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 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 Select OneAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Daytime Telephone (Include Country Code)Include Country, State, City Codes and NumberU.S. Mailing Address: Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 - Name* Emergency Phone*Include Country, State, City Codes and NumberENROLLMENT INFORMATION Semester you plan to enter Cochise College*Fall 2024 - Classes Start August 19Student 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 INFORMATIONGender*MaleFemaleOtherDate of Birth* MM slash DD slash YYYY 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 OriginI wish to not discloseWhat is your race? (choose one or more)* White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native I wish to not disclose VISA INFORMATIONCountry 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 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 Information*High School GraduateCurrently Attending High SchoolHome-SchooledGraduation Date* MM slash DD slash YYYY Grade* Expected Graduation Date* MM slash DD slash YYYY 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*YesNoWhich Area of Study are you pursuing?*Select OneArts & HumanitiesAviationBehavioral Sciences & Human ServicesBusinessComputer TechnologyFirst RespondersHealth SciencesIndustryMilitary ProgramsScience, Technology, Engineering, MathWorkforce TrainingWhich Degree or Certificate?*Select OneAZ Gen Ed Curriculum Liberal Arts Cert 31-44C-AGCADigital Media Arts AAS-DMAFine Arts AA-ARTF; 31-44C-AGCAGeneral Requirements AA-GENG; 31-44C-AGCAGeneral Studies AGS-AGSLiberal 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-AGCAMusic AA-MUS; 31-44C-AGCATheatre Arts AA-THE; 31-44C-AGCAWhich Degree or Certificate?*Select OneProfessional Pilot Technology (Airline Career) AAS-PPT/PPTCProfessional Pilot Technology (Flight Instructor) AAS-PPT/PPTFProfessional Pilot Technology (Multi-Engine) AAS-PPT/PPTMWhich Degree or Certificate?*Select OneAdministration of Justice AA-AJS; 31-44C-AGCAEarly Childhood Care and Education AA-ECE; 31-44C-AGCAEarly Childhood Care and Education AAS-ECE---Early Childhood Care and Education Cert 16-30C-ECECElementary Education AAEE-EED; 31-44C-AGCA---Paraeducator Cert 16-30C-PARA (Fall 2024)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 OneAZ Gen Ed Curriculum Business Cert 31-44C-AGCBBusiness Administration ABUS-BUSG; 31-44C-AGCBBusiness Mgmt AAS-BMT/BHSA; Adv Behavioral Health Sciences Cert 16-30C-BHSA; 16-30C-ENTCBusiness Mgmt AAS-BMT/AEWT; Aerospace Welding Tech Cert 16-30C-AEWT; 16-30C-ENTCBusiness Mgmt AAS-BMT/ASC; Animal Science Cert 16-30C-AS; 16-30C-ENTCBusiness Mgmt AAS-BMT/ATC; Automotive Tech Cert 16-30C-ATC; 16-30C-ENTCBusiness Mgmt AAS-BMT/CAD; Computer-Aided Drafting Cert 16-30C-CAD; 16-30C-ENTCBusiness Mgmt AAS-BMT/CRSC; Crop Science Cert 16-30C-CRSC; 16-30C-ENTCBusiness Mgmt AAS-BMT/CULA; Culinary Arts Cert 16-30C; 16-30C-ENTCBusiness Mgmt AAS-BMT/CULB; Culinary Baking & Pastry Arts Cert 16-30C; 16-30C-ENTCBusiness Mgmt AAS-BMT/CULS; Culinary Skills Cert 16-30C-CULS; 16-30C-ENTCBusiness Mgmt AAS-BMT/DMB; Digital Marketing for Bus Cert 16-30C-DMB; 16-30C-ENTCBusiness Mgmt AAS-BMT/ECEC; Early Childhood Care &Education Cert 16-30C-ECEC; 16-30C-ENTCBusiness Mgmt AAS-BMT/FST; Fire Science Tech Cert 