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International Student Application for Admission

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					                                                                                                        International Student
                                                                                                   Application for Admission

This form is to be used by persons who are not U.S. citizens or confirmed Permanent Residents (“green card” holders). It is to be
completed, signed, and dated by the applicant, and returned to us. To complete your application file, make sure we also receive
your Certificate of Financial Responsibility, all supporting financial documents, test of English language proficiency scores, and
transcripts. IMPORTANT: See “HOW TO PREPARE AND SEND APPLICATION DOCUMENTS” and follow the instructions
carefully.

Admission Deadlines:          Fall Semester: May 1           Spring Semester       October 1           Summer Session         March 1

PLEASE TYPE OR PRINT VERY CLEARLY!
                                                                                                                     I am applying for
My complete name, exactly in the order it appears or will appear in my passport is                  Fall [ ] Spring [ ] Summer [ ]
                                                                                                                       Year ________
____________________________________________________________________________

My surname is _________________________________

My given name is _______________________________

My middle or other name is ________________________                    I am: Male [    ]   Female [    ]

I am a citizen of (country) _________________________                  I am a legal resident of (country) ______________________

I was born on (day/month/year) ____/ ____/____ in (city, province, country ( ____________/ _______________/ ______________
_________________________________________________________________________________________________________

My mailing address in my home country is                               Home country telephone ____________________________
                                                                                                   (Country code, area/city code/number)
_______________________________________________
                                                                       FAX number, if available ____________________________
_______________________________________________                                                    (Country code, area/city code/number)

_______________________________________________
(City, Province, and Postal Code                                       E-mail address ____________________________________

_______________________________________________
(Country)

If you are currently inside the United States, please complete:        Social Security Number _____________________________
My mailing address inside the U.S.A.
                                                                       Telephone _______________________________________
________________________________________________                                        (Area code, number)

________________________________________________                       FAX number _____________________________________
                                                                                        (Area code, number)
_________________________________________________
(City, State or Province, and Postal Code                              E-mail address ____________________________________

IMPORTANT! What is your immigrant/non-immigrant status?                F-1 [   ]      J-1 [    ] Other (please specify) ___________

Make sure to attach clear copies of your passport ID page, your visa page, your I-94, and any eligibility papers you may
have been issued (I-20’s, etc.) These documents will enable us to assist you in maintaining or obtaining legal status.

English Language Preparation
[ ] English is my first language.
[ ] English is not my first language, but
     [ ] I have taken the TOEFL or the City & Guilds Pitman Qualifications Examination (ESOL) or the STEP EIKEN Pre-1 Level
tests of English language proficiency or the IELTS test and have requested that the scores be sent directly to Northern New Mexico
Community College. Northern can extract the scores itself for the IELTS.

My intended Academic Major is _____________________________________ [Refer to pp 3-4 for a list of possible majors]

Secondary School Records: We must receive an official transcript (mark sheets) showing graduation from secondary school.




                                                                 1
School Name __________________________________________                                   Date entered (month/year) _______/ _______

School Location ________________________________________                                 Date of graduation (month/year) _____/ _____

Post-Secondary School(s): If you are currently attending a college or university, or have taken any post-secondary courses for
credit, list all colleges/universities in order of attendance (most recent first). We must receive an official transcript, in English, from
the last institution from which you have received post-secondary credit. If you earned college credits at other colleges, it is in your
interest to have each such college/university send official transcripts in order to establish transfer of credits.

I attended the following institution from (month/year) ______/ ______ to (month/year) _______/ ______

Institution _________________________________                     Location _______________________________

I attended the following institution from (month/year) ______/ ______ to (month/year) _______/ ______

Institution _________________________________                     Location _______________________________

I attended the following institution from (month/year) ______/ ______ to (month/year) _______/ ______

Institution __________________________________                    Location _______________________________

Are you in good standing at the last institution attended? (i.e., eligible to return to that institution)   Yes [   ]      No [    ]

Have you already earned a bachelor’s degree from any college prior to applying to Northern? Yes [              ]        No [   ]

NOTE: If your college courses are transcripted in any language other than English, you must provide a certified translation. You
may be able to do this through the US Consular Service; however, if you cannot, we suggest that you contact World Education
Services to obtain acceptable documentation. Contact WES at www.wes.org. The fee for WES to produce a comprehensive
course-by-course report, regardless of the number of documents, is approx. $160 (US) per application. This is probably the least
expensive way to have this done.
_________________________________________________________________________________________________________

Please check to see that you have provided all possible information on this form; omitting information will only delay the
application process.
Please read the following before you sign. This application is not complete without your signature and date!

