Thank you for applying to our English Language Immersion program. Please fill out the following information.

Personal Information
Contact Information
Permanent Address in Home Country
Present Mailing Address (if different from above)
Emergency Contact
If you have no medical conditions, dietary restrictions, or other health conditions, please write to let us know.
Please describe any disabilities, or state if you have none that would require special accommodations.
English Proficiency

In addition, please send a copy of your passport and visa, if applicable, to:

Nelson Garifi
Jamestown Community College
525 Falconer Street
Jamestown, NY 14701 USA
Contact Form

For those students seeking an F-1 student visa, please download and complete the declaration of finances form. Once completed, the declaration can be sent to Nelson Garifi at the address mentioned above.