GCC International Students Questionnaire

Personal Information
Name: * (Last Name, First Name)
Email: *
Immigration Status: *
Native Language: *
Program of Study: *

Permanent Home Address
Address: *
City: *       State: *
Zip/Postal Code: *
Phone: *       Fax:
Country of Birth: *     Date of Birth: *

U.S. Adresss
Address: *
City: *       State: *
Zip/Postal Code: *
Phone: *       Fax:

Answer the following questions only if you are an F-1 student transferring from another U.S. academic institution. You must also have the institution from which you are transferring complete a Notice of Intent to Transfer form.
Last U.S. Academic Insitution Attended:
Have you ever applied for reinstatement?
If Yes, Was it Approved?       If Yes, How Long?
Have you benn authorized for curricular training?       If Yes, for how long?

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