Fillable Supplemental 082014 (Harper College)

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Supplemental 082014 (Harper College)

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The Supplemental 082014 (Harper College) form is 2 pages long and contains:

  • 0 signatures
  • 18 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Harper College

BROWSE HARPER COLLEGE FORMS

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Continue to Page 2 to complete this form
Attach Photo Here
Family/Last Name
Given/First Name
Country of Birth
Country of Citizenship
Passport Expiration Date(mm/dd/yyyy)
First Language
Gender:
Out of the U.S. Address (
Required)
Number and Street Name
Additional Street Information
State/Province
Telephone Number
I am currently
(check one):
Date of Birth (mm/dd/yyyy)
Planning to enter the U.S. with an F-1 (student) visa
Living in the U.S. and attending school
in F-1 (student) status
Living in the U.S. with
Type of School Name of School City and Country of School Years Attended Diploma/Certificate
High School
You Must Include a Copy of Your High School Diploma or Certificate of Secondary Education with this Application
Country
Postal Code
City/Town
Include a copy of the
identification page of
your passport
Education Record (List your secondary school and any colleges or universities you attended in or outside the U.S.):
International Student Supplemental Information Form
Harper College
Page 1 of 2
Submit all Form I-20s you have been issued and
Transfer Eligibility Confirmation Form
Female Male
request for the Change of Status to F1
leave and reenter the U.S. with F1 visa
visa status and I will
The U.S. regulation
requires
international students
to submit out of the U.
S. address
Þ
à
Other
E-Pr
8/6/14
Harper College
International Student Supplemental Information Form
By typing/signing my name below, I confirm the accuracy of the information I have provided above and
accept full responsibility for maintaining my legal F1 status.
Applicant Signature:
Date(mm/dd/yyyy)
Financial Information (select all applicable):
My TOEFL score, taken within the last 2 years, is equal
to or more than 79 iBT/ 210 CBT/ 550 Paper Based.
My IELTS score, taken within the last 2 years, is equal to
or more than 6.5.
I passed English 101 at a U.S. college or university.
The language of instruction in my secondary high
school was English.
A TOEFL or IELTS
score report must
be submitted.
Transcripts must
be submitted.
A written verification
must be submitted
â
I will study my major,
(select a major from
List of Majors)
English Proficiency/ Major (select one applicable):
I plan to study ESL.
I am self-sponsoring with available funds in my own account,
U.S. $
I have a sponsor who is my
U.S. $
A copy of your sponsor's bank certificate, dated within the last six months,
must be submitted.
Your sponsor must review and sign this part:
(make additional copies as necessary)
Sponsor Name
By typing/signing my name below, I hereby agree to be responsible
for this student's tuition and expenses at Harper College.
Spouse and/or children will accompany me
You must complete the Dependent Information Form.
Your bank certificate must show an additional U.S.$4,000 for each
dependent who will accompany you.
Page 2 of 2
Sponsor Signature
Date:mm/dd/yyyy
family
friend
employer
home country government
other:
with funds in the amount of
Modi: 5/2/2014 (SF ESH 2.0)
in the amount of
A copy of your bank certificate, dated within
the last six months, must be submitted.
â
â
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Supplemental 082014 (Harper College)

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Completed 22 July 2020

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