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:*Semester you plan to enter Cochise College:*Fall I / AugustSpring I / JanuaryStudent 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 Lifelong learning is the "ongoing, voluntary, and self-motivated" pursuit of knowledge for either personal or professional reasons. Do you consider yourself a Lifelong Learner and do not need to be a degree seeking student (not Financial Aid eligible)?YesNoI consider myself a Lifelong Learner and am not seeking a degree.Not Seeking Degree/Lifelong Learning 000000-LLLEnglish as a Second Language (ESL) onlyYesNoWhich Area of Study are you pursuing?Select OneArts & HumanitiesBehavioral Sciences & Human ServicesBusinessComputer TechnologyHealth SciencesIndustryScience, Technology, Engineering, MathAdditional Credential OptionsWhich Degree or Certificate?*Select OneFine Arts AA-ARTF; 31-44C-AGCAGeneral Requirements AA-GENG; 31-44C-AGCALiberal Studies (Communication) AA-LBS/LBSC; 31-44C-AGCALiberal Studies (English) AA-LBS/LBSE; 31-44C-AGCALiberal Studies (Humanities) AA-LBS/LBSH; 31-44C-AGCALiberal Studies (Journalism) AA-LBS/LBSJ; 31-44C-AGCALiberal Studies (Philosophy) AA-LBS/LBSP; 31-44C-AGCAMedia Production Arts AAS-MPAMusic AA-MUS; 31-44C-AGCATheatre Arts AA-THE; 31-44C-AGCAWhich Degree or Certificate?Select OneAdministration of Justice AA-AJS; 31-44C-AGCACulinary Arts AAS-CULChef Patissier - Bakers Apprentice Certificate 16-30C-BKRASous Chef Apprentice Certificate 31-44C-SCCAEarly Childhood Care and Education AA-ECE; 31-44C-AGCAEarly Childhood Care and Education AAS-ECEEarly Childhood Care and Education Certificate 16-30C-ECECElementary Education AAEE-EED; 31-44C-AGCAEmergency Medical Technician Cert AGS-AGS/PAR; 1-15C-EMTFire Science Technology Certificate 16-30C-FSTLaw Enforcement (Police Academy) AGS-AGS/ZLEO (Special Admissions)Paramedicine AGS-AGS/ZPAR (Special Admissions)Social Behavioral Sciences (Anthropology) AA-SBS/SBSA; 31-44C-AGCASocial Behavioral Sciences (History) AA-SBS/SBSH; 31-44C-AGCASocial Behavioral Sciences (Political Science) AA-SBS/SBPS; 31-44C-AGCASocial Behavioral Sciences (Psychology) AA-SBS/SBSP; 31-44C-AGCASocial Behavioral Sciences (Sociology) AA-SBS/SBSS; 31-44C-AGCAWhich Degree or Certificate?Select OneBusiness Administration ABUS-BUSG; 31-44C-AGCBBus Mgmt AAS-BMT/AETF; Aerospace Thermal Fusion Cert 16-30C-AETFBus Mgmt AAS-BMT/AEWT; Aerospace Welding Tech Cert 16-30C-AEWTBus Mgmt AAS-BMT/ASC; Animal Science Cert 16-30C-ASCBus Mgmt AAS-BMT/ATC; Automotive Tech Cert 16-30C-ATCBus Mgmt AAS-BMT/CTC; Carpentry Tech Cert 16-30C-CTCBus Mgmt AAS-BMT/BKRA; Chef Patissier - Bakers Apprent Cert 16-30C-BKRABus Mgmt AAS-BMT/CAD; Computer-Aided Drafting Cert 16-30C-CADBus Mgmt AAS-BMT/CRSC; Crop Science Cert 16-30C-CRSCBus Mgmt AAS-BMT/ECEC; Early Childhood Care and Educ Cert 16-30C-ECECBus Mgmt AAS-BMT/ENTC; Entrepreneurship/Small Bus Mgmt Cert 16-30C-ENTCBus Mgmt AAS-BMT/FST; Fire Science Tech Cert 16-30C-FSTBus Mgmt AAS-BMT/GCAD; Gen Computer-Aided Drafting Cert 16-30C-GCADBus Mgmt AAS-BMT/GWLD; Gen Welding Tech Cert 16-30C-GWLDBus Mgmt AAS-BMT/HCSC; Horticulture Science Cert 16-30C-HCSCBus Mgmt AAS-BMT/HVAC; HVAC Cert 16-30C-HVACBus Mgmt AAS-BMT/LSA; Linux System