Cochise College International Student Application Translate Admissions Application with Google Step 1 of 4 - Student Information 25% COMPLETE LEGAL NAME Information you provide is required and confidential and is used to comply with federal reporting requirements and has no effect on your enrollment status.Last Name (as printed in passport)*First Name*Middle NamePrevious Name (Maiden Name, etc.)Cochise College ID# (if returning student)Note: You will be assigned a Cochise College ID Number which will be used to obtain all services provided by the college.CONTACT INFORMATION Home Country Mailing Address (No P.O. Boxes)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Daytime TelephoneInclude Country, State, City Codes and NumberU.S. Mailing Address: Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Daytime TelephoneInclude Country, State, City Codes and NumberEmail Address* Enter Email Confirm Email In Case of Emergency - NameEmergency PhoneInclude Country, State, City Codes and NumberENROLLMENT INFORMATION Year you plan to enter Cochise College:*20182019Semester you plan to enter Cochise College:*Fall I / AugustSpring I / JanuarySummer I / JuneStudent Type*High SchoolFirst-time to any college (after High School)Attended another college or university (after High School)Re-Admit (previously attended Cochise College)BIOGRAPHICAL INFORMATIONGenderMaleFemaleDate of Birth* Ethnicity/Race Information **Please answer both questions (requested for statistical purposes)Are you Hispanic or Latino/Spanish origin?Hispanic or Latino / Spanish OriginNot Hispanic or Latino / Spanish OriginWhat is your race? (choose one or more) White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native VISA INFORMATIONCountry of CitizenshipCountry of BirthChoose one:I need a form I-20 for an F-1 Student Visa. (Must provide Financial Guarantee form and a copy of passport in order to have I-20 created)I do not need a Form I-20I have a Form I-20 from another school, I want to transfer to Cochise Collegemy Visa status isI will submit the documents below and the name of my current school is:1. Current Form I-20 2. Copy of I-94 Card 3. Copy of passport and Visa 4. Most recent transcript from your currentAre you married?YesNoWill your spouse accompany you to the United States?YesNoDo you have children?YesNoWill your children accompany you to the United States?YesNo EDUCATION INFORMATION Are you a first-generation college student? (Neither parent attended college)YesNoPrevious School InformationHigh School GraduateCurrently Attending High SchoolHome-SchooledGraduation Date GradeExpected Graduation Date Name of High SchoolCity / State (Province)Transfer to Cochise Page (link opens new window) To have transfer work evaluated, official transcripts must be requested from each institution and sent directly to Cochise College. DEGREE INFORMATION English as a Second Language (ESL) onlyYesNoWhich degree or certificate are you pursuing?*Administration of Justice AA-AJS; 31-44C-AGCAAdministration of Justice AAS-AJSAgriculture AAS-AGRAgronomy AAS-AGROAutomotive Technology AAS-ATC--Automotive Technology Certificate 16-30C-ATCAviation Dispatch AGS-AVDAZ Gen Ed Curriculum Art Certificate 31-44C-AGCAAZ Gen Ed Curriculum Business Certificate 31-44C-AGCBAZ Gen Ed Curriculum Science Certificate 31-44C-AGCSPilot Technology (Professional) AGS-PPTPilot Technology (Professional) AAS-PPTUnmanned Aerial Vehicle Flight Operator (Military) AAS-UAVOUnmanned Aircraft Systems Technician (Military) AAS-UAVTBiology AS-BIO; 31-44C-AGCSBuilding Construction Technology AAS-BCT--Carpentry Technology Certificate 16-30C-CTC--Computer-Aided Drafting Certificate 16-30C-CAD--General Computer-Aided Drafting Certificate 16-30C-GCAD--HVAC Certificate 16-30C-HVAC--Utility Industry Certificate 16-30C-UIBusiness Administration ABUS-BUSG; 31-44C-AGCBBusiness Management AAS-BMT--Entrepreneurship/Small Business Management Certificate 16-30C-ENTCChemistry AS-CHM; 31-44C-AGCSCisco and Linux Networking AAS-CLNCommunications AA-COM; 31-44C-AGCAComputer Information Systems ABUS-CISS; 31-44C-AGCBComputer Information Systems AAS-CISComputer Programming AAS-CPG--Web Developer Certificate 16-30C-WEBDComputer Science AA-CSC; 31-44C-AGCAComputer Science AS-CSC; 31-44C-AGCSCulinary Arts AAS-CUL--Chef Patissier - Bakers Apprentice Certificate 16-30C-BKRA--Sous Chef Apprentice Certificate 31-44C-SCCACybersecurity AAS-CYBEarly Childhood Care and Education AA-ECE; 31-44C-AGCAEarly Childhood Care and Education AAS-ECEEconomics AA-ECN; 31-44C-AGCAEducation (Military) AAS-ED--Technical Education Facilitator (Military) Certificate 16-30C-TEFElectronics Technology AAS-ELTElementary Education AAEE-EED; 31-44C-AGCAEngineering AS-EGR; 31-44C-AGCSEnglish AA-ENG; 31-44C-AGCAExercise Science, Health, Physical Education, Recreation and Wellness AA-HPES; 31-44C-AGCAFine Arts AA-ARTF; 31-44C-AGCAFire Science Technology AAS-FST--Fire Science Technology Certificate 16-30C-FSTGeneral Requirements AA-GENG; 31-44C-AGCAGeneral Requirements AS-GENG; 31-44C-AGCSGeneral Studies AGS-AGSHumanities AA-HUM; 