change occurs, please report it to Rachel Wood in
the Welcome Center immediately.
Emergency Contact Person: _________________________________________________________________________
Addr
ess: _________________________________________________________________________________________
Ho
me Phone Number: _____________________________ Cell Phone Number: ____________________________
E-mail:__________________________________________ Relationship to Applicant: _______________________
Do
es this person speak English? Yes No
Butte College
Financial Guarantee & Current Bank Statement ______________
Bank statements that are older than 3 months are not acceptable. Please type in your information, print, sign, and submit.
APPLICANT NAME: _____________________________________________________________________________
Last Name (Family) First Name (Given) Middle Name
The Bureau of Immigration and Customs Enforcement requires students to prove that they can afford to study in the U.S.
For admission purposes, all students must show that they, or their sponsor, have immediate access to at least $19,000 USD
to secure their first year of education. Students applying from Nigeria, Cameroon, or Ghana are required to mail original
bank statements directly from the bank to our office. The documents can be mailed to the address below:
Butte Community College
Attn: International Admissions
3536 Butte Campus Drive
Oroville, CA 95965
Estimated Costs for One Academic Year:
$ 7,728
$ 8,782
$ 800
$ 470
Enrollment and Service Fees
1
2
Unit= full time equ
ivalence
Room and Board
Books and Supplies
Insurance
Personal Needs
$ 1,220
$ 19,000
Source(s) of Funding:
Please show the amount of funds available to you in each category. Please report amounts in U.S. Dollars. If
you have multiple sponsors please have each sponsor complete this form.
From Parents $
From Own Savings $
From Sponsor (relative or other) $
From Government (letter required) $
Parent or Financial Sponsor Information only: (To be completed by sponsor)
Name: Relationship to applicant:
Phone: Email:
Address:
Number and Street
City State/ Province
Country ZIP/ postal code
Sponsor Certification
I certify that all statements on this form are true and complete.
________________________________________ ________________________________
Sponsor Signature Date (month/ day/ year)
4
Butte College
Health Statement______________________________________
Must be completed in English by a doctor or health practitioner. Please type in your information, print, sign, and submit.
Note: If you have received the Bacillus Calmette–Guérin (BCG) vaccination you may provide proof of inoculation.
APP
LICANT NAME: _____________________________________________________________________________
Last Name (Family) First Name (Given) Middle Name
Tuberculosis (TB) Skin Test Date: ________________
TB Skin Test Result: Negative Positive
(month/ day/ year)
T
o Physician: Please comment on general physical condition of student applicant. Explain any condition that may affect travel or
living in the U.S. If TB test is positive, please explain result of follow-up chest X-ray, patient’s condition and treatment
.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Physician Certification
I certify that all statements on this form are true and complete.
________________________________________ ________________________________
Physician Name & Signature Date (month/ day/ year)
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Out Of The US Admission Packet4

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Completed 15 February 2020

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