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International Application for Admission

Application Procedure
To be admitted each student must submit a completed Crowder College Application for Admission and a $25 application fee.

Enrollment in classes is subject to receipt of transcripts and your academic status. Please refer to the online catalog or visit the admissions office at Crowder College.

If you need special accommodations, please contact the Dean of Student Services, 417-455-5696
Degree & Certificates Offered by Crowder College
Associate of Arts degree - These degrees are designed to transfer to a four-year college or university for the completion of a baccalaureate degree in the arts and science.

Associate of Science degree - These degrees have specifically tailored general education components for the student pursuing a degree in a science related field.

Associate of Applied Science degree - The AAS degree allows students to focus their study to a specific field, and is not designed to transfer to a four-year school, although some programs and classes do transfer, depending on the institution.

Certificates - The certificate programs provide skills training and are generally completed in one year or less.
OFFICIAL APPLICATION
First Semester Enrolled * Fall Spring Summer
The school year is divided into three segments called semesters: Fall, Spring and Summer.
Year of Enrollment *

Type in the year you plan to be attending Crowder College.
I. PERSONAL INFORMATION
To be completed by all students
First Name
Middle Name
Last Name
Former Name if Any First Last
If you have had another name you used such as a maiden name please supply that here.
Social Security Number - no dashes -

Only required if applicable. You may leave this blank if you do not have a social security number.
Birth Date *

Please put in the Month then the Day and the Year separated by dashes like so 4/19/1983
Marital Status * Married Single Divorced Widowed
Email

If you have an email address please let us know.
Mailing Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please let us know your mailing address.
Permanent Mailing Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

If you may be moving or are just temporarily at your mailing address please also provide us with a permanent mailing address. A good example of a permanent mailing address would be your parents house.
How long have you lived at your permanent legal residence? *

Please supply the number of years/months you have lived at your permanent legal residence.
How long did you live at your former legal residence? *

Please supply the number of years/months you lived at your former legal residence.
Race: (Optional) Hispanic / Latino White Black / African American Asian American American Indian / Alaska Native Hawaiian Native / Pacific Islander
Citizenship * U.S. Permanent Resident Alien Other
Country of Citizenship:

Use this only if you specified "Other" under Citizenship above.
Country in which you were born:

Use this only if you specified "Other" under Citizenship above.
Native Language * English Spanish Other
If you specified 'Other' above please list your native language here:

If your native language is not English or Spanish, please let us know what it is here.
Student Status * FT First time student at any college since completing high school, including Crowder Dual Credit or Tech Prep FR Former student at Crowder College TR Transfer Student(prior credit at another institution but first time at Crowder College) TS Transient Student (non-degree seeking at Crowder; taking one or more classes to transfer to another institution)
Student Classification * HS High School Student-Dual Credit FR Freshman (0-30 hours) SO Sophomore (31-60 hours) PJ Post Junior College (65+ hours) PB Post Baccalaureate SP Special (no GED or High School Diploma-6 hr cumulative maximum)
HIGH SCHOOL / G.E.D. INFORMATION
Your High School or GED Graduation Date / MM / DD YYYY
MM= Month, DD=Day, YYYY = Year
COLLEGE INFORMATION
List all colleges and/or universities which you have attended. Official transcripts of all degree-seeking students are required to be on file by the fourth week of the semester.

If you are transferring in credit hours obtained at other Colleges/Universities you need to list them here.
Name of College, City, State, Year(s)
Example College, Neosho, MO
Please list all your higher education here along with the name of the facility, city, state and year(s) attended. Skip a line for new entries.
Are you in good disciplinary standing at your former institution and can you return without restrictions? Yes No
Are you in good academic standing at your former institution? Yes No
PROGRAM OF STUDY
Please choose one

At the top of this form you will see definitions for degrees and certifications.
Associate of Arts Degrees

Please consult the student catalog for descriptions and details of these degrees. Additionally our helpful staff of councilors can help you decide which degree is right for you.
Associates of Applied Science
Associates of Science
Certificates

Certificates traditionally complete in less time then a full two year associates degree. Please consult the College Catalog and discuss your options with a councilor.
Other
III. EMERGENCY INFORMATION
Person to Contact in case of Emergency First Last
Emergency Contact
Physicians Name First Last
Physician's Phone Number
Hospital you wish to be transported to in case of emergency:
1. In case of an emergency, I authorize college personnel in charge to use their discretion regarding the college's emergency procedures. I understand that falsification of any information provided on this application will subject me to disciplinary action, which may result in my dismissal from the college.

