Chemeketa Internatinal Admissins Infrmatin Thank yu fr yur interest in attending Chemeketa. All dcuments can be sent by fax r scanned and e-mailed sent by pstal mail, r faxed t ur ffice. The fllwing checklist is designed t help yu cmplete ur applicatin. Applicatin frms and dcuments t submit: All new students: Cmplete the Internatinal Admissin Applicatin pages (1 4) A cpy f yur passprt and any previus US visas All required financial dcuments: Bank Statements, signed by a bank fficial, indicating the name f the accunt hlder and the amunt f funds available. All statements must be dated within the last 60 days Submit a cpy f yur Schlarship Award Letter, signed by an fficial f the spnsring agency, indicating supprt guaranteed If anyne has agreed t spnsr yu, please have them cmplete the Internatinal Student Letter f Supprt (page 4) Transfer students in the US: If yu are transferring frm a schl in the United States in additin t the items abve yu must Have yur current Internatinal Student Advisr fill ut the Internatinal Student Transfer Frm (page 5) and return it t Chemeketa Submit a transcript Submit cpies f yur I-20 frm yur current schl English language requirements: NO TOEFL r IELTS scres are required fr admissins. Chemeketa ffers cmprehensive language and cllege level studies and can accept students at all levels. All students wh enter Chemeketa will take required English and/r cllege placement tests during rientatin. Test scres submitted during the admissins prcess are used fr advising placement purpses nly. This prcess prvides the student with successful class selectin. Cntact us if yu, yur family, r yur advisrs have questins regarding ur placement prcess IP 2015 2016 deadlines and dates Academic year prgrams Fall 2015 Winter 2015 Spring 2016 Overseas August 1 Nvember 1 February 1 In-cuntry transfer September 1 December 1 March 1 Visa appintment September 1 December 1 March 1 Arrival September 17 & 18 December 10 & 11 March 17 & 18 Orientatin September 23 25 December 14-16 March 21-23
Summer prgram 2016 Chemeketa ffers exciting shrt term summer prgrams thrugh ur Language and Culture Institute. Sessin I Sessin II Overseas May 1 June 1 In-cuntry transfer June 1 July 1 Visa appintment June 1 July 1 Arrival June 23 & 24 July 20 & 21 Orientatin June 27-29 July 25-27 Summer students learn abut American culture and language while explring and imprving English skills. Internatinal students can chse t attend a variety f classes, activities and excursins ver the six weeks. Fr mre infrmatin visit ur website r cntact us. E-mail, fax r mail all applicatin dcuments t Internatinal Prgrams. Ntificatin f acceptance- When yur applicatin is apprved we will send yu an acceptance e-mail and then mail yu a packet that will help yu with the next steps, including Acceptance letter and U.S. Immigratin frm I-20. Transfer students frm schls in the US will get their new I-20 after registering. F-1 visa and I-901 (Fee Remittance Frm) assistance Orientatin and registratin wrkshp infrmatin Husing and arrival assistance US gvernment regulatins require that all internatinal students have- Prf that yu have the financial ability t pay fr the length f yur prgram. Financial dcumentatin fr intensive English and Academic degree prgrams needs t be fr a budget f ne year. Dcumentatin fr summer prgrams varies based n length. If yu plan t study at Chemeketa fr a shrter length f time please indicate that n yur applicatin. These will be the same dcuments that yu will need t take t yur visa appintment. If yu have been awarded a lan, please submit a cpy. A health insurance plan that meets specific requirements. D nt purchase any ther medical insurance plan. Chemeketa has chsen a high quality, reasnably priced insurance plicy that meets the requirements. (See applicatin frm page 2 fr details.) Chemeketa requires internatinal students t purchase this plicy. This plicy is administered by HTH Wrldwide Insurance Services and is underwritten by AET- NA. If yur spuse and/r family is entering the U.S. with an F-2 visa, they will als need health insurance cverage. This plicy des nt cver travel insurance, rutine physical exams, r regular eye and dental care. Cntact us if yu have questins r cncerns regarding this plicy. If yu, yur family, r yur advisrs have any questins please cntact: Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA
ACADEMIC PROGRAMS KEY A Assciate f Applied Science degree C Certificate T Transfer O Other * Prgrams f ther clleges lcated at Chemeketa. ARTS AND COMMUNICATION Art, T Cmmunicatin, T English, T Film Arts, T Freign Languages, T Humanities, T Jurnalism, T BUSINESS AND MANAGEMENT Accunting, A, C Tax Preparatin, C Business Administratin, T Business Technlgy, C Accunting Administrative Assistant, A Administrative Office Prfessinal, A Business Sftware, C Medical Administrative Assistant, A Office Fundamentals, C Virtual Office Assistant, C, A Entrepreneurship, T HEALTH SCIENCES Chirpractic*, O Cmputer Infrmatin Systems Health Infrmatics, A Dental Assisting, C Dental Hygiene*, T Emergency Medical Technlgy Paramedic, A Health Educatin, T Health Infrmatin Management, A Hemdialysis Technician, C Massage Therapy*, O Medical Assistant, C Music, T Philsphy, T Religin, T Visual Cmmunicatins Graphic Design, A Interactive Media, A Writing, T Hspitality Management, A, C Event Management, C Management, A Prcurement Management, C Retail Management, C Turism and Travel Management, A, C Destinatin Marketing, C Wine Business, A Nursing, A, C, T Nutritin and Fd Management, T Pharmacy Pharmacy Management, A Pharmacy Technician, C Physical Educatin and Human Perfrmance, T Pre-Prfessinal Study (Medicine, Dentistry, Pharmacy, Veterinary), T Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA
HUMAN SERVICES AND SOCIAL SCIENCES Anthrplgy, T Chican/Latin Studies, T Cunseling and Guidance, T Criminal Justice, A, T Basic Crrectins, C Basic Law Enfrcement, C Juvenile Crrectins, C Juvenile Justice, A Law Enfrcement, A Early Childhd Educatin, A, C Infant/Tddler, C Preschl, C Ecnmics, T Fire Prtectin Technlgy Fire Preventin, A Fire Suppressin, A, T Fire Service Supervisin and Management, C INDUSTRIAL AND ENGINEERING TECHNOLOGY Apprenticeship Trades HVAC/R, A, C, T Plumber, A, C, T Sheet Metal, A, C, T Inside Electrician, A, C, T Autmtive Technlgy, A Bdy Repair, C Entry Level Technician, C Machining, C Cmputer Infrmatin Systems, A Cmputer Prgramming, C Cmputer Supprt Specialist, C Cmputer Systems Administratin, C Database Develper, C Netwrk Management and Systems Security, C Web Develper, C Cmputer Science, T Drafting Technlgy Architectural Drafting, C Cmputer-Assisted Drafting (CAD), A, C Electrnics Technlgies MATHEMATICS, SCIENCE AND NATURAL RESOURCES Agribusiness Management, O Hrticulture, A Bilgy, T Chemistry, T Gelgy, T Mathematics, T Oceangraphy, T Gegraphy, T Histry, T Human Services Addictin Cunselr Certificatin Preparatin, C Addictin Studies, A Scial Services Nn-Traditinal Healthcare, C Plitical Science, T Psychlgy, T Pre-Law, T Scial Science, T Scilgy, T Speech-Language Pathlgy Assistant, A, C Wmen s Studies, T Cmputer Electrnics, A Electrnic Engineering, A Electrnics, C Industrial Electrnics, A Prcess Cntrl, C Prcess Cntrl Technlgy, A Renewable Energy Management, A Engineering, T Gematics and Engineering Technlgy Survey Technlgy, C Machining Technlgy Basic Manufacturing Technician, C Cmputer-Aided Design/Cmputer-Aided Manufacturing, A Cmputer-Aided Manufacturing (CAM) Fundamentals, C Cmputer Numerically Cntrlled (CNC) Operatr, C Manual Machine Operatr, C Welding, C Welding Fabricatin, A Physics, T Wine Studies Vineyard Management, A, C Wine Business, A Winemaking, A
Chemeketa Internatinal Admissin Applicatin General infrmatin Please type r print 1 Start term: Fall (Sept. Dec.) Winter (Jan March) Spring (April June) Summer (June Aug.) Year Family Name First Name Male Female Date f Birth: Mnth/Day/Year Citizenship: Cuntry Place f Birth: City & Cuntry Native Language Passprt # Have yu already applied fr a visa t study in the US? Yes N Visa type awarded F J M ther Date awarded Please include a cpy f yur passprt and any previus visas with yur applicatin. Hme cuntry: Number and Street City Prvince/State Cuntry Pstal Cde E-mail Phne Number Fax Number Salem area r verseas advisr cntact persn: Name Phne E-mail Address Please indicate if yur I-20 shuld be mailed t a different address: Hme cuntry: Number and Street City Prvince/State Cuntry Pstal Cde E-mail Phne Number Fax Number What is the highest educatin level yu have cmpleted