Grayson County College - International Student Online Application

Student Number:

Use Social Security NumberLet GCC Assign it

Family or Last Name:
First Name:
Middle Name:
Other Name Used:
Email Address:

Home or Country Address:
City Name:
Country Name:
Zip Code:
Phone:

Date of Birth:
Native Language:
Gender:	FemaleMale

City of Birth:
Country of Birth:
Country of Citizenship:

Do you have a Visa?

NoYes

If yes, type of Visa:

Expiration Date of Passport:

High School / Secondary School Attended:

City:

TOEFL and/or IELTS score:

Country:

Month and Year of Graduation:

Are you transferring to GCC from another college?

NoYes

City:

College transferring from:

State:

Are you on academic or disciplinary suspension from your previous college?

NoYes

List in order of Attendance all Colleges inside or outside of the United States, and the dates of attendance at each.

College/University	Location	Dates Attended	Degree

Semester of enrollment:

FallSpringSummer ISummer II

Year of enrollment:

Major field of study:

Educational Objective:
(select one)

Personal enrichment / Non-degree
Earn an Associate Degree
Earn credits for transfer
Undetermined, improve skills for job purposes
Earn a Certificate
Improve skills for job purposes

U.S. Address
Street Address:		City:		Zip Code:

Emergency Contact
Contact Name:		Phone:

I understand I must submit the following:
Application Application fee of $100 Official high school transcript (must be translated to English) Any additional transcripts TOEFL scores Copy of passport and visa Initial students deposit of $4,250 * This is for room, board, tuition, and books for one semester. Initial students are required to live in the dorm.

Student Signature:

Mail To:

Grayson County College
Department of International Students
6101 Grayson Drive
Denison, TX 75020-8299

Call 903.463.8746 or 903.463.8749 with any questions.