Rogue Community College
Rogue Community College
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International Student Application

To apply for admission to Rogue Community College, complete and sign this form and it will be automatically sent to the RCC Enrollment Services office. Contact an International Advisor 001-541-245-7574 for information on limited enrollment programs, admission requirements for specific programs, or for the status of your application.

Personal Information
(As it appears on your passport)
(Family name, as it appears on your passport)
Month / Day / Year
*Please read the RCC SSN Disclosure Statement. Leave blank if you don’t have a number.
(Street address in your home country)
(Include Country Code)
U.S. Residence and Contact Info
High School Education Information
College Education Information (if applicable)
Additional Information
*Minimum of 58/internet based exam, 490/paper based exam, 167/computer based exam, or ELS Language Center completion level of 109 is required for admission.
NOTE: T=Transfer degree; AAS=Associate of Applied Science degree; C=Certificate program; AGS=Associate of General Studies degree; AS=Associate of Science degree; CP=Career Pathways Certificate; LE=Limited Entry, students must apply and be officially accepted into these programs or have the department’s permission to register.
I certify that all statements on this application are complete and true. I also understand that if I am admitted and do not enroll for the term to which I am admitted, I will need to reapply for admission; RCC Placement test scores must be on file in Enrollment Services Office before I enroll for classes at RCC; Submitted materials will not be returned and/or duplicated.
Family Information
Friends/Relatives in USA
Emergency Contact in Home Country
Emergency Contact in U.S,