CCCTE Application "*" indicates required fields 123 Importing School Information Begin by confirming the contact data of the importing school first. This information is required.Importing Member College*This is the school that you are applying to attend. Select SchoolAlvernia UniversityAlverno CollegeAquinas CollegeAvila UniversityBelmont Abbey CollegeBenedictine CollegeBenedictine UniversityBrescia UniversityBriar Cliff UniversityChestnut Hill CollegeClarke UniversityCollege of Saint BenedictCollege of Saint MaryCollege of Saint ScholasticaConception Seminary CollegeD'Youville CollegeDivine Word CollegeDominican UniversityEdgewood CollegeElms CollegeFranciscan University of SteubenvilleGwynedd Mercy UniversityHilbert CollegeHoly Cross CollegeHoly Family UniversityLa Roche UniversityLewis UniversityLoras CollegeLourdes UniversityMadonna UniversityMarian UniversityMarian University -IndianapolisMercy College of Health SciencesMolloy UniversityMount Marty UniversityMount Mercy UniversityMount St. Joseph UniversityNeumann UniversityNotre Dame of Maryland UniversityQuincy UniversityRosemont CollegeSaint Ambrose UniversitySaint Francis UniversitySaint John's UniversitySaint Leo UniversitySaint Martin's UniversitySaint Mary Seminary and Graduate School of TheologySaint Mary-of-the-Woods CollegeSaint Mary's CollegeSaint Mary's University of MinnesotaSaint Vincent CollegeSaint Xavier UniversitySiena Heights UniversitySpring Hill CollegeSt. Catherine UniversitySt. Edward's UniversityThomas More College of Liberal ArtsThomas More UniversityUniversity of DallasUniversity of Holy CrossUniversity of PortlandUniversity of Saint FrancisUniversity of Saint MaryUniversity of St ThomasUniversity of St. Thomas - St. Paul, MNUniversity of The Incarnate WordViterbo UniversityWyoming Catholic CollegeThe point of contact for your selected school is listed below. Your application will be forwarded to this person. Importing Liaison Officer's Name First Last Importing School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Student Information This section requires specific information about the student.Student Name* First Last Student Email Address*We will communicate to you through this address. Student's Social Security Number* Last 4 digits ONLYStudent's Date of Birth* MM slash DD slash YYYY Student's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Exporting School Information This section contains information for the student and the exporting school. Exporting Institution*This is the school that your parent or guardian is likely employed by.Select SchoolAlvernia UniversityAlverno CollegeAquinas CollegeAvila UniversityBelmont Abbey CollegeBenedictine CollegeBenedictine UniversityBrescia UniversityBriar Cliff UniversityChestnut Hill CollegeClarke UniversityCollege of Saint BenedictCollege of Saint MaryCollege of Saint ScholasticaConception Seminary CollegeD'Youville CollegeDivine Word CollegeDominican UniversityEdgewood CollegeElms CollegeFranciscan University of SteubenvilleGwynedd Mercy UniversityHilbert CollegeHoly Cross CollegeHoly Family UniversityLa Roche UniversityLewis UniversityLoras CollegeLourdes UniversityMadonna UniversityMarian UniversityMarian University -IndianapolisMercy College of Health SciencesMolloy UniversityMount Marty UniversityMount Mercy UniversityMount St. Joseph UniversityNeumann UniversityNotre Dame of Maryland UniversityQuincy UniversityRosemont CollegeSaint Ambrose UniversitySaint Francis UniversitySaint John's UniversitySaint Leo UniversitySaint Martin's UniversitySaint Mary Seminary and Graduate School of TheologySaint Mary-of-the-Woods CollegeSaint Mary's CollegeSaint Mary's University of MinnesotaSaint Vincent CollegeSaint Xavier UniversitySiena Heights UniversitySpring Hill CollegeSt. Catherine UniversitySt. Edward's UniversityThomas More College of Liberal ArtsThomas More UniversityUniversity of DallasUniversity of Holy CrossUniversity of PortlandUniversity of Saint FrancisUniversity of Saint MaryUniversity of St ThomasUniversity of St. Thomas - St. Paul, MNUniversity of The Incarnate WordViterbo UniversityWyoming Catholic CollegeExporting College Liaison* First Last Exporting College Liaison's Phone*Exporting College Liaison's Email* Exporting College Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code For this application year, will be:* A new student at the Importing Institution. Currently enrolled at the Importing Institution, but is not a CCCTE Participant. Presently in CCCTE Program at Importing Institution (This is a renewal) For this application year, will be:* Freshman Sophomore Junior Senior Parent/Guardian Employed at Exporting Institution* First Last CAPTCHANameThis field is for validation purposes and should be left unchanged.
