International Student

Student Information Form


*  Denotes A Required Field

Personal Information







Gender:*

Place of Birth*


Local Allendale / Grand Rapids Area Address*





(xxxxx)






Your Country*









Emergency Contact Information for Family Member









Contact Address*









Educational Information




Degree:*


Transfer Student (from a school in the US):*


Immigration Information







Statement of Release


I hereby release GVSU to take whatever medical or other action as may be deemed necessary (in an emergency situation only) if "Emergency Contact" person named above cannot be contacted.