International and Immigrant Student Forms

All forms provided on this page are in Adobe .PDF format. In order to access these forms you must have Adobe Acrobat Reader. This is a free program from Adobe that can be downloaded from their site by clicking on the link below.

Download the Acrobat Reader.

If you have received a letter from our office requesting a particular form, please check below for that form.

JCCC International Student Forms and Instructions:

Please click on the form you need, Print, Complete, Sign and Return to the second floor of the Student Center in the International and Immigrant Student Services office.

Admission Application Online for International and Immigrant Students - *see note below and refer to instructions for specific status

Affidavit of Room/Board Sponsorship (PDF) - description

Alien's Change of Address Card (USCIS AR-11) (PDF) - description

Concurrent F-1 Student Authorization Form for non-JCCC I-20 Students (PDF) - description

Concurrent Enrollment Verification Form for JCCC I-20 Students Enrolling at Other Institutions (PDF) - description

Counselor Recommendation for Optional Practical Training (PDF) - description 

Curricular Practical Training (CPT) Faculty and Counselor Recommendation Form (PDF) - description

Document Request Form for International Student (PDF) - description

Extension Recommendation for I-20 Student Form (PDF) - description

Financial Verification Form (PDF) - description

Homestay Guidelines/Agreement Form (PDF) - description

Homestay Placement Application for Hosts Form (PDF) - description

Homestay Placement Application for Students Form (PDF) - description

Homestay Program, Agreement of Non-Liability Form (PDF) - description

Kansas High School Graduate or GED Recipient Affidavit Form (PDF) - description

Request for less than full-time enrollment for a JCCC I-20 student Form (PDF )- description

Scholarship Application for International Student Form (PDF) - description

Transfer Verification of 15 Credit Hours Remaining in Degree Program for Prospective F-1 visa (PDF) - description

Transfer Form for Students Requesting I-20 Transfer to JCCC (PDF) - description

Tuberculosis (TB) Screening Form (PDF) - description

Tuberculosis (TB) X-Ray Form (PDF) - description

Note - Online International Student Admission Application
If you have not attended or received a grade at JCCC within two calendar years, you  will need to reapply by completing another Immigrant/Non-Immigrant Application for JCCC Admission. If you are unable to access any of the above forms online, please contact International and Immigrant Student Services at our phone number or email address at the right of our pages under "Contact U.S.", for a paper version.

Contact Us IISS

Location: COM 306
Fax: 913-469-7681
Mailing Address:
JCCC International and Immigrant Services Office
Box 30
12345 College Blvd.
Overland Park, KS 66210-1299 USA

Mon.-Fri. 8 a.m.-5 p.m.
10 a.m.-5 p.m.

Julie Pitts,
program director

Meet the IISS Staff