I certify that all information given in this application is complete and accurate to the best of my knowledge. If I am accepted as a
student at Northern New Mexico College, I agree to conform to and abide by all rules, regulations, and procedures of the College.
Misrepresentation in any statement by me will be considered adequate grounds for denial of admission, for cancellation of
registration, or suspension from the College.

Signature ________________________________________________________                                  Date ____________________________

Mail this application to:        Frank Orona
                                 Director of Admissions/Recruitment/Designated Service Officer
                                 Northern New Mexico College
                                 921 Paseo de Onate
                                 Espanola, New Mexico 87532
                                 USA




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                             List of Degree/Certificate Majors Available at Northern
                                 BA/BBA/BEng/BM/BS = baccalaureate degrees
                                     AA/AAS/AEng/AS = associate degrees,


Business and Office Administration
Business Administration (BBA)
Business Administration (AA)
Office Administration (AAS)

Career and Technical Education - El Rito
Construction Trades Management (AAS)
Construction Trades Technology (AAS)
Renewable Energy (AAS)

Career and Technical Education - Espanola
Auto Body Repair (AAS)
Automotive Technology (AAS)
Computer-Aided Drafting -General (AAS)
Visual Communications (AAS)

Communications, Humanities, and Social Sciences
Criminal Justice (AA)
General Studies (AA)
Human Services in the Social Sciences (AA)
Southwest Studies (AA)
Substance Abuse Counselor (AAS, AA)
Integrative Studies in the Humanities and Social Sciences (BA)

Engineering
Information Engineering Technology (AEng, BEng)
Mechanical Engineering - Solar Energgy (BEng)
Software Engineering (AEng, BEng)
Pre-Engineering (AEng)

Education
Early Childhood Education (AA)
Elementary Education (AA, BA)

Fine Arts
Art (AA)
Flamenco Dance (AA)
Flamenco Music (AA)
Jazz Music (AA)
Southwest Folk Arts (AA)
Theatre (AA)
Technical Theatre (AA)

Health Occupations
Allied Health (AAS)
Integrative Health Studies (BS)
Massage Therapy (AAS)
Nursing (AAS. AS, RN to BSN)
Radiologic Technology (AAS)

Math and Science
Biology (AS, BS)
Chemical Technician (AAS)
Environmental Science (BS)
Environmental Science (AAS)
Laboratory Biotechnology (AAS)



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Mathematics (BS)
Natural Resources-Range Ecology Management (AAS)
Pre-Forestry (AAS)
Radiation Protection (AAS)
Science (AS)

Information on these programs can be obtained via www.nnmc.edu




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        HOW TO PREPARE AND SEND APPLICATION DOCUMENTS
The Application form
Include as much information as possible, as clearly as possible. Incomplete responses or sloppily written
responses will cause the materials to be returned unprocessed, thus causing needless delays for you.
Make sure to sign and date the form!

The Certificate of Financial Responsibility
The issuance of visa paperwork requires proof of adequate funding. The grid on the back of the
Certificate form must be completed so we can see the sources and amounts of support for each year you
will be at Northern (e.g., two and a half years for an associate degree program). Any personal or family
support for the first year must be in liquid assets (money in the bank). Personal or family support for
subsequent years may come from whatever source is appropriate. Family sponsors must sign under
“Verification,” near the bottom of the Certificate, signifying their willingness to contribute the stated
amounts to your support. You, the student, must also sign and date this certificate!

We need to see supporting documentation of all the funding that you and your sponsors declare on the
Certificate. Bank statements must come directly to us from the bank; certification of yearly income must
come from the employer; business profits should be shown on copies of tax returns, etc., to verify the
amounts stated on the Certificate.

Why do we require such complete financial documentation? Because we want (and the law requires
us) to be sure that you will have adequate resources to complete your education in the United States. By
state law, undergraduate students cannot qualify for the lower in-state tuition. Scholarships are rare, and
it is extremely difficult (often impossible) to arrange for legal off-campus employment. On-campus
employment is legal; however, Northern is not able to offer you on-campus employment. In short, your
experience at our College will be far less stressful if you and your family make a financial plan that
guarantees your being able to finish your degree.

