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HARTNELL COLLEGE
411 Central Ave, Salinas, California, 93901 - USA
Tel (1) (831) 755-6828       Fax (1) (831) 770-7060
www.hartnell.edu/students/international - Email: intlstud@hartnell.edu

International Student Application
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 I hereby apply for admissions to Hartnell College
  for the following semester

FALL   SPRING SUMMER  YEAR:

 Personal Information

1.

Name as it is on Your Passport:

  (Family name)
  (First name)
  (Middle name)

 

2. Female Male
Single Married

 

3. Date of Birth: Month
 Day
 Year
Birthplace:

 

4. Country of Citizenship:

 

5. Mailing address for answer to this application:
Telephone Number: 
Fax Number:           

 

6. Permanent Home Address
Home Telephone Number
Home Fax Number:
E-mail Address

 

7. Parent's or Guardian's Name:
 (Family Name)
  ( First Name)

 

8. Parent's or Guardian's Home Address:
Telephone Number:
Fax Number:

 

9. Name of relative or friend in the United States
  
  (Family Name)               (First Name)
Address:
Telephone Number:
Fax Number:

 

10. What will be your major field of study in the United States?
Do you plan to complete a two-year program (Associate's Degree) at Hartnell College?
Yes No
Do you plan to transfer to a four-year college or university?
Yes No

 

 

Educational Record
List all secondary schools, universities or technical schools attended.
Name of School or College Dates Attended Diploma/Degree Major Subject

     

      

Employment Record
If you have worked, please give us information about your employers.
Employer City & Country Dates Kind of Work

      

 

Please write a statement in English describing your educational goals. In your statement please indicate why you are interested in attending Hartnell College. Write at least 150 to 300 words.

 

 

Funds
A. Currency Restrictions
1.

Are there any currency restrictions in your home country which limit the amount of money you can bring with you to the U.S.?

If so, specify:
B.  Financial Support
(Give SPECIFIC AMOUNTS AVAILABLE, do not use the words " as much as necessary " in items number 1 and 2. )
U.S DOLLARS
1.

How much money will your family provide each year toward   your education in the U.S.?

 

 $
C. Other Source of Funds                  
(Scholarship, Sponsor, Relatives)
1. Indicate other amounts of funds available to you. $
2. Who is providing these funds?

 


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If you prefer click here for a printable version of this form.
(Adobe Acrobat format)