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:

Emergency Phone:

E-mail:

Country of Citizenship:

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

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 Orientation?

Yes No

Will you need a Temporary Home Stay upon your arrival?
(Please note that we are unable to provide a Temporary Home Stay
for students who will be arriving with other family members.)

Yes No

Would you like I-Place to be pick you up at the airport?

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...)

Validation: