Doane College

Doane College Enrollment Form

Doane Enrollment  Information                  

Name_________________________                         Date__________________________

 _______ Notification of contact info  _______ Transfer Rule
 _______ Talk with FSA before withdrawal  _______ Proof of Auto Liability Insurance
 _______ 2 classes per term/semester min.  _______ Rule of maintaining status 
 _______ 30/60 day rule  _______ Can't work on- or off-campus
 _______ Proof of  Health Insurance Coverage
 _______ Talk with FSA 30 days before travel outside the U.S.

_______ ______________________________________________________________

  • I understand that I must inform Doane College regarding any change in my residence, telephone, or contact information.
  • I understand that the length of my program is two years, that I am required to take a minimum of two classes per term/semester.
  • I understand that I have provided documentation to demonstrate the proof of my financial responsibility, and while I am enrolled at Doane College I will not work on- or off-campus.
  • I understand I must contact the Doane College foreign student advisor 30 days before I plan to travel outside the U.S. in order to obtain the proper travel documents.
  • I understand that I must contact the Doane College foreign student advisor prior to withdrawal of class(es), prior to completion of coursework, prior to graduation, and/or prior to transfer to another school.  
  • I understand that I must provide proof of insurance before enrolling each term/semester.
  • I understand that within 60 days after the completion of my degree program at Doane College,  I must leave the U.S. or have an I-20 from a new school, or I will be "out-of-status" with the Immigration and Naturalization Service. 
  • I know I cannot leave the U.S. and come back into the U.S. without special papers.

_______________________________________________________________________
Student's Signature                                Date

Current Address:______________________________________________________________

___________________________________________________Phone:____________________

Home Country Permanent Address:

_________________________________________________________________________________

Phone:____________________

Home Country Emergency Contact Name: ___________________________________________

Address: _________________________________________________________________________

Phone:__________________

U.S. Emergency Contact Name: ________________________________________________

Phone: ______________________________

FSA:

___enrollment information sheet to student __copy to student INS file __copy to DL

Doane College
1014 Boswell Avenue
Crete, NE 68333
800.333.6263
FAX: 402.826.8600