International Student Application

To apply to CBT Technology Institute please complete the below form. Fields marked with (*) are required for submission.

Enter your name exactly as it appears on your Passport.

First Name *

Last Name *

Email Address *

Street Address 1 *

Street Address 2

Phone Number *

City *

State *

Zip Code *

Country of Citizenship *

Have you been notified of your admission to CBT Technology Institute?

Yes

Gender:

Male

Female

What level of education will you pursue?

Associate in Electrical program

Associate in HVAC program

Associate in Information Technology program

Complete the following information about your spouse and/ or child (children) Only if they will come with you to the U.S.

Name (family first)

Date of Birth

Relationship to You

Country of Birth

You can attend regardless of your status.

F-1 What is your SEVIS ID Number? *

Another Status, Which one? *

Will you be traveling outside the country before the program start date? *

Yes

You can attend regardless of your status.

How would you like us to deliver your Form I-20? *

What time is good for us to contact you?*

Ready to Take Charge of Your Future?