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International Student Intent to Enroll - Lake Land College
 

International Student Intent to Enroll


Step 1: Personal/Visa Info
 
 
Section 1: Personal Information
 
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Family Name:
Given Name:
Sex: Male Female
Marital Status: Single Married
Date of Birth:
Country of Birth:
Country of Citizenship:
Native Language:
 
Permanent home address:
Address:
City:
Postal Code:
Country:
Telephone:
(country code/city code/number)
Email:
I expect to come to the United States:
Alone  
With Spouse  
  Name:
  Date of Birth:
  Country of Birth:
 
With Child  
  Name:
  Date of Birth:
  Country of Birth:
 
  Name:
  Date of Birth:
  Country of Birth:
 
  Name:
  Date of Birth:
  Country of Birth:
 
Please list those individuals who will be responsible for your expenses while at Lake Land.  This includes tuition, housing, meals, insurance, etc.
  Name:
  Relationship to you:
  Address:
  Phone:
  Email:
 

Section 2: Visa Information
 
Type of Visa Currently Held (if any):
If "other", please explain:
 
 
Clicking the 'Next' button will NOT submit your information. If you would like to make changes or review your information from previous pages, please click the 'Previous' button. All the information you have entered will be saved. If the 'Submit Intent to Enroll' is available, please only click it once.



 

 

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