DEPENDENT INFORMATION FORM (For F-2 Visa)
F-2 (dependents) visa holders can only enroll for classes part time and courses should not lead to a
degree or certificate.
Students who wish to add dependents to their I-20, must provide a bank statement showing an
additional $7,250 (per dependent) on top of the $24,184 currently stated on the application for
admission to cover for living expenses. Fees are subject to change without notice
PART I: Applicant Information:
APPLICANT’s NAME _______________________________________________________________________________________
Last (family/sur name) First (given name) Middle Name
Will your spouse come to live with you in the United States? _____ Yes _____No
Will your children come to live with you in the United States? _____ Yes _____No
PART II: Dependent Information:
If your spouse and/or children will come to De Anza with you as F-2 visa holders, please provide the following information:
A COPY OF EACH DEPENDENT’S PASSPORT PAGE MUST BE PROVIDED.
Write your dependent’s names as they appear in their passports.
NAME OF SPOUSE _________________________________________________________________________________________
Last (family/sur name) First (given name) Middle Name
Date of birth ______________________ Gender (female/male) __________________________
Month/Day/Year
Country of Citizenship _______________________________ Country of Birth _______________________________________________
Spouse email address: _______________________________________________________________________________________________
NAME OF CHILD __________________________________________________________________________________________
Last (family/sur name) First (given name) Middle Name
Date of birth ______________________ Gender (female/male) __________________________
Month/Day/Year
Country of Citizenship _______________________________ Country of Birth _______________________________________________
Child’s email address (if not available, applicants email will be used): __________________________________________________________
NAME OF CHILD __________________________________________________________________________________________
Last (family/sur name) First (given name) Middle Name
Date of birth ______________________ Gender (female/male) __________________________
Month/Day/Year
Country of Citizenship _______________________________ Country of Birth _______________________________________________
Child’s email address (if not available, applicants email will be used): __________________________________________________________
If additional children, please use another form, thank you.
International Student Programs
Phone: (408) 864-8826 Fax: (408) 864-5638 E-mail: dainternational@fhda.edu Web: www.deanza.fhda.edu/international
