apply.cochise.eduApplication for Admission – to Cochise College

Skip to content Menu Back to Cochise Website International Student Application Admissions Application to Cochise College Cochise College Admissions Application This application must be completed for admission or re-entry to Cochise College. If you have questions about the application and its contents, please contact the Admissions Office (Sierra Vista Campus) at (800) 593-9567 or (520) 515-5336/5412. You may also email questions to adm@cochise.edu . Complete all sections of the application form. You will receive an email confirmation of your application within 5 business days. Required entries are indicated with *. Step 1 of 4 25% 1 - STUDENT NAME / IDENTIFICATION Information you provide is required and confidential and is used to comply with federal reporting requirements and has no effect on your enrollment status. Complete Legal Name: * First Middle Last Previous Name (Maiden Name, etc.) First Last Cochise College ID# (if returning student) Note: You will be assigned a Cochise College ID Number. Social Security # * Disclosure of your social security number is requested and will aid in matching your current and future records with any past records, ensuring that you will receive full credit for all academic work. Your social security number is necessary for reporting education tax credit information to the federal government, for using federal financial aid, and for verification of student status under Arizona Proposition 300. 2 - CONTACT INFORMATION P.O. Box or Mailing Address * Please enter two-letter US State abbreviation (i.e. - AZ, MI, TX). For international addresses, please provide full description for the State/Providence/Region. P.O. Box or Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Saint Martin Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Cell Phone - Used for Emergency Notification System * (###) ###-#### Primary Telephone, if different from cell phone number. (###) ###-#### Email Address * Enter Email Confirm Email In Case of Emergency - Name Emergency Phone (###) ###-#### 3 - ENROLLMENT INFORMATION Year you plan to enter Cochise College: Semester you plan to enter Cochise College: Fall I / August Fall II / October Spring I / January Spring II / March Summer I / June Student Type High School / Middle School Student First-time College Student (after High School) Transfer from Another College or University (after High School) Re-Admit (previously attended Cochise College) Adult Ed (attending the Adult Ed GED/ESL) 4 - BIOGRAPHICAL INFORMATION Gender Male Female Date of Birth * MM/DD/YYYY Ethnicity/Race Information **Please answer both questions (requested for statistical purposes) Are you Hispanic or Latino/Spanish origin? Hispanic or Latino / Spanish Origin Not Hispanic or Latino / Spanish Origin What is your race? (choose one or more) White Black or African American Asian Native Hawaiian or Other Pacific Islander American Indian or Alaska Native 5 - CITIZENSHIP STATUS Students need to declare their citizenship or lawful immigration status and present designated documents for Prop 300. ( List of Acceptable Documents PDF - link opens new window ). Citizenship United States Other If other, specify country Type of Visa International Student (F-1) Border Commuter Permanent Resident Resident Alien "Dreamer", Deferred Action Child Arrival (DACA) Other Type of Visa If other, specify visa type 6 - RESIDENCY INFORMATION To be eligible for in-state tuition, students must: - Provide Prop 300 indicating legal status in the United States AND - Have lived in Arizona for more than a year or - Have a parent who has lived in Arizona for a year or more (if a dependent) or - Is transferred to Arizona by employer or is stationed as military, border patrol, etc. or - An honorably discharged veteran with a DD Form 214 residing in Arizona Documents can be scanned and emailed to adm@cochise.edu or submitted in person at the closest campus or center near you, or to the Admissions Office at: Cochise College, Admissions, 901 North Colombo Ave., Sierra Vista, AZ 85635-2317. Failure to answer any question or submit documentation will result in classification as a non-resident for tuition purposes. Contact the Admissions & Registration Office at 1-800-593-9567 if you have any questions about residency requirements. When did your current residency in Arizona begin? MM/DD/YYYY What are your sources of income? Self-Supporting (self/spouse) Parent or guardian If spouse, are they an Arizona resident? Yes No If parent or guardian, their address In which state will you file taxes this year? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific Did you file taxes in Arizona last year? Yes No Are you a member or family member of Homeland Security stationed in Arizona? Yes No Are you a full-time employee of an Arizona school district as a teacher or teacher's aide? Yes No Did your employer require that you, your spouse, or parent be transferred to Arizona within the last year? Yes (Document Required) No If yes, name of employer Are you a Veteran? Yes No Are you registered to vote in Arizona? Yes No Do you have an Arizona driver's license or identification card? Yes No Are you a member of an American Indian tribe whose reservation lies wholly, or in part, in Arizona? Yes (Document Required) No Note: Change in residency status from out-of-state must be initiated by you. Cochise College will not automatically adjust your status. 7 -...