31-44C-AGCAIntelligence Operations Studies AAS-IOST--IO, Counterintelligence AAS-IOST/CI--IO, General Intelligence Operations AAS-IOST/GIO--IO, Human Intelligence Collector AAS-IOST/HIC--IO, Imagery Analyst AAS-IOST/IMA--IO, Intelligence Analyst AAS-IOST/IA--IO, Linguist AAS-IOST/LIN--IO, Military Intelligence Systems Maintainer AAS-IOST/MISM--IO, Signal Collector Analyst AAS-IOST/SCA--IO, Signals Intelligence Analyst AAS-IOST/SIAJournalism and Media Arts AA-JMA; 31-44C-AGCALogistics Supply Chain Management AAS-LGSMathematics AS-MAT; 31-44C-AGCSMedia Production Arts AAS-MPAMusic AA-MUS; 31-44C-AGCANetwork Technology AAS-NWT--Cisco Networking Certificate 16-30C-CNT--Computer Maintenance and Repair Certificate 16-30C-COMR--Linux System Administrator Certificate 16-30C-LSANursing AGS-AGS/ZPRN--Medical Assistant Certificate 16-30C-MEDA--Nursing Assistant Certificate 1-15C-CNAParamedicine AGS-AGS/ZPAR--Emergency Medical Technician Certificate 1-15C-EMT--Paramedicine Certificate AGS-AGS/ZPARPhilosophy AA-PHI; 31-44C-AGCAPhysics AS-PHY; 31-44C-AGCSResidential Construction Technology AAS-RCT--Residential Construction Technology Certificate 31-44C-RCCRespiratory Therapy AGS-AGS/ZRTHSocial Behavioral Sciences AA-SBS; 31-44C-AGCATheatre Arts AA-THE; 31-44C-AGCAWelding Technology AAS-WLD--Aerospace Thermal Fusion Certificate 16-30C-AETF--Aerospace Welding Technology Certificate 16-30C-AEWT--General Welding Technology Certificate 16-30C-GWLD--Welding Technology Certificate 16-30C-WLDNon-degree Seeking 000000-0000Note: You may choose only one degree or certificate.Certificate requirement*Student - You will be receiving Gainful Employment information through Adobe Sign in your personal email. Please open, review and sign the document. Cochise College will be able to process your Cochise College Admissions Application once the document is received. I acknowledge I will be receiving Gainful Employment information in my personal email account, and understand I must review and sign the document before Cochise College can process my application. ADDITIONAL INFORMATIONCochise College Education GoalPI - Personal InterestTR - Transfer to a Four-year SchoolWK - Improve Work SkillsCR - Prepare for a New CareerCP - Complete a Certificate ProgramAD - Complete an Associate's DegreeCT - Complete associate's degree and transferES - Enrolled in other college/univ., supplementing courseworkHow Did You Hear About Cochise College?High School VisitCareer FairCochise WebsiteInternet AdFamily / FriendMailingNewspaperRadio AdMilitary Education CenterCollege RecruiterMobile App AdOtherIf other, specifyDo you give permission for the college to release directory information (Name, Major, Attendance Dates, Enrollment Status, Degrees Received, and most recent attended institution) as per the Family Education Rights and Privacy Act of 1974?YesNoI certify that the information given is complete to the best of my knowledge. I understand that submission of false information is grounds for denial of admission or immediate suspension if enrolled. If accepted as a student at Cochise College, I agree to abide by the rules and regulations of the college regarding conduct and other obligations. By entering my name and date below and then clicking the Submit button I verify the above to be true.Signature (Enter Full Name)*Date* Disability Services: If you have a disability and require auxiliary aids, services, or other accommodations as a student at Cochise College, please contact the Disability Services Office at (520) 515-5337 or (520) 417-4023. Notice of Non-discrimination: Cochise College does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability. For additional information or to register a complaint, please contact the Dean of Student Services at 520-515-3647 or 520-417-4050 or fill out the Feedback/Complaint form (link opens new window). Insurance Requirements: All international students are required to have health insurance and may purchase insurance at the International Student Services Office upon arrival. Cochise College does not accept international insurances. Arizona-Sonoran Agreement.: Tuition applications are available to students from Sonora through an agreement between the Arizona-Mexico Commission. For more information, visit the Secretaría de Educación y Cultura website (opens new window) or contact the Cochise College International Student Office (520) 417- 4050 or (520) 417-4758. Sonoran Exchange Program: Tuition Applications are available to U.S. and Sonoran Citizens living in Sonora, Mexico to pay Arizona in-state tuition at Cochise College, Cochise County, Arizona. This is an agreement entered into between Cochise College, Cochise County, State of Arizona, USA, and the Technological Institute of Agua Prieta (Instituto Tecnológico de Agua Prieta) “ITAP”, State of Sonora, Mexico. For more information, visit the tuition waiver page (opens new window) or contact the Cochise College International Student Office (520) 417- 4050 or 520) 417-4758.PhoneThis field is for validation purposes and should be left unchanged.