SCC International Student Information Form

Please respond in English. When completed, send this form by clicking the SUBMIT button below.

Personal Information

Family Name 

First Name     

Middle Name 

 Gender:        Male        Female                    

Date of Birth: mm/dd/yyyy   

Country of Birth  

Country of Citizenship

Foreign Address (Do NOT list a POSTAL BOX):

Telephone number 

E-mail address (ex: you@you.com) 

US Address (if applicable; Do NOT list a POSTAL BOX)   

US Telephone Number (ex: xxx-xxx-xxxx) 

Admissions Information

Expected Date of Entrance:  Year:           

Semester:     Fall         Spring          Summer

Program of Study:

I plan to earn a:      Degree     Diploma      Certificate

Is English your native language?   Yes     No  

Do you have a visa/passport?   Yes      No

If yes, specify immigration status/visa type: 

 Are you requesting an I-20 form for a student visa?      Yes        No

 Classification:        New student          Transfer student

Educational History

Name of High School:

Country:

Year of Graduation:

List all colleges/universities you have attended.

[ Name of Institution        Location        Dates           Degree Earned]

For more information contact:
 Connie Wolfe, SCC International Student Advisor
E-mail: wolfec@sccsc.edu * Phone: 864-592-4829
PO Box 4386 * Spartanburg, SC  29305

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