International Supplemental Admissions Application
This checklist names all of the materials involved in the application process. Because each applicant’s situation is unique,
necessary documentation often differs from applicant to applicant. Review the list and complete all of the items that you are
required to complete. Then,
MAIL by COURIER/POST all application materials together to “International Admissions” at the
address at the bottom of this page.
GCC ONLINE ADMISSIONS APPLICATION
INTERNATIONAL STUDENT INFORMATION FORM (Please mail the original form and keep a copy for yourself)
REQUIRED TESTING
Test of English as a Foreign Language (TOEFL); International English Language Testing System (IELTS); or attend an ELS Language
Center. Proof of English ability is required if English is not your native or first language. Applicants must score at least a 460 (paper-
based TOEFL), 48 (internet-based TOEFL), 5.5 IELTS, 42 PTE Academic, 85 Duolingo, or achieve ELS Level 109 in order to be
considered for admissions. We do not accept institutional TOEFL exams. For more information please visit the following websites at
www.toefl.org
; www.ielts.org; www.pearsonpte.com; www.duolingo.com; or www.els.edu.
SIGNED CERTIFIED BANK STATEMENT
Provide a signed certified bank statement (translated to English) demonstrating possession of enough funds to pay for one academic
year. The financial documentation is also required by the United States Customs and Immigration Services. Therefore, please keep a
copy for use in obtaining a student visa. Currently, international students seeking an I-20 must show proof that they possess $16,990
in U.S. dollars or the equivalent thereof. However, because College tuition and fees may change, the amount that international
students must demonstrate may also change.
DECLARATION OF FINANCIAL SUPPORT FORM
This form must be completed by all applicants seeking a student visa. The form must be completed and signed by the student,
sponsor, and the sponsor’s financial institution. Please mail the original and keep a copy for yourself.
PHOTO IDENTIFICATION
Provide a copy of an official government-issued form of identification, such as a passport.
HIGH SCHOOL TRANSCRIPT
Provide your official high school graduation document/transcript (translated to English) that includes the year of graduation.
COLLEGE TRANSCRIPT (if applicable)
If you attended a college/university within the United States, contact the institution to request an official transcript to be sent to GCC
Admissions Office. International transcripts must be sent to World Education Services (WES) for evaluation purposes. International
transfer credit will only be accepted from WES evaluations. Visit
www.wes.org for more information.
SCHOOL TRANSFER ELIGIBILITY FORM (if applicable)
This form must be completed by the student and the international student advisor at the U.S. college/language program you are
transferring from. It is required for admission to GCC.
PROOF OF IMMUNIZATION
Applicants born after 1956 must provide proof of immunization against measles (two shots), mumps, and rubella. Please send a copy
of your immunization/shot records. If you fail to provide this document or have not had any immunizations, you will be required to
obtain the immunizations within the first few weeks after your arrival.
PLACEMENT TESTING
The Placement Test will be completed at Genesee Community College once you arrive. It cannot be completed at this stage of the
application process. It is for placement purposes only in regard to math, reading and English ability. If you have previously taken SAT or
ACT, please include the official scores with your application.
COLLEGE VILLAGE
When completing the online application, be sure to check on-campus housing on the application. You will want to follow up with College
Village at [email protected]
.
If you plan to live off-campus, you will be responsible for securing your own housing.
Affirmative Action
In accordance with federal regulations, the New York State Human Rights Law, Section 504 of the Rehabilitation Act of 1973, and the
Americans With Disabilities Act, Genesee Community College does not discriminate on the basis of age, race, color, creed, gender, religion,
marital status, veteran status, national origin, disability, or sexual orientation in educational programs, activities, admissions, or
employment.
International Admissions ▪Genesee Community College ▪ One College Road, Batavia, New York 14020-9704 ▪
Phone (585) 343-0055 ▪ Fax (585) 345-6842
This page is left blank intentionally.
International Student Information
Personal Information
1. Name
surname/family/last name given/first name
2. Foreign Permanent address
number and street apartment
city state/province country ZIP/postal code
3. Home Phone # 4. Cell Phone #
5. E-mail
/ /
___________________ ___________________________
6. Date of Birth
month/day/year
7. City and Country of birth: Country City:
8. Country of citizenship
9. Native language
Visa Status and Information
10. If you do not currently reside in the United States, do you plan to apply for an F-1 student visa to enter the
United States to attend Genesee Community College? Yes No
11. If you answered “Yes” to question 10, then you must complete the “Declaration of Financial Support,” form in
this packet. If you answered “No” to question 10, then indicate the status under which you plan to enroll at
Gen
esee C
ommunity College.