16-30C-FST; 16-30C-ENTCBusiness Mgmt AAS-BMT/GCAD; General Computer-Aided Drafting Cert 16-30C-GCAD; 16-30C-ENTCBusiness Mgmt AAS-BMT/GWLD; General Welding Tech Cert 16-30C-GWLD; 16-30C-ENTCBusiness Mgmt AAS-BMT/HCSC; Horticulture Science Cert 16-30C-HCSC; 16-30C-ENTCBusiness Mgmt AAS-BMT/HVAC; HVAC Cert 16-30C-HVAC; 16-30C-ENTCBusiness Mgmt AAS-BMT/ATCD; Light Vehicle Diesel Cert 1-15C-ATCD; 16-30C-ENTCBusiness Mgmt AAS-BMT/LSA; Linux System Administrator Cert 16-30C-LSA; 16-30C-ENTCBusiness Mgmt AAS-BMT/MEDA; Medical Assistant Cert 16-30C-MEDA; 16-30C-ENTCBusiness Mgmt AAS-BMT/MBC; Medical Billing & Coding Cert 16-30C-MBC; 16-30C-ENTCBusiness Mgmt AAS-BMT/PARA; Paraeducator 16-30C-PARA; 16-30C-ENTCBusiness Mgmt AAS-BMT/RCC; Residential Construction Tech Cert 31-44C-RCC; 16-30C-ENTCBusiness Mgmt AAS-BMT/TAXP; Tax Preparer Cert 16-30C-TAXP; 16-30C-ENTCBusiness Mgmt AAS-BMT/VRD; Virtual Reality Content Developer Cert 16-30C-VRD; 16-30C-ENTCBusiness Mgmt AAS-BMT/WFGM; Welding D1.1 FCAW/GMAW Cert 1-15C-WFGM; 16-30C-ENTCBusiness Mgmt AAS-BMT/WSM; Welding D1.1 SMAW Cert 16-30C-WSM; 16-30C-ENTCBusiness Mgmt AAS-BMT/WMS; Welding Motorsports Cert 16-30C-WMS; 16-30C-ENTCBusiness Mgmt AAS-BMT/WPF Welding Pipe and Fitting Cert 16-30C-WPF; 16-30C-ENTC---Digital Marketing for Business Cert 16-30C-DMB (Fall 2024)---Entrepreneurship/Small Business Management Cert 16-30C-ENTC---Tax Preparer Cert 16-30C-TAXPWhich Degree or Certificate?*Select OneAmazon Web Services Cloud Architecting Cert 1-15C-CLDAAmazon Web Services Cloud Foundations Cert 1-15C-CLDFComputer Information Systems AAS-CISComputer Programming (Programming) AAS-CPG/CPGPComputer Programming (Virtual Reality Development) AAS-CPG/CPGVComputer Science AA-CSC; 31-44C-AGCACybersecurity AAS-CYBGoogle IT Professional Cert 1-15C-GITPLinux System Administrator Cert 16-30C-LSAVirtual Reality Content Developer Cert 16-30C-VRDWhich Degree or Certificate?*Select OneCommunications Officer Cert 1-15C-COCEmergency Medical Technician Cert 1-15C-EMTFire Science Technology AAS-FST---Fire Science Technology Cert 16-30C-FSTLaw Enforcement (Police Academy) AGS-AGS (Special Admissions - See Advisor)Paramedicine AGS-AGS (Special Admissions - See Advisor)Which Degree or Certificate?*Select OneAllied Health AGS-AHSAdvanced Behavioral Health Sciences Cert 16-30C-BHSABasic Behavioral Health Sciences Cert 1-15C-BHSEKG Technician Cert 1-15C-EKGTExercise Science, Health, Phys Ed, Recreation and Wellness AA-HPES; 31-44C-AGCAHome Health Aide Cert 1-15C-HHACMedical Assistant Cert 16-30C-MEDAMedical Billing & Coding Cert 16-30C-MBCNursing (RN) AGS-AHS/ZPRN (Special Admissions - See Advisor)---Practical Nursing (LPN) Cert AGS-AHS/ZPRN (Special Admissions - See Advisor)---Nursing Assistant (CNA) Cert 1-15C-CNAPhlebotomy Technician Training Cert 1-15C-PTTCWhich Degree or Certificate?*Select OneAutomotive Technology AAS-ATC---Automotive Fundamentals Cert 1-15C-AUTF---Automotive Technology Cert 16-30C-ATC---Light Vehicle Diesel Cert 1-15C-ATCDCulinary Arts Cert 16-30C-CULACulinary Baking & Pastry Arts Cert 16-30C-CULBCulinary Fundamentals Cert 1-15C-CULFCulinary Skills Cert 16-30C-CULSComputer-Aided Drafting Cert 16-30C-CADGeneral Computer-Aided Drafting Cert 16-30C-GCADHVAC Cert 16-30C-HVACResidential Construction Technology AAS-RCT---Residential Construction Technology Cert 31-44C-RCCWelding Technology AAS-WLD---Aerospace Welding Technology Cert 16-30C-AEWT---General Welding Technology Cert 16-30C-GWLD---Welding D.1 FCAW/GMAW Cert 1-15C-WFGM---Welding D.1 SMAW Cert 16-30C-WSM---Welding Fundamentals Cert 1-15C-WLDF---Welding Motorsports Cert 16-30C-WMS---Welding Pipe and Fitting Cert 16-30C-WPFWhich Degree or Certificate?