International Student Application

Timer

--:--

* = required field

Some content may be updated based on selection

INTERNATIONAL STUDENT APPLICATION FOR ADMISSION

1. FULL LEGAL NAME

(Please print name as it appears on your passport. Date format: MM/DD/YYYY).

Last Name

First Name

Middle Name

Date of Birth

Social Security Number (if applicable):

2. CURRENT MAILING ADDRESS & TELEPHONE:

Number

Street

Apt. #

City

State/Country

Postal Code

Home Phone:

Work Phone:

Email Address:

(Please include country code with phone numbers.)

3. DEPENDENTS ACCOMPANYING YOU:

First Name

Last Name

Relationship

Date of Birth

Country of Birth

First Name

Last Name

Relationship

Date of Birth

Country of Birth

First Name

Last Name

Relationship

Date of Birth

Country of Birth

4. PERMANENT HOME-COUNTRY ADDRESS:

Number

Street

Apt. #

City

State/Country

Postal Code

How long have you lived at your legal residence?

Years:

Months:

If you have lived at your legal residence less than one year, please provide informantion regarding your former address:

Former City:

Country:

How long did you reside at your former legal residence?

Years:

Months:

5. CITIZENSHIP and EDUCATION:

Country of Citizenship:

City and Country of Birth:

Native Language:

Secondary School Attended:

City:

Country:

Years Attended:

to:

Date of Graduation:

6. COLLEGE INFORMATION:

Please list all colleges where you have been enrolled even if you withdrew or did not complete a full term.

College name

City & Country

Credit Hours

Degree Earned

Years Attended

7. EMERGENCY CONTACT INFORMATION:

Name:

Address:

Home Phone:

Work Phone:

8. APPLICATION INFORMATION:

Semester for which you are applying:

Fall

Spring

Summer

Year

Intended Program of Study:

Associate of Arts Degree

Applied Science Degree

Certificate

Checklist:

The following will need to be scanned and e-mailed to ipo@otc.edu or sent to the IPO office at: Ozarks Technical Community College, 1001 E. Chestnut Expressway, Springfield, MO 65802, USA

_____ $75 Nonrefundable Application Fee

_____ Transcription of your official transcripts from high school and each college or university attended (use one of the transcription services indicated on the OTC website)

_____ Request that an official copy of your TOEFL, IELTS or other English language proficiency test be sent to OTC

_____ An affidavit of support from a Sponsor (if required) and official bank certification letter stating that you have sufficient funds to pay for the first year of your education

_____Advance payment for first semester of medical insurance (see OTC website requirements)

OTC can not issue a Form I-20 until all items on this checklist have been received and authenticated.

Please wait for files to finish uploading