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International Student Program
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APPLYING TO BERKSHIRE COMMUNITY COLLEGE

General Admission Policy for International Students

Application Checklist

Send all materials to:

Admissions Office
Berkshire Community College
1350 West Street Pittsfield, MA 01201, US

 For further information:

e-mail us at
mailto:evelez@berkshirecc.edu or visit our website at http://www.berkshirecc.edu/.

 

APPLICATION
Please complete all fields

Name

 

 

 

 

(LAST)

(FIRST)

(MI)

(MAIDEN)

Mailing Address (local)

Telephone (home)

 

 

 

Telephone (work)

 

NUMBER

STREET

 

 

 

 

 

 

 

 

CITY

STATE

ZIP (POSTAL CODE)

 

 

 

 

 

 

COUNTRY

Fax (if  available)

 

International Address

Telephone (home)

 

 

 

 

 

 CITY

STATE

ZIP  (POSTAL CODE)

COUNTRY

 

 

 

 

 

 

Telephone (work)

 

 

 

Fax (if  available)

 

E-mail Address

 

Date of Birth:

 

 

 

 

Month

Day

 

 

 

 

 

 

 

(M)

Is English your native language?

Yes  No

Primary Language

 

TOEFL score

Country of Birth

 

 

 

Country of Citizenship

 

 

Please enter your choice of program. (See codes on next page)

 

Have you previously applied?

 

 

EDUCATIONAL BACKGROUND

Name of secondary school attending or last attended

 

 

 

 

 

CITY

STATE

COUNTRY

YEAR OF COMPLETION

University (post-secondary school) previously attended: (list most recent first.
Use separate sheet for additional institutions.)

Name

 

State

 

 

Address

 

 

 

 

Dates Attended

 

Degree Earned

 

BCC ENROLLMENT

Planned semester of enrollment:

  September   

  January

 

Year: 

 

  I certify that the information I have provided on this application form is correct to the best of my knowledge.

  I understand that this application for admission will not be complete until the application fee is paid and all requested documents have been submitted.

    


Name                                                                                                                                       Date