and where? Chemeketa ffers all levels f study including intensive English and ver 130 cllege degrees and certificates. Test scres are nt required fr admissins. If submitted with applicatin, they will be used fr placement purpses nly. What d yu plan t study at Chemeketa? Intensive English studies Degree studies (please indicate which Chemeketa degree yu are seeking) What d yu plan t d after cmpleting yur studies at Chemeketa? Transfer t a 4 year bachelr s prgram Graduate schl studies Return hme Undecided Are yu transferring frm anther cllege r language institute in the U.S.? Yes N Name f institutin Internatinal advisr name Advisr phne and e-mail Hw did yu learn abut Chemeketa? Friend r relative Advisr Agent Brchure Web site Other Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA
Chemeketa requirements statement Please read and sign Internatinal prgrams will be allwed t use the abve infrmatin fr purpses f prcessing the fllwing services: admissins, immigratin, medical and/r ther items prvided by the prgram. The cllege is bligated t disclse infrmatin t the U.S. Immigratin and Custms Enfrcement Agency thrugh the electrnic system called SEVIS (Student and Exchange Visitr Infrmatin System). Academic Requirements The fllwing academic requirements are based n cllege and federal plicy gverning internatinal students n an F-1 visa. They apply t yu nce yu are admitted. If yu d nt meet these requirements, it may result in academic prbatin r dismissal. Failure t cmply with items related t the USCIS ruling gverning F-1 student status culd affect yur status with the U.S. Department f Immigratin. 1. Each student must cmplete a minimum f 12 credit hurs with a 2.0 GPA each term r 18 hurs per week (nn-credit), with the exceptin f ne term a year which is cnsidered a vacatin term. A vacatin term nly ccurs after three (3) full-time cnsecutive terms. Chemeketa recgnizes summer as an fficial vacatin term. Challenge and nline curses may nt apply. 2. Each student must cmplete his/her study in an apprpriate timeline, as printed n the I-20, r request an extensin. 3. Each student must infrm Chemeketa f his/her current address, phne and e-mail within ne week f change. 4. Each student must participate in the rientatin and Student Success prcess, which will include a registratin wrkshp, classes, and supplemental instructin advising. All internatinal students will take placement testing upn arrival. All students will take r successfully challenge required Orientatin classes. Health Insurance Requirements Each student is required t btain illness and accident insurance thrugh Chemeketa that meets the requirements listed belw. Prir t registratin the insurance premium must be paid in full N insurance cverage is prvided until full payment is received: $250,000 benefit per accident r illness ($1,000,000 lifetime maximum: Cverage payable at 100% after $15 c-pay.) $50,000 fr medical evacuatin: (If yu becme ill r have an accident and need t be sent hme fr care, this will pay fr yur transprtatin.) $25,000 fr repatriatin f remains: (If yu die because f an accident r illness, this pays fr the return f yur bdy t yur cuntry.) Insurance cverage is applicable anywhere in the wrld including the student s hme cuntry. Insurance must remain active frm date f arrival in the U.S. until date f departure r transfer. All funds payable in the U.S. By signing this frm, I certify that I have read, understd and agree t the terms and cnditins listed: Academic requirements: (see abve) Health insurance requirements: (see abve) Chemeketa Cmmunity Cllege release f infrmatin: Chemeketa releases nly very limited infrmatin regarding a student s: enrllment status, dates f enrllment, degree r certificate, prgram f study, athletic status, r hnrs awarded. (If yu d NOT want any persn utside the cllege, including prspective emplyers, t knw any f this infrmatin, yu must file a Request fr Nn-Disclsure f Student Infrmatin Frm with Admissins. This frm can be cmpleted nce yu arrive n campus). I certify that all statements n this applicatin are cmplete and true. I understand that if I am admitted and d nt enrll fr the term fr which I am admitted, I will need t reapply fr admissin. Submitted materials will nt be returned nr duplicated. Student signature Date 2 Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA
Internatinal Student Affidavit f Financial Resurces 3 Name f student: T verify that yu have sufficient funds t meet yur expenses, cmplete the fllwing sectin. If yu are married and plan t bring yur spuse and any children, a prprtinately larger amunt must be certified. Please cntact us fr additinal amunts required. If married, will yur family accmpany yu t the U.S.? Yes N List the name(s) and relatinships belw: Name Date f Birth Relatinship Name Date f Birth Relatinship Name Date f Birth Relatinship Required infrmatin and dcumentatin: Financial respnsibility fr 2014 2015, demnstrated funding must equal prgram ttals belw. Please list amunt f financial supprt in US dllars. One term (3 mnths) Tuitin and fees $3,000 $9,000 Bks and supplies (des nt include a cmputer) $300 $900 Husing, fd, transprtatin and ther persnal expenses $2,600 $7,800 Academic year (9 mnths) (estimated husing csts based n hst family r rmmate, transprtatin des nt include the purchase f a car) Health insurance $500 $1,500 TOTALS $6,400 $19,200 *Tuitin estimates are subject t change. Estimates are based n average full-time registratin with a mix f cllege and English classes. Credit level prgrams require a min. f 12 credits per term at $256 per credit. Intensive English study is charged at a lwer rate. Required fees will include health insurance. Academic & technlgy fees vary depending n curse registratin. Fr mre specific infrmatin cntact Internatinal Admissins. Persnal Funds Name n accunt: Guaranteed Supprt $ USD Family Funds List name: Guaranteed Supprt $ USD Relatinship t yu Submit all required bank statements, signed by bank fficial, indicating the name f the accunt hlder and the amunt f funds available. All statements must be dated with in the last 60 days. Schlarship, grant r lan Name f Agency Guaranteed Supprt $ USD Address: Submit a cpy f yur award letter, signed by an fficial f the spnsring agency, indicating supprt guaranteed. Spnsr r ther surce (specify) Name f grantr: Guaranteed Supprt $ USD Address: Submit a letter f supprt and a bank statement, signed by bank fficial, indicating the name f the accunt hlder and the amunt f funds available. All statements must be dated within the last 60 days. I certify that the infrmatin given in this affidavit is true t the best f my knwledge. I understand that Chemeketa Cmmunity Cllege may either reject my applicatin r terminate my enrllment if these resurces are fund t be inadequate. I authrize Chemeketa t release my enrllment infrmatin t any persn r fficial listed n this affidavit. Student signature Date
Internatinal Student Letter f Supprt Please cpy this letter then type r print infrmatin. Submit ne letter fr each spnsr. T Whm It May Cncern: I, (name f parent r spnsr) will be financially respnsible fr (student s family name, first name) while he r she studies at Chemeketa Cmmunity Cllege. Estimated Budget One term (3 mnths) Tuitin and fees $3,000 $9,000 Bks and supplies (des nt include a cmputer) $300 $900 Husing, Fd, transprtatin and ther persnal expenses (estimated husing csts based n hst family r rmmate, transprtatin des nt include the purchase f a car) $2,600 $7,800 Health insurance $500 $1,500 TOTALS $6,400 $19,200 Academic year (9 mnths) *Tuitin estimates are subject t change. Estimates are based n average full-time registratin with a mix f cllege and English classes. Credit level prgrams require a min. f 12 credits per term at $256 per credit. Intensive English study is charged at a lwer rate. Required fees will include health insurance. Academic & technlgy fees vary depending n curse registratin. Fr mre specific infrmatin cntact Internatinal Admissins. Financial respnsibility includes (please check all that apply): Tuitin and fees Health Insurance Bks and supplies Husing, fd, transprt and ther persnal expenses 4 Signature f parent r spnsr: Date: Relatinship t student: Chemeketa Cmmunity Cllege is an equal pprtunity/affirmative actin emplyer and educatinal institutin. T request this publicatin in an alternative frmat, please call 503.399.5192. Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA
