International Request Information Form

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International Request Information Form

Request Information

To receive additional information about Northwestern, please complete the form below. Note that the fields in bold are required. When you have completed the form, please click the Send button.

International Student Request Form

How did you first hear about Northwestern College?

Family name

Given name

Middle name

Address

City

State or province

Country

Continent

Postal code

Phone number

Fax number

E-mail address

Citizenship (country)

Primary language spoken in your home

Official immigration status in the U.S.

Date of birth (month)

Date of birth (day)

Date of birth (year)

Gender Male Female

Marital Status Married Unmarried

Number of children

Are you committed to Jesus Christ as the only Savior of the world? Yes No

Name of church

Denomination

Year of high school graduation

In which year are you planning to attend Northwestern College?

Have you taken the TOEFL test? Yes No

When did you take the TOEFL test, or when will you take it?

What was your TOEFL score?

What funds (in U.S. dollars) do you have available each year for tuition and expenses in the U.S.?

What is the source of these funds?

Once in the U.S., where do you plan to live?

Please list all family members you plan to bring to the U.S. with you (including name, age,and relationship to you)

Do you have any other comments?