Admission Application for International Students

Admission Application for International Students
- 1. Name as they appear on your passport
  
  First (Given Name)Middle NameLast Name (Family Name)
- 2. U.S. Phone Number (if available)
  Please enter a valid phone number.Format: (000) 000-0000.
- 3. Outside U.S. Phone Number (if available)
  
  Country CodeArea CodePhone Number
- 4. Email
  example@my.pbsc.edu
- 5. Gender
- 6. Current Immigration Status
- Other (Please Specify):
- 7. Intended Immigration Status
- 8. United States Address (if available)
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- 9. Address Outside United States (if available)
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- 10. Permanent Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- 11. Country of Birth
- 12. Date of Birth
  
  MonthDayYear
- 1. Intended Semester of Enrollment
- 2. Intended Year of Enrollment
- 3. Enrollment Status
- PBSC Student ID
- 10. Country of Citizenship
- 4. Program Objective
- Associate in Arts (A.A.)
- Associate in Science (A.S.)
- International applicants are only eligible for admissions in BAS Supervision and Management (General Management and Health Management concentrations)
- Which concentration do you intend to choose?
- 5. Preferred Campus Location
- Please note: Submission of original high school diploma will be required.
- 1. Secondary/High School Name
- 2. Country of Secondary/High School
- 3. Secondary/High School Graduation Date
  
  MonthDayYear
- 4. Primary Language of Secondary/High School instruction:
  What language were most of your high school classes taught in?
- 2. Country of Secondary/High School
- Submission of all transcript(s) and commercial evaluation(s) may be required.
- 1. List all College/University institutions you have attended
Should be Empty: