To apply for our program, print out the Application Form and Financial Resources Statement below and mail  them to: 

8114 - Center for International & Intercultural Education, Lansing Community College,  P.O. BOX 40010 Lansing, MI 48901-7210, U.S.A.
 Telephone: (517) 483-1006  Fax: (517) 483-9638

Name_____________________________________________________________
                     Family                                                                              First                                                         Middle
Home Country ___________________________________ Birth date: ____________________________________
                                                                                                                                                                Month/Day/ Year
Address ________________________________ Sex:            ____  Male  ____ Female
                ________________________________  
                ________________________________Telephone________________
                                                                           E-mail__________________________
Country of Birth ____________________________________     Fax_____________________________________
Passport Issued By _____________________________  Passport Expiration Date ________________________

I wish to begin study: (check one)
____ Spring I  (January)               ____ Summer (June)          ____ Fall I (August)    I wish to study ______ (1-5) sessions.
____ Spring II (March)                                                               ____ Fall II (October)    (5 sessions is equal to 1 year of study)

Previous Education _____________________________________________________________________
                                          High school                                                                                                                    Graduation date
                                  __________________________________________________________________
                                          College/University                                                                                                           Graduation date
TOEFL Score: ____________________________________ (if available)

After leaving ELCC, I plan to: (check one)  ____ Return to my country  ____ Transfer to another college
                              ____ Enter an academic program at Lansing Community College
 

If you are currently in the United States, please provide the following information. Visa Type ______   I-94 Departure Record Number ____________ I-94  Expiration Date_______________________ U.S. Address __________________________________________________ Telephone _______________________   Fax ________________________ E-mail_______________________ F1 students: Attach a copy of your current I-20 form (font and back).

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

___________________________________________________________________
                              Applicant's Signature                                  Date Submitted
 

  FINANCIAL RESOURCES STATEMENT
(For International Students desiring F-1 Visa)

To comply with USINS regulations, Lansing Community College must have assurance of full financial support for your entire program of study before admission can be granted.  Complete this form and attach supporting documents.

Student Name __________________________________________________________                                                                                                    Family                                               First                                      Middle
 

Anticipated Yearly Financial Resources in U.S. Dollars	Year 1
Your personal funds (Attach bank statement in English.) or family funds (Complete certification of financial support below and attach bank statement.)	$
U.S. Sponsor (Must complete I-134, Affidavit of Support.)	$
Other Sources-example:  scholarships from home country (Must complete support certification below and attach supporting documents.)	$
Total (Minimum required $19,000)	$

 

CERTIFICATION OF FINANCIAL SUPPORT

Important Note:  U.S. sponsors -- Do NOT use this form.  You must use form I-134, Affidavit of Support.  (Available from USINS or the LCC International Programs Office).

1.        The family or agency responsible for paying all educational, living, and other expenses while the students is in the United States must complete and sign this form.  If you have more than one sponsor, each sponsor must complete this form. 

2.     Attach supporting documents in English.  Individual sponsors must substantiate their ability to support the student by attaching an original bank statement specifying the exact amount currently on deposit.  Sponsoring agencies must attach an official agency letter explaining the details of the scholarship, including conditions and amounts of the award.  Please note: Photocopies are not acceptable and documents cannot be dated more than six months prior to date of application.

I/We _______________________________________guarantee to finance the education of
                                     (Name of sponsor)

_____________________________ in the amount of  $_____________U.S. Dollars per year
             (Name of Student) as long as he/she is enrolled at Lansing Community College.

_____________________________________________________________
Signature of parent/guardian/agency                    Relationship to Applicant

Sponsor’s complete name (printed) __________________________________________________

Sponsor’s mailing address _________________________________________________________

                                       ____________________________________________________