Cochise College International Student Application

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 Name
Previous 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
Daytime Telephone
Include Country, State, City Codes and Number
U.S. Mailing Address:

Street Address Address Line 2 City State ZIP Code
Daytime Telephone
Include Country, State, City Codes and Number
Email Address*
Enter Email Confirm Email
In Case of Emergency - Name
Emergency Phone
Include Country, State, City Codes and Number
ENROLLMENT INFORMATION
Year you plan to enter Cochise College:*
Semester you plan to enter Cochise College:*
Student Type*
BIOGRAPHICAL INFORMATION
Gender
Date of Birth*
Ethnicity/Race Information
**Please answer both questions (requested for statistical purposes)
Are you Hispanic or Latino/Spanish origin?
What 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 INFORMATION
Country of Citizenship
Country of Birth
Choose 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-20
- I have a Form I-20 from another school, I want to transfer to Cochise College
my Visa status is
I 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 current
Are you married?
Will your spouse accompany you to the United States?
Do you have children?
Will your children accompany you to the United States?

EDUCATION INFORMATION
Are you a first-generation college student? (Neither parent attended college)
Previous School Information
Graduation Date
Grade
Expected Graduation Date
Name of High School
City / 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) only
Which degree or certificate are you pursuing?*
Note: 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 INFORMATION
Cochise College Education Goal
How Did You Hear About Cochise College?
If other, specify
Do 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?
I 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.
Comments
This field is for validation purposes and should be left unchanged.

Step 1 of 4 - Student Information

COMPLETE LEGAL NAME

CONTACT INFORMATION

ENROLLMENT INFORMATION

BIOGRAPHICAL INFORMATION

VISA INFORMATION

EDUCATION INFORMATION

DEGREE INFORMATION

ADDITIONAL INFORMATION