International Student Application for Admission
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FLORIDA GATEWAY COLLEGE 149 SE COLLEGE PLACE ● LAKE CITY, FLORIDA 32025-2007 www.fgc.edu [email protected] PHONE: 386-754-4361 FAX: 386-754-4861 INTERNATIONAL STUDENT APPLICATION FOR ADMISSION ADMISSION APPLICATION PROCEDURES: International students who enter the United States under a non- immigrant student Visa will be admitted for specified terms only. A Florida Gateway College Certificate of Eligibility I-20 form will be issued only after ALL of the following documents have been received in Enrollment Services. Please mail complete application packet to: FGC Enrollment Services at the address noted above. Name: ________________________________________________________________________________ Last (Family) First (Given) Middle IMPORTANT DEADLINES FALL TERM SPRING TERM SUMMER TERM Applicants Outside the U.S. Applicants Outside the U.S. Applicants Outside the U.S. May 31 September 30 February 15 U.S. Transfer Applicants U.S. Transfer Applicants U.S. Transfer Applicants June 20 October 31 March 7 Admissions Notifications Mailed Admissions Notifications Mailed Admissions Notifications Mailed June-July September-November February-April ADMISSION REQUIREMENTS: 1. FGC International Student Application for Admission – Please submit a completed application for admission providing all required documents in one complete packet. An incomplete application will not be processed. 2. Certificate of Financial Responsibility – You must provide proof of funds for your first year tuition and living expenses before we can issue the required Form I-20 you will need when applying for your F-1 or M-1 Visa. The current international student estimated expenses for 12 months is 25,000 U.S. dollars ($25,000.00). 3. High School Equivalency Education – All foreign education transcripts must be translated and evaluated by a National Association of Credential Evaluation Services (NACES) approved foreign credential evaluation and translation service provider. An official report must be submitted from the evaluating agency directly to Florida Gateway College/Attn: Enrollment Services. 4. College or University Level Courses - All transfer-in College and/or University transcripts must be translated and evaluated by a National Association of Credential Evaluation Services (NACES) approved foreign credential evaluation and translation service provider. A detailed course-by-course evaluation must be completed and submitted from the evaluating agency directly to Florida Gateway College/Attn: Enrollment Services. 5. TOEFL Scores – If English is not the native language of your country you will be required to present TOEFL scores that are less than two (2) years old. The minimum official scores which are acceptable for admission are as follows: Paper-based test: 500; Computerized-based test: 173; and the internet-based test is 61. 6. All Students – All students must report to Enrollment Services upon arrival to meet with the International Designated School Official (DSO). Students will need to present all immigration documents and their passport. This will include the Form I-20 and Form I-94. International students are required to have student medical insurance which will cover medical costs while in the U.S. Students will be required to provide proof of medical insurance coverage upon arrival. First-time college students are required to take an entry level college placement test such as the ACT, SAT or PERT. This must be done prior to registration for courses. If you have not taken one of these tests or do not have official test scores, you will be required to take a placement test upon arrival, before meeting with an academic advisor. Tuition and fees are due at the time of registration and may be paid in cash, check, or money order in U.S. currency. Rev. 2/2017 PLEASE COMPLETE ALL SECTIONS IN FULL (please print): PERSONAL & IMMIGRATION INFORMATION (SEVIS Student Data) Do you have a U.S. Social Security Number: □ Yes □ No If yes, what is your SS# __ __ __ - __ __ - __ __ __ __ NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USE: In compliance with and pursuant to Florida Statute 119.071 (5), 1008.386, 1002.22(2), and SBE Rule 6A – 1.0955 (3) (e), Florida Gateway College (FGC) issues this notification regarding the purpose of the collection and use of your Social Security number. FGC collects your Social Security number for use in performance of the college’s duties and responsibilities. In a seamless K-20 educational system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the transition from one educational level to the next. Federal legislation relating to the Hope Tax Credit requires that all postsecondary institutions report the Social Security number of all post-secondary students to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for colleges to collect the Social Security number of every student. A student may refuse to disclose his/her Social Security number to the college, but refusing to comply with the federal requirement may result in fines established by the IRS. Providing your SSN on this form signifies that you consent to the use of your number in the manner described. To protect your identity, FGC will secure your Social Security number from unauthorized access. FGC will never release your Social Security number to unauthorized parties, and each student at FGC will be issued a unique student identification number. Your unique student identification number is used for all educational purposes at FGC including registration, access of your online record, etc. All Social Security numbers are protected by federal regulations and are never released to unauthorized parties. For additional detailed information on the college’s collection and use of social security numbers, please visit the college’s website at https://www.fgc.edu. Name: __________________________________________________________________________________________ Last (Family) First Middle Mailing Address (Outside of the U.S.) :________________________________________________________________ Number and Street/Apt.# (required for I-20 processing) ________________________________________________________________________________________________ City County/State/Region/Province Postal Code Country ____________________________________ _____________________________________________ Telephone Number E-mail address Mailing Address (United States): ____________________________________________________________________ ________________________________________________________________________________________________ City State Zip Code ____________________________________ _____________________________________________ Telephone Number (include area code) E-mail address Disclosure of information collected in the box below is not mandatory; however, it is requested to aid the State of Florida in its commitment to Equal Educational and Employment Opportunity and to meet federal reporting requirements. It is not used discriminatively for admission purposes. Refusal to answer the information requested will not result in the adverse treatment of any applicant. Date of Birth: _____/_____/_____ Race (check one) Month Day Year □ American Indian/Alaskan Native Gender □ Female □ Male □ Asian □ Black/African American Ethnicity (check one) □ Native Hawaiian/Pacific Islander □ Hispanic or Latino □ Not Hispanic or Latino □ White Primary Language______________________ Country of Birth _____________________________________ Country of Citizenship ________________________________ Will you bring dependents to the U.S.? □ Yes □ No Number of dependents: ___ (list dependents on page 2 of application) Are you currently in the U.S.? □ Yes □ No If yes, what date did you enter the U.S.?: ______/______/______ Month Day Year VISA HOLDERS: Will you exit and re-enter the U.S. if issued an I-20? □ Yes □ No Type of Visa: __________ Expiration Date: ______/______/______ I-94 Number: ____________________________ Rev. 2/2017 Are you transferring from another U.S. school? □ Yes □ No Name of School: ____________________________ If accepted, please indicate address where the acceptance letter and I-20 form should be mailed: □ United State (address listed above) □ Outside the United States (address listed above) □ Pick Up in Person by: ____________________________ □ Other: _______________________________________ Emergency Contact: _______________________________ E-mail: ________________________________________ Telephone: _____________________ ________________________________________________________________ City State/Region/Province Postal Code Country EDUCATIONAL PLAN: INTENDED STARTING DATE: □ Fall □ Spring □ Summer Year: __________________ Please enter the degree code which corresponds to your educational plan. Majors/Courses of Study can be found at https://www.fgc.edu/wp-content/uploads/2016/11/Programs-of-Study-12-2016.pdf . I plan to complete one of the following: □ Earn a Certificate and/or Applied Technology Diploma: Major/Course of Study Program Code: ________________ □ Earn an Associate in Arts (university transfer). Major/Course of Study Program Code: ________________ □ Earn an Associate in Science degree (may not transfer). Major/Course of Study Program Code: ________________ □ Earn a Bachelor’s Degree at Florida Gateway College. Major/Course of Study Program Code: ________________ Have you taken the TOEFL test? □ Yes □ No If yes, please list your test scores below. You must submit your official test