Proof of English Competency
If English is not your native language, part of your admission requirement is that you provide proof of your
ability to function within the setting of English-only classes. There are a variety of test instruments which
are acceptable to demonstrate your abilities;
1.        TOEFL            iBT Minimum total score of 80; not less than a 20 in each area (Writing,
                           Speaking, Reading, and Listening)
                           Paper-based tests are no longer acceptable.
2.        ESOL             City & Guilds Pitman Qualifications Exam (Pass on the Higher Intermediate
                           exam)
3.        STEP-EIKEN Pre-1 Level test
4.        IELTS            Test Type 2 (Academic)            6.5 min. score [www.ielts.org]
Scores from any of these sources must be sent to us directly from whichever testing service you use
[except IELTS, which we can access on-line].
5.        High School diploma issued by an accredited high school in the United States.

Proof of Academic Competency
In order to meet admission requirements, you must demonstrate that you have completed secondary
school by having the school provide us with an official transcript (or it may give it to you in a sealed
envelope, with the school’s stamp and the school official’s signature written across the seal). Do not
open such an envelope; it must be delivered intact, as sealed. Non-English transcripts must be
accompanied by a certified English translation.

College transcripts from outside the United States: If you are now attending or have ever taken college-
level courses, we must receive an official transcript from each such college attended, accompanied by a
certified English translation. If you provide certified translations from any source other than WES (see
p.2), you may have to provide additional information. Another reputable company is SpanTran



                                                     5
(www.spantran-edu.org. This company offers several services; however, for our purposes, you would
have to select their General Evaluation Plus Basic Course Analysis."

College transcripts from inside the United States: If you have attended a college within the United States,
we must receive an official transcript from each such college attended.

Proof of Insurance (Major Medical coverage)
One of the costs which you must incur is the purchase of a major medical insurance policy. If you do not
already have such coverage, you will have to buy a policy. A good, but inexpensive policy (“The Sentry
Student Security Plan”) can be obtained through E.J. Smith Insurance Agency. If you buy from this
company, the monthly cost for someone 24 and under is $45; for someone 25-34, it is $63/month; and for
someone 35-44, it is $91/month. If you did not receive a brochure with this packet -- for example, if you
access this material over the Internet there will be no brochure -- contact the insurance agency by phone
at 847-564-3660, or by fax at 847-564-3069, or through the Internet at www.ejsmith.com. You do not
have to use this company, but you must be insured by some company.

Why do we require you to be insured? If you need medical care while in the U.S. or suffer a major illness
or accident and need to be hospitalized, you must have medical coverage adequate to take care of the
bills. This is so important that if you arrive at the college without proof of a current major medical policy,
you will be sent home.




                                                      6
                               Estimated Costs per Year
In the following charts, “Academic Year” means the nine months of fall and spring semesters, specifically
the 17-weeks of fall semester, roughly four weeks of winter vacation, and the 17-weeks of spring
semester. “Summer Session” includes 8-weeks of classes, and two 3-week vacation periods. “Calendar
Year” is 12 months, June to June.

This chart covers students who are not going to be attending under an athletic scholarship. If you know
that your attendance will be covered by an athletic scholarship, see the budget on the next page.

                                 Academic Year            Summer Session           Calendar Year
Tuition and Fees                   $3,287.00                 $ 1,666.00                $4,953.00

Books and Supplies                   2,170.00                   800.00                  2.970.00

Medical Insurance                      760.00                                             760.00

Personal Expenses                .....2,385.00                1,250.00                  3,635.00

Room, Board, Misc.                   8.790.00                  4,395.00                13,185.00

 TOTAL COSTS                      $17,392.00                 $8,111.00                $25,503.00

Figures for “Tuition and Fees” are fairly stable, but because Northern does not provide any type of
medical care, you must purchase major medical insurance on your own; therefore, the price of such
insurance is subject to fluctuation. The price shown above represents an average cost (for a single
person 24-35 years of age.

In addition, students accepted into our Bachelors programs can expect upper-division tuition and fee
charges of $367.20 per credit, bringing their full-time tuition to $5,612.00 per semester instead of the
$1,123 per semester that the above budgets are based on. Charges are subject to change as required
by the college.

* When you arrive at the college, you must bring with you proof of current major medical
insurance, with an expiration date of not less than one year from the date of issue. Failure to
present such proof to Northern’s international advisor/PDSO will result in your being denied enrollment for
classes (putting you “out of status”). Failure to renew such major medical coverage for succeeding
periods of enrollment will result in your being “out of status.” We must require this because both state law
and federal regulations require that you fully support yourself while studying in the United States.