Administrator Cert 16-30C-LSABus Mgmt AAS-BMT/MEDA; Medical Assistant Cert 16-30C-MEDABus Mgmt AAS-BMT/RCC; Residential Construction Tech Cert 31-44C-RCCBus Mgmt AAS-BMT/SCCA; Sous Chef Apprentice Cert 31-44C-SCCABus Mgmt AAS-BMT/TEF; Tech Educ Facilitator (Military) Cert 16-30C-TEFBus Mgmt AAS-BMT/UASO; Unmanned Aircraft Sys Ops (HS Students) 16-30C-UASOBus Mgmt AAS-BMT/VRTC; Virtual Reality Technologist Cert 16-30C-VRTCBus Mgmt AAS-BMT/WLD; Welding Tech Cert 16-30C-WLDEconomics AA-ECN; 31-44C-AGCAEntrepreneurship/Small Bus Mgmt Cert 16-30C-ENTCSupply Chain Mgmt Cert 16-30C - SCMWhich Degree or Certificate?Select OneComputer Information Systems AAS-CISComputer Information Systems ABUS-CISS; 31-44C-AGCBComputer Programming AAS-CPGComputer Science AA-CSC; 31-44C-AGCACybersecurity AAS-CYBLinux System Administrator Cert 16-30C-LSANetwork Tech AAS-NWTWhich Degree or Certificate?Select OneAllied Health Degree AAS-AHS; 31-44C-AGCAEmergency Medical Technician Cert AAS-AHS; 31-44C-AGCA; 1-15C-EMTHome Health Aide Cert AAS-AHS; 31-44C-AGCA; 1-15C-HHACMedical Assistant Cert AAS-AHS; 31-44C-AGCA; 16-30C-MEDANursing (LPN to RN Adv Pathway) AAS-AHS/NUR; 31-44C-AGCA (Special Admissions)Nursing Assistant Cert AAS-AHS; 31-44C-AGCA; 1-15C-CNAPractical Nursing AAS-AHS; 31-44C-AGCA (Special Admissions)Exercise Science, Health, Phys Ed, Recreation & Wellness AA-HPES; 31-44C-AGCAWhich Degree or Certificate?Select OneAerospace Thermal Fusion Cert 16-30C-AETFAerospace Welding Tech Cert 16-30C-AEWTAutomotive Tech AAS-ATCAutomotive Tech Cert 16-30C-ATCAviation Dispatch AGS-AVDComputer-Aided Drafting Cert 16-30C-CADGeneral Computer-Aided Drafting Cert 16-30C-GCADGeneral Welding Tech Cert 16-30C-GWLDHVAC Cert 16-30C-HVAProfessional Pilot Tech (Flight Instructor) AAS-PPT/PPTFProfessional Pilot Tech (Multi-Engine) AAS-PPT/PPTMProfessional Pilot Tech AGS-PPTResidential Construction Tech AAS-RCTResidential Construction Tech Cert 31-44C-RCCWelding Tech AAS-WLDWelding Tech Cert 16-30C-WLDWhich Degree or Certificate?Select OneAnimal Science AAS-AGRAAnimal Science Cert 16-30C-ASCBiology AS-BIO; 31-44C-AGCSBiology (Human Biology) AS-BIO/BIOA; 31-44C-AGCSChemistry AS-CHM; 31-44C-AGCSComputer Science AS-CSC; 31-44C-AGCSCrop Science AAS-AGRCCrop Science Cert 16-30C-CRSCEngineering AS-EGR; 31-44C-AGCSGeneral Requirements AS-GENG; 31-44C-AGCSHemp Science Cert 16-30C - HSCHorticulture Science Cert 16-30C-HCSCMathematics AS-MAT; 31-44C-AGCSPhysics (Astronomy) AS-PHY/PHYA; 31-44C-AGCSPhysics (Physical Science) AS-PHY/PHYS; 31-44C-AGCSPhysics (Physics) AS-PHY/PHYP; 31-44C-AGCSWhich Degree or Certificate?Select OneAZ Gen Ed Curriculum Art Cert 31-44C-AGCAAZ Gen Ed Curriculum Bus Cert 31-44C-AGCBAZ Gen Ed Curriculum Science Cert 31-44C-AGCSGeneral Studies AGS-AGSIntelligence Ops Studies AAS-IOSTTechnical Education Facilitator (Military) Cert 16-30C-TEFUnmanned Aerial Vehicle Flight Operator (Military 15W) AAS-UAVOUnmanned Aircraft Systems Ops (HS Students) 16-30C-UASOUnmanned Ground Vehicle Technician 16-30C - UGVTUnmanned Aircraft Systems Technician (Military 15E) AAS-UAVTVirtual Reality Content Developer 16-30C-VRDVirtual Reality Technologist Cert 16-30C-VRTCCertificate 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.