2. I certify that the answers given in this application are complete and accurate to the best of my knowledge, and I understand that submission of false information may result in my denial or suspension.

Name:
*

Please type in your name, this counts as your legal signature!
Date * / MM / DD YYYY
IV. REMINDER AND INFORMATION
To assist in processing your application promptly, be sure to mail or fax all necessary documentation (official copies of your academic records, test scores) to:

Crowder College International Office Neosho MO 64850

Or fax records to 417-455-5696

The $25 application fee is also due at this time. You may mail a check, made payable to Crowder College, to the address above.
Your application will be held until receipt of all documents is complete. Materials become the property of Crowder College and cannot be forwarded elsewhere. In the absence of a written signature, if you agree to the above terms, please select the SUBMIT button.
Please choose a security question below: * What is your favorite movie? What is your favorite flavor of ice cream? What is your favorite sports team?
Answer to your security question: *
/------------------------------------------ Financial Support, Each funding resource listed must be accompanied by an official statement send to: Crowder College International Office, 601 Laclede, Neosho MO 64850 USA ----------------------------------------/
Self Support (in U.S. Dollars)
Show amount in US Dollars and attach official bank statement(s) $ . Dollars Cents
Parent(s) or Individual Sponsor(s)
Annual income in US Dollars $ . Dollars Cents
Parent(s) or Individual Sponsor(s) First Last
Parent(s) or Individual Sponsor(s) Relationship:
Parent(s) or Individual Sponsor(s) Occupation:
If you have a relative living in the US what relation?
Are you sponsored by your government or other sponsoring agency?
If so please supply the name of the government or agency:
Do you need a letter of admission to secure financial support from your sponsoring agency? Yes No
Other Form of Support
$ . Dollars Cents
Optional
If Other Form of Support - Please Explain:
Total Funds Available
$ . Dollars Cents
Please total all your available funds here.
If you need to upload financial or academic records you may do so here. Please note that further or official records may be needed or requested.

Admissions

Financial Aid

International Application for Admission

International Application for Admission

OFFICIAL APPLICATION

I. PERSONAL INFORMATION
To be completed by all students

HIGH SCHOOL / G.E.D. INFORMATION

COLLEGE INFORMATION
List all colleges and/or universities which you have attended. Official transcripts of all degree-seeking students are required to be on file by the fourth week of the semester.

PROGRAM OF STUDY
Please choose one

III. EMERGENCY INFORMATION

Name:

/------------------------------------------ Financial Support, Each funding resource listed must be accompanied by an official statement send to: Crowder College International Office, 601 Laclede, Neosho MO 64850 USA ----------------------------------------/

Self Support (in U.S. Dollars)

Parent(s) or Individual Sponsor(s)

Are you sponsored by your government or other sponsoring agency?

Other Form of Support

Total Funds Available

Admissions

Financial Aid

International Application for Admission

International Application for Admission

OFFICIAL APPLICATION

I. PERSONAL INFORMATION To be completed by all students

HIGH SCHOOL / G.E.D. INFORMATION

COLLEGE INFORMATION List all colleges and/or universities which you have attended. Official transcripts of all degree-seeking students are required to be on file by the fourth week of the semester.

PROGRAM OF STUDY Please choose one

III. EMERGENCY INFORMATION

Name:

/------------------------------------------ Financial Support, Each funding resource listed must be accompanied by an official statement send to: Crowder College International Office, 601 Laclede, Neosho MO 64850 USA ----------------------------------------/

Self Support (in U.S. Dollars)

Parent(s) or Individual Sponsor(s)

Are you sponsored by your government or other sponsoring agency?

Other Form of Support

Total Funds Available

I. PERSONAL INFORMATION
To be completed by all students

COLLEGE INFORMATION
List all colleges and/or universities which you have attended. Official transcripts of all degree-seeking students are required to be on file by the fourth week of the semester.

PROGRAM OF STUDY
Please choose one