Application Form for International Students

Please complete the following forms: Application Form and Financial Resource Form

Directions:

Fill out this form in your browser.
Verify that all information is correct and free of typographical errors and print. Be sure to keep a copy for your records.
Sign and date the application.
Submit the forms by mail to address below.

Minimum processing time is two weeks after date of receipt. During peak periods, immediately before deadline dates, three weeks maybe required.

Please mail application form and required documents to the address below. Do not fax materials forms and required documents!

Out of Country Information

Date: (Month/Day/Year) :

Last Name:

First Name:

Middle Name:

Home Country Address:

Country of Birth:

Country Issuing Passport

Passport Exp. Date:

Birthdate: (month/day/year)

Sex: (check one)

Male

Female

Home Country Telephone Number: (required for DHL Express Mail )

E-mail Address:

I wish to begin study: (check one)

Year

Spring (January)

Summer (June)

Fall (August)

Please choose a Curriculum Name and Number from the Curriculum Code list provided.

I plan to study: (Curriculum Name)

(Curriculum Number)

Previous Education: (High School)

Graduation Date

Previous Education: (College or University)

Graduation Date:

After leaving LCC, I plan to: (check one)

Return to my country

Transfer to College

Other

In the Country Information

Are you currently in the United States? If yes, please provide the following information:

Visa type:

I-94 Departure Record Number

I-94 Exp. Date: (Month/Day/Year)

U.S. address:

Telephone Number:

Social Security Number:

F-1 or M-1 Students only: Attach a copy of your current I-20 form

The above information is correct and complete to the best of my knowledge.

Applicant's signature

*Any other visa type, except F-1 or M-1, please print and mail application form.

1121-Admissions
Lansing Community College
PO Box 40010
Lansing, MI 48901-7210
USA
Telephone: (517) 483-1200

Lansing Community College Admissions

Enrollment Services
Gannon Bldg, Room 203
Phone: (800) 644-4522
Additional contact information »

Country of Birth:
Country Issuing Passport
Passport Exp. Date:
Birthdate: (month/day/year)	Sex: (check one)	Male	Female

Home Country Telephone Number: (required for DHL Express Mail )
E-mail Address:
I wish to begin study: (check one)		Year
Spring (January)	Summer (June)	Fall (August)
Please choose a Curriculum Name and Number from the Curriculum Code list provided.
I plan to study: (Curriculum Name)		(Curriculum Number)
Previous Education: (High School)		Graduation Date

Previous Education: (College or University)		Graduation Date:

After leaving LCC, I plan to: (check one)
Return to my country
Transfer to College		Other

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Application Form for International Students