*Select OneIntelligence Operations Studies AAS-IOSTMilitary Intelligence Systems Technician (Military 35T ) AAS-MIST (Fall 2024)Unmanned Aerial Vehicle Flight Operator (Military 15C/15W) AAS-UAVOUnmanned Aircraft Systems Technician (Military 15E/15M) AAS-UAVTWhich Degree or Certificate?*Select OneAZ Gen Ed Curriculum Science Cert 31-44C-AGCSAnimal Science AAS-AGRA---Animal Science Cert 16-30C-ASCCrop Science AAS-AGRC---Crop Science Cert 16-30C-CRSC---Horticulture Science Cert 16-30C-HCSCBiology (Human Biology) AS-BIO/BIOA; 31-44C-AGCSBiology (Biological Sciences) AS-BIO/BIOB; 31-44C-AGCSBiology (Ecology & Evolutionary Biology) AS-BIO/BIOE; 31-44C-AGCSBiology (Microbiology) AS-BIO/BIOM; 31-44C-AGCSChemistry AS-CHM; 31-44C-AGCSComputer Science AS-CSC; 31-44C-AGCSEngineering AS-EGR; 31-44C-AGCSGeneral Requirements AS-GENG; 31-44C-AGCSMathematics 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 OneCommercial Driver's License Training (CDL) Cert 1-15C-CDLCertificate 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 INFORMATIONDo you Plan to live on campus?*YesNoIf 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?*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* MM slash DD slash YYYY CAPTCHAAccessibility Services: The Accessibility Services office at Cochise College provides a variety of support services to meet the unique needs of faculty, staff, and students with documented disabilities. Our goal is to empower students, foster independence, promote success, and assist individuals in discovering and developing their full potential. Visit the Accessibility Services page online to request services and to contact us. Accommodation appointments can be made through our office at any time; we are happy to see you via Zoom, by phone, or in-person to best suit your needs. Notice of Non-discrimination: Cochise College prohibits any discrimination as defined by Title IX of the Education Amendments of 1972 to include, but not limited to, gender-based discrimination, sexual harassment, sexual misconduct, and sexual violence. Such acts can interfere with a student's ability to participate in or benefit from the college's academic and non-academic programs, an employee's ability to function in the workplace, or a campus visitor's ability to utilize the college. Accordingly, these behaviors are strictly prohibited. The procedures within this policy are intended to afford a prompt, thorough, and impartial response from the college to an allegation of gender discrimination, sexual harassment, and/or sexual misconduct in accordance with Title IX. Any Title IX Violations are to be reported to the Title IX Coordinator at 520-452-2683 or fill out the Feedback/Complaint form. 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, contact the Cochise College International Student Office (520) 417- 4050. 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 or contact the Cochise College International Student Office (520) 417- 4050.EmailThis field is for validation purposes and should be left unchanged.