New International Student/Scholar Form

International Place of The Claremont Colleges

Please provide the following contact information:

First or Given Name:

Family Name:

Home Address:

City:

State/Province:

Zip/Postal Code:

Country:

Primary Phone:

US Phone:

E-mail:

Country of Citizenship:

Visa type you have or will have
while at The Claremont Colleges:

If Other, what is your visa type?

Gender:

Which college will you attend?

What program will you enroll in?

Field of study (major):

Expected date of completion (Month/Year):

Do you plan to participate in New International Student and Scholar Orientation?

Yes No

Host Family and Airport Pick-up Program
(please check our website for details)

Would you like to participate in our Host
Family Program

Yes No

If Yes, are you a smoker?
(most host families have non-smoking households)

Yes No

Would you like to participate on our Airport
Pick-up Program

Yes No

If No, what date do you plan to arrive on campus?:

(mm/dd/yyyy)

If Yes, please provide the following information:

Arrival Airport (Note - Ontario is closest airport to Claremont):

Flight Arrival Date:

(mm/dd/yyyy)

Name of Airline:

Flight Number:

Departure City:

Time of Arrival:

(hh:mm AM/PM)

Additional information (such as dietary restrictions, food or pet allergies, medication or special needs that your temporary home stay family should know about, if you will be traveling with additional family members or other new students, etc...)

If you Are a CGU student, a KGI student, or an international scholar visiting The Claremont Colleges, please provide the following information: Have you already secured housing?

Yes No

If yes, where?

If No, will you need assistance from I-Place in finding housing?

Yes No

Validation: