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International Student Questionnaire
INTERNATIONAL/UNDOCUMENTED STUDENTS: Once your application is completed at
www.cccb.edu/apply
, please complete this form for us to better get to know you.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Birthplace (City, State/Province if applicable)
*
Your answer
Mailing Address
*
Your answer
City/Town/Village
*
Your answer
State/Province
*
Your answer
Country
*
Your answer
Postal Code
*
Your answer
Mobile/Phone Number
*
Your answer
Are you currently living in the United States?
*
Yes
No
What type of visa do you currently hold?
*
F-1
I do not currently hold a Visa
Other
Passport Number
*
Your answer
Are there any family members coming to the US with you?
*
Yes
No
Maybe
How many children coming to the US with you?
*
Your answer
How many adults (not counting yourself)?
*
Your answer
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