Part ll -Sponsor - Anne Arundel Community College

VISA INFORMATION
Applicants who are currently living in the United States must provide visa information.
If you are currently living in the United States, a copy of both sides of Form I-94, “Arrival and Departure” Record
(a small white card inside your passport), a copy of your passport’s front page, the US Visa Form I-20 for F-1
transfers and DS-2019 for J1 visa holders must be attached to this form.
1. Are you currently holding a valid Form I-20 issued by another institution and wish to transfer to AACC? YES NO
If YES, Name of the institution_____________________________ I-20 Program End Date______________________
2. Are you currently in the United States and applying to change your current non-immigrant status to F-1? YES NO
What is your current visa status F1 F2 B1 B2 J1 None Other:_______________________
I-94 Entry Date_________ I-94 Departure Date_______Admission number (11 digit number on your I-94 card) __________
Visa Type_________________Visa Number _______________________Visa Issuing Post_______________________
Visa Issue Date:__________ Visa Expiration Date__________________ Visa Issuing Country____________________
Passport Number___________ Passport Expiration Date___________ ___ Passport Issuing Country_______________
Port of Entry_ _____________________________________Country Entry Date_______________________________
ETHNIC BACKGROUND
Black/African American Asian or Pacific Islander Hispanic
Native American or Alaskan Native Caucasian Non-Hispanic
Other____________________________
EMERGENCY CONTACT INFORMATION
______________________________________________________________________________________
Last Name First Name Middle/Maiden Name
___________________________________________ ___________________________________
Relationship to you (e.g. spouse, relative, friend) Telephone
HIGH SCHOOL INFORMATION
Most recent high school attended.
_____________________________________ _________________________________
Name of High School Date Graduated (Month/Day/Year)
COLLEGE INFORMATION
Please list all institutions previously attended starting with the most recent one.
Name of College/University City and State or Country Degree Earned Dates Attended
______________________________ ___ _______________ __________________ ________________
______________________________ ___________________ _________________ ________________
______________________________ ___________________ _________________ ________________
Have you taken the TOEFL test or AACC Placement test? YES NO