International Student Intent to Enroll       Section 1: Personal Information   Please help us with spam control. Insert the following text into the box: LLC1 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): F-1 B-2 J-1 M-1 Other None 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.