jn: My Documents/Word Documents/Request Forms/F-1 Document Request Form 01/25/2016
F-1 Document Request Form
Please PRINT clearly.
Last/Family Name First/Given Name
*Student ID: Gender: Male Female Date of Birth: / /
*Required information Month Day Year
*SEVIS ID: N E-mail Address:
Country of Citizenship: *I-20 Program End Date:
Majo
r (
as shown on I-20): Passport Expiration Date:
I state that the information I am providing on this form is true. I further understand that it is a violation of U.S. law to give false information to the college.
( )
Student Signature Date Phone Number
PART A
1. Purpose
Travel & Re-entry. Please provide us with your current I-20 form.
Departure Date: Return Date: Destinations:
Replacement of lost I-20.
*Extension of Program.
*Change of Major/Program.
Add Dependents to I-20:
Dependent’s Name Date of Birth Country of Birth Relationship
PART B
1. Purpose
Enrollment/Attendance Verification
Military Verification
Social Security Verification Letter
On-Campus Employment Authorization 1
st
entry date to the U.S. as an F-1 student:
Graduation Verification/Intention:
Fall
Winter
Spring
Summer Year
Other: (Please explain in details)
2. Please mail or fax the letter to:
3. I give permission to the following individual to pick-up my documents:
Name
FOR OFFICE USE ONLY
Received By:
Date Received:
Est. Date Due:
GPA:
Processed By:
Date:
Student’s Initial:
Date:
PART A for Form I-20 related request. PART B for letter or other document request.
*Instructions:
1. Meet with an International Student Counselor to develop a new Educational Plan.
2. Submit request in-person. (An updated financial/bank letter may be required.)
ISP has learned in a recent update from the U.S. Department of State that invitation letters provided by Universities /Colleges are not necessary and have
no effect on visa issuance. "Each applicant applying for a visa must qualify on their own merits." Therefore, effective immediately, the ISP will no longer
provide invitation letters to students for use in inviting relatives to visit them.
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