Internatinal Student Transfer Frm If yu have been attending schl in the United States, please have the apprpriate ffice r persn (Internatinal Student Advisr) frm the last schl yu were authrized t attend cmplete this frm. Yur signature belw indicates that yu give that persn permissin t answer the fllwing questins. We must als receive a transcript frm mst recent schl attended in the U.S. befre we will prcess yur applicatin. Student Name (print) Date Signature T be cmpleted and mailed, faxed r scanned t Chemeketa by yur current internatinal student advisr.* 1. Is this student enrlled in yur schl? 2. Hw lng has this student been attending yur institutin? Date student first attended Date student last attended Has the student recently taken a vacatin term? If the student is currently nt attending, is this a vacatin term? 3. Hw many credit hurs is this student currently taking? 4. Has this student maintained legal status with U.S. Immigratin regulatins? If n, please explain circumstances 5. Type f Visa 6. Has this student experienced academic difficulties? If yes, in what areas? 7. Did this student use practical training while at yur institutin? If yes, hw many hurs? 8. Is this student embassy spnsred? 9. D yu recmmend the student fr transfer t Chemeketa Cmmunity Cllege? If n, please explain 10. SEVIS ID#: SEVIS Release Date: Print Advisr Name Title Signature Date Name f Schl Phne Fax E-mail *Schl Officials please fax r send a scanned e-mail cpy f this frm t: Internatinal Prgrams, Chemeketa - Attentin Internatinal Admissins Fax: 1.503.365.4768; e-mail: Internatinaladmissins@chemeketa.edu 5
Infrmatin n Transferring Credits t Chemeketa Transferring Credits t Chemeketa frm a Cllege r University Outside f the United States T receive credit frm an internatinal institutin tward a Chemeketa degree r certificate, it is yur respnsibility t have yur transcripts translated int English and a curse-by-curse evaluatin cmpleted. The translatin and evaluatin must be cmpleted by a service that is a member f the Natinal Assciatin f Credential Evaluatin Services. We recmmend Academic Credentials Evaluatin Institute, Inc. (ACEI) Nte: internatinal credits mst ften transfer int Chemeketa as elective credits fr varius subject areas. Step 1: Cmplete the Applicatin fr Evaluatin f Freign Educatinal Credentials. Yu will need t btain three fficial cpies f yur transcript. Tw cpies will need t be sent t ACEI (address belw) with yur applicatin (step 2 belw) and ne cpy t Chemeketa. Academic Credentials Evaluatin, Inc. 280 Suth Beverly Drive, Suite 312 Beverly Hills, CA 90212 Telephne: 1.310.275.3530 Fax: 1.310.275.3528 Web: www.acei1.cm Step 2: Cmplete the applicatin and request a cmprehensive reprt (curse-by-curse with grades and curse levels). The cst fr a curse-by-curse evaluatin is included in the applicatin material. Be sure t include the fee fr this service. Allw ne mnth fr the cmpany t cmplete the evaluatin. Request that the cmpany send the results and yur transcripts t Chemeketa Cmmunity Cllege Enrllment Center P.O. Bx 14007 Salem, OR 97309-7070 Telephne: 503.399.6589 Fax: 503.399.3918 Step 3: Cmplete a Request fr Evaluatin and Transfer f Previus Credit frm and turn in t the Enrllment Center (Building 2, Rm 200). There is n fee fr this service. Allw fr 4-6 weeks fr prcessing. Step 4: Once yur transcripts are evaluated, yu will receive an e-mail in yur My Chemeketa student e-mail accunt infrming yu that the prcess is cmplete and hw t view the curses transferred n yur Chemeketa transcripts. Transferring Credits Frm Anther U.S. Cllege r University t Chemeketa Step 1: Send fficial, sealed U.S. transcripts t Chemeketa s Enrllment Center at the fllwing address Chemeketa Cmmunity Cllege Enrllment Center P.O. Bx 14007 Salem, OR 97309-7070 Step 2: Cmplete a Request fr Evaluatin and Transfer f Previus Credit frm and submit t the Enrllment Center (Building 2, Rm 200.) There is n fee fr this service. Allw fr 4-6 weeks fr prcessing. Step 3: Once yur transcripts are evaluated, yu will receive an e-mail in yur My Chemeketa student e-mail accunt infrming yu that the prcess is cmplete and hw t view the curses transferred n yur Chemeketa transcripts. Chemeketa Internatinal Prgrams Internatinaladmissins@chemeketa.edu 1.503.399.2527 Desk 1.503.428.0399 Cell 1.503.365.4768 Fax www.chemeketa.edu/internatinal 4000 Lancaster Dr. NE, PO Bx 14007, Salem, Oregn 97309 USA