12. If you do currently reside in the United States, indicate the status you now hold.
F-1
(student)
What i
nstitution issued th
e I-20?
/ /
If you possess an F-1 visa, please complete the “School Transfer Eligibility” form in this packet.
J-1 (exchange visitor)
What institution/organization issued the DS-2019?
B-1 or B-2 (tourist or business) When does this visa expire?
month/day/year
Other
[Over, please]
English Language Proficiency
If your native language is not English, then you must demonstrate acceptable English language proficiency for your
application to be considered for admission to Genesee Community College. This requirement can only be met by
submitting an official Test of English as a Foreign Language (TOEFL) score; International English Language Testing
System (IELTS) band score; PTE Academic score; Duolingo score, or attend an ELS Language Center. The score
requirements are TOEFL of at least 460 (paper-based) or 48 (internet-based); IELTS band score of at least 5.5;
PTE Academic score of at least 42; Duolingo score of at least 85, or ELS Level 109.
13. Have you taken TOEFL, IELTS, PTE Academic, Duolingo, or attended ELS language instruction? Yes No
14. If you answered “Yes” to question 13, when did you take the TOEFL/IELTS/PTE Academic/Duolingo, or attend
ELS?
_________ /_______ /______
__
month/day/year
15. If you answered “Yes” to question 13, what was your TOEFL/IELTS/PTE Academic/DUOLINGO score or level of
ELS obtained?
A.
B.
C.
D.
Educational History
16. In order of most recent to least recent, provide information about all secondary schools, institutes, colleges,
and universities that you have attended and are attending now.
name of institution, and address (including city and country) of institution
dates of attendance, level of education, certificate, diploma, or degree earned, and date certificate, diploma, or degree was received
name of institution, and address (including city and country) of institution
dates of attendance, level of education, certificate, diploma, or degree earned, and date certificate, diploma, or degree was received
name of institution, and address (including city and country) of institution
dates of attendance, level of education, certificate, diploma, or degree earned, and date certificate, diploma, or degree was received
name of institution, and address (including city and country) of institution
17. Provide any additional information about your educational background or academic achievements.
18. How did you learn about Genesee Community College?
Genesee Community College Website
/ /
Other Website Current college or school Friend or relative
Other (please list)
19. Wha
t are your educational and career goals, and how will studying at Genesee Community College help you
meet them?
20
. By signing below you certify that all information on this form is true to the best of your knowledge.
Appl
icant signature Date
Declaration of Financial Support
If you plan to attend Genesee Community College on an F-1 student visa, you must secure a Certificate of Eligibility
for Non-Immigrant (F-1) Student Status (Form I-20) issued by Genesee Community College. An I-20 is a document
required to apply for an F-1 student visa. Before Genesee Community College can issue to you an I-20, you must
be admitted to a program of study and demonstrate your ability to meet all educational and living expenses for the
entire period of intended study at Genesee Community College. You are required to document funds available to
finance at least the first year of study at Genesee Community College, and indicate how you will finance
subsequent years of study.
For ad
mission purposes, fund sources and financial support may be classified into four categories. You may
demonstrate your ability to meet all educational and living expenses by providing evidence of any combination of
funding and support from these categories. Documentation for each category varies. The categories and their
documentation requirements are:
Personal savings, family or other financial support: the documentation necessary for personal savings, family
or other financial support includes verification by a bank official, and a separate original bank statement of
account. Signatures of both the applicant and the sponsor are required.
Scholarship: the documentation necessary for a scholarship includes an official scholarship letter addressed
to Genesee Community College from the institution awarding the scholarship. The award letter must state the
name of the applicant, the amount of funds available for each year of study, the duration of the scholarship
(including beginning and end dates), and the major field of study for which the scholarship was awarded.
Government or employment sponsorship: the documentation necessary for government or employer
sponsorship includes an official sponsorship letter addressed to Genesee Community College from the
government or employer granting the sponsorship. The award letter must state the name of the applicant, the
amount of funds available for each year of study, the duration of the sponsorship (including beginning and end
dates), and the major field of study for which the sponsorship was awarded.
Loan: the documentation necessary for a loan includes an official letter addressed to Genesee Community
College from the credit or lending institution administering the loan. The letter must state that the loan was
approved, and the amount of the loan.