For purposes of visa eligibility paperwork, you must be able to document the costs listed above
under “Academic Year” in the financial portion of your application packet.




                                                     7
                      Estimated Costs per Year
                                 for
          International Student Attending Under an Athletic
                             Scholarship
In the following charts, “Academic Year” means the nine months of fall and spring semesters, specifically
the 17-weeks of fall semester, roughly four weeks of winter vacation, and the 17-weeks of spring
semester. “Summer Session” includes 8-weeks of classes, and two 3-week vacation periods. “Calendar
Year” is 12 months, June to June.

This chart covers students who are going to be attending under an athletic scholarship and represents an
average annual cost of attendance for a single person 24-35 years of age.

                                 Academic Year
Tuition and Fees                   $1,303.00 - $2,598.00*

Books and Supplies                   1,500.00

Personal Expenses                .........500.00

Room & Board                         7,020.00

 TOTAL COSTS                       $10,323.00

The tuition costs shown above reflect in-state resident tuition while attending under an athletic
scholarship.

Students accepted into our Bachelors programs (*) can expect upper-division tuition and fee charges of
$97.28 per credit, bringing their full-time tuition to $2,598 per year instead of the $1,303.00 that the above
budgets are based on. Charges are subject to change as required by the college.

For purposes of visa eligibility paperwork, you must be able to document the costs listed above
under “Academic Year” in the financial portion of your application packet.




                                                      8
CERTIFICATE OF FINANCIAL RESPONSIBILITY                                                                        International Student

In addition to meeting any language and academic requirements, you must be able to finance your education. Reading and
completing both pages of this Certificate will help you, we hope, to devise an acceptable funding plan. Please remember that we
need original documentation sent directly from the source(s) of funding. Send this form (and request that all supporting documents
be sent) to the Admissions/International Advisor, Northern New Mexico College, 921 Paseo de Onate, Espanola, NM 87532, USA.
_________________________________________________________________________________________________________

Please type or print.
Name ___________________________________________________________________________________________________
        Surname or Family Name                  First or Given Name              Middle Name

Mailing Address ___________________________________________________________________________________________
                   Street Address, Apartment #, etc.

                     _________________________________________________________________________________________
                     City                    State/Province           Postal Code             Country

What is / was your occupation in your home country? ______________________________________________

Do you plan to come to the U.S. with spouse and/or children? [ ] Yes                    [ ] No
If “Yes,” please list their names, birth dates, country of birth, country of citizenship, and relationship to you:

_________________________________________________________________________________________________________
Name                    Date of Birth   Relationship     Country of Birth Country of Citizenship

_________________________________________________________________________________________________________
Name                    Date of Birth   Relationship     Country of Birth Country of Citizenship

_________________________________________________________________________________________________________
Name                    Date of Birth   Relationship     Country of Birth Country of Citizenship

If you plan to bring dependents with you, you will need to certify an extra $3,300 for your spouse and $3,000 for each child
per year for the duration of your program.


Meeting Estimated Expenses
Before we can issue visa eligibility documents, we need to know that you will have sufficient financial support to complete your
educational program at Northern. Please consult the enclosed sheet entitle “Estimated Costs per Year.” There you will find a chart
which explains the cost of instruction. On the sheet with the grid, you will complete the information to show the sources of funding
that you will use to finance your education. The total for each of the years must equal or exceed the estimated expense for your first
year of college.

In computing your financial resources, remember that those holding an F-1 visa generally may not work off-campus. Also note that
this prohibition also applied to the spouses of F-1 students. Immigration laws would allow you to work on-campus; however, out
college does not have the funds to hire you for on-campus work.

Important Note to Private or Family Sponsors
Privacy laws in the United States prevent us from divulging any information about a student’s enrollment, the courses chosen, or the
grades earned – even to the student’s parents – without the explicit written permission of the student. However, it is understandable
that those who are giving financial support would wish to know about the student’s progress from time to time. To get this
information, you may require the student to sign a “consent form” in our Records office, specifying that educational information about
progress and grades be shared with you when you request it. Alternatively, you may ask your student to obtain official transcripts
and send them to you. Transcripts are available at any time, but they remain the most up-to-date information after the close of each
term. The spring semester ends in mid-May; summer ends in late-July; and fall ends in mid-December.




