Professional Documents
Culture Documents
International Student Admission
International Student Admission
First Name
Middle Name
First Name
Relationship to Student
6. Friend or relative who has permission to discuss your file or to pick up your I-20
Name: __________________________________ Relationship: (i.e., uncle, friend, etc.) __________________
Phone Number: _____________________________ E-mail: ________________________________________
7. Address if I-20 is to be mailed (College does not send documents via courier service.)
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
__________________________________________________________________________________
City: ________________________________________ State/Province: _______________________________
Zip Code: ___________________________ Country: _____________________________________________
8. Family member or emergency contact in home country
Name: __________________________________ Relationship: (i.e., uncle, friend, etc.) ___________________
Phone Number: _____________________________ E-mail: ________________________________________
Home Country Phone Number: ________________________________________________________________
Does this person speak English? Yes
No
If no, what language? _______________________
9. Are you currently in the U.S.? Yes
No
If yes, state your current immigration status (F1, J1, etc.) _______________, and enclose copies of your
immigration documents (I-94, I-20, I-797, etc.).
10. Have you ever attended a DCCCD school? Yes
No
11. Translations
Translators must read and sign the following:
Any document containing a foreign language shall be accompanied by a full English language translation
which the translator has acknowledged as complete and accurate and that he or she is competent to translate
from the foreign language into English.
___________________________________ ___________________________________ _______________
Translator Name (Printed)
Translators Signature
Date
__________________________
Date