1. Name
surname/family/last name given/first name
2. To claim personal savings as a source of funding for your first year of study, detail your personal savings
below. Also, include a bank statement with this application, and complete questions 7 and 9.
Amount
(in native funds)
$
(in U.S. dollars)
3. To claim family or other sponsorship as a source of funding for your first year of study, detail your sponsorship
below. Also, include a bank statement with this application, and complete questions 7 through 9.
Sponsor Amount
(in native funds)
Amou
nt $
(in U.S. dollars)
4. To claim a scholarship or loan as a source of funding for your first year of study, detail your scholarship or loan
below. Also, include an award letter or loan approval letter with this application, and complete question 9.
Scholarship/loan agency Amount
(in native funds)
Amount $
(in U.S. dollars)
5. To claim government or employer sponsorship as a source of funding for your first year of study, detail your
sponsorship below. You must also include an official sponsorship letter with this application, and complete
question 9.
Sponsor Amount
(in native funds)
Amount
$
(in U.S. dollars)
[Over,
please]
6. How will you finance subsequent years of study at Genesee Community College?
/ /
7. To be completed by a bank official: by signing below you certify that the funds indicated above are on deposit
or are held in the applicant’s name, or by his/her family members or sponsors named above at the following
financial institution.
Verification of funds is without liability to the bank or its officials.
Bank name
Bank address
number and street
city state/province country ZIP/postal code
Signature or seal of bank official Date
8. To be completed by a sponsor: By signing below you certify that you agree to provide the funds indicated
above to the applicant for the purpose of full-time study at Genesee Community College; that you are
submitting bank statements demonstrating the availability of the funds indicated above; that you understand
that Genesee Community College cannot provide financial aid to the applicant; that you agree to provide these
funds for the duration of the applicant’s course of study; that you understand that, if this commitment is not
met, the applicant may be dismissed by Genesee Community College.
Sponsor name
Sponsor address
/ /
/ /
number and street
city state/province country ZIP/postal code
Sponsor signature Date
9. To be completed by the applicant: By signing below you certify that all information on this form is complete
and accurate to the best of your knowledge; that you are aware that providing false or misleading information
will result in the denial of admission or cancellation of registration following enrollment; that you understand
that work and financial aid are not available to you at Genesee Community College.
Applicant signature Date
School Transfer Eligibility
If Genesee Community College is the first U.S. College that you plan to attend, and you do not possess an I-20, then do not
complete this form. If you plan to transfer to Genesee Community College from another U.S. college, your I-20 cannot be
processed if this form is not completed. Complete questions 1–9, and ask your current international student advisor to
complete questions 10–23. Return this form to “International Admissions” at the address at the bottom of this page.
Section I (Completed by student)
1. Name
/ / / /
Surname/family/last name given/first name
2. Permanent home address
number and street apartment
city state/province country ZIP/postal code
3. College/University transferring from
4. Date of attendance from
month /day/year
to
month/day/year
5. Country of citizenship
/ /
/ /
6. SEVIS I-20/ID Number
/
/ / /
7. Date first began F-1 Status
month/day/year
8.
Graduation date on current I-20
month/day/year
9. By signing below you certify that the information you have provided here is true to the best of your knowledge.
Applicant signature Date
month/day/year
Section II (Completed by international student advisor)
This form must be submitted as part of the application process.
10. Last date of enrollment
month/day/year
11. Was the student pursuing a full course of study? Yes
No
12. P
lease indicate current visa status 13. Is the student currently “in status” with USCIS? Yes No
14. If you answered “No” to question 13,
please explain.
15. Has this student had any disciplinary /
behavioral / academic problems at your institution? Yes No
16. Has the student ever been permitted to take a reduced course load? Yes
/ /
No
17. If you answered “Yes” to question 16, please explain which term and why.
18. Is the student entered in SEVIS? Yes No
19.
If you answered “Yes” to question 18, whe
n will you release the SEVIS record?
month/day/year
or upon acceptance.
20. D
o you recommend this transfer? Yes No
21. If you answered “No” to question 20, pl
ease explain.
22. By signing below you certify that the information you have provided here is true to the best of your knowledge.
Ad
visor sign
ature Date / /
month/day/year
23. Advisor name/Title
Name of College/University
Email
One College Road, Batavia, New York 14020-9704 (585) 343-0055 ▪ Fax (585) 345-6805