                                                                      9
CERTIFICATE OF FINANCIAL RESPONSIBILITY
SOURCE OF FUNDS                            Required Supporting Documentation
             Personal Savings              Statement directly from bank indicating date account was opened, current balance, and
                                           total deposits over the previous year. No photocopies. (Section A, below)

            Family/Relative Sponsor        Signatures of sponsors on this form (Section B, below). Bank statements (as above) plus
                                           verification of other potential support, such as employer’s statement of yearly income, tax
                                           returns showing business profits, etc. No photocopies.

                                   Loans   Official letter, directly from credit institution indicating approval of the loan, the applicant’s
                                           name, and the loan amount. No photocopies. (Section B, below)

                                Documents proving the ownership of property, stocks, or bonds which can be converted to
         Other (Stocks, Bonds, etc.)
                                cash. No photocopies. (Section C, below)
_________________________________________________________________________________________________________

SOURCE OF FUNDS TO BE                                 AMOUNT AVAILABLE IN U.S. DOLLARS                       REQUIRED
USED FOR YOUR SUPPORT                      YEAR 1            YEAR 2           YEAR 3                         DOCUMENTATION
A. Personal Savings

_____________________________              ________              _________             ________              Statement from Bank
Name of Back                               Amount                Amount                Amount

_____________________________
Account Holder
________________________________________________________________________________________________________________________
B. Family / Relative Sponsor

______________________________             ________              _________             ________              Statement from Bank
Name                                       Amount                Amount                Amount                Signatures below (Section A)

______________________________
Name
________________________________________________________________________________________________________________________
C. Other
(Specify source and type of support)                                                                         (See instructions above)
                                                                                                             Original back statements,
_______________________________ ________                         _________             ________              affidavits, or sworn state-
                                           Amount                Amount                Amount                ments.

_______________________________ ________                         _________             ________
                                           Amount                Amount                Amount

                                           ________              _________             ________
                                           Amount                Amount                Amount

_________________________________________________________________________________________________________
                      TOTALS               Amount                Amount                Amount

VERIFICATION SIGNATURES (REQUIRED):
A. This is to certify that I (we) the undersigned have agreed to provide the funds indicated to the applicant for the purposes of full-
time study at Northern New Mexico College and I (we) are submitting back statements indicating the availability of these funds.
[Additional sponsors must submit separate letter(s).]

_________________________________________________________________________________________________________
Family / Relative Sponsor’s Signature                 Name (Please print)              Date                  Relationship to Applicant

_________________________________________________________________________________________________________
Family / Relative Sponsor’s Signature                 Name (Please print)              Date                  Relationship to Applicant

                        THIS FORM IS NOT COMPLETE WITHOUT YOUR (THE APPLICANT’S) SIGNATURE
B. This is to certify that the information given on this form is complete and accurate to the best of my knowledge. I am fully aware
that any false or misleading statements will result in an automatic denial of admission.

_________________________________________________________________________________________________________
           Applicant’s Signature                                                       Date




                                                                    10
This part of the packet does not deal with applying for admission, being accepted, or
being sent an I-20. It deals with what you must do after you receive an I-20 and a letter
of acceptance.

The letter you will receive from me with your I-20 will tell you to make an appointment
with a U.S. Consulate/Embassy to process the I-20 and receive a Student Visa.*
Before you can do that, you must be able to prove to the Consular Service that you
have submitted form I-901 and the required (non-refundable) fee of approximately $100.
Until your change of status is official, you may not register for classes. However, if you
are here under a J-visa, you will be able to register for classes after submitting your
paperwork to the proper regional service center.
       *Canadian citizens need only take the letter of acceptance, the I-20, and their passport to
the border.

You may obtain a copy of the I-901 form from www.FMJKfee.com. You may wish to
take advantage of filing online and paying online with a credit card. If you choose to
print the form and pay by mail, you may pay by check or money order drawn on a U.S.
account – never cash! – or you may even pay by using Western Union Quick Pay
service. A special arrangement has been made with Western Union to collect the I-901
fee in local currency, along with the required I-901 form and transmit the data and
payment directly to the Student and Exchange Visitor Program (SEVP). A properly
completed Western Union receipt will serve as immediate proof-of-payment for a visa
interview at a U.S. consulate and for admission at a U.S., port of entry.

You would be wise to bring a printed copy of the instructions and the sample of the
Western Union form (also on the website) to the Western Union agent in order to
correctly process the payment.

If you cannot access the Internet to obtain this form, notify Frank Orona, your
international advisor, to obtain a copy by mail.




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