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International Student Application Form

This application form is for new International students seeking Admission to Clinton Community College.


First Name *


Middle Name:


Family Name: *


Foreign Address: Must be outside of United States. Type exactly as it should appear in English on an envelope. *


Email address (preferred method of communication): *


Is this your first time enrolling in a college or university? *
 Yes
 No


Have you been enrolled or are you currently enrolled in a college or university? *
 Yes
 No


Date of Birth: (MM DD YYYY) *


Gender: *
 Male
 Female


Country of Birth: *


Country of Citizenship *


Do you currently hold any immigration status in the United States? *
 Yes
 No


If yes, please indicate your visa type:


Is English your native language (the language spoken in your home)? *
 Yes
 No


If no, what is your native language?


What is the language of instruction in your high school? *


Have you taken an English proficiency exam, such as the TOEFL or IELTS? (These exams are not required for Admission) *
 Yes
 No


Father's family (last) name: *


Father's first (given) name: *


Mother's family (last) name: *


Mother's first (given) name: *


Parent or Guardian's email address: *


Is anyone helping you with the application process? *
 Yes
 No


 Following submission of my application, I will email the Admissions Office a copy of my translated college or university transcripts.

If yes, please indicate the advisor's name and title (for example: Mr. Smith, School Counselor):


Advisor's email address:


Can you provide documentation of your immunization health records? *
 Yes
 No



Educational Data:


Secondary Schools (High School): Name of School *


Secondary Schools (High School): Graduation Date: Month and Year *


College or University: Name of School


College or University: Graduation Date: Month and Year


Expected Entrance Term:


 Following submission of my application, I will email the Admissions Office a copy of my valid passport.

 Following submission of my application, I will email the Admissions Office a copy of my translated secondary school transcripts.

 Following submission of my application, I will email the Admissions Office a copy of my bank statement or sponsors bank statement with an available balance of at least $20,000 US Dollars.


Thank you for submitting your application to study at Clinton Community College in Plattsburgh, New York. A member of our Admissions staff will be emailing you to obtain copies of the documents required to complete your application. You can email copies of all required documents to Admissions@clinton.edu .