Fillable I-20 Request Form (Eastern Florida State College)

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I-20 Request Form (Eastern Florida State College)

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The I-20 Request Form (Eastern Florida State College) form is 4 pages long and contains:

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  • 20 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Eastern Florida State College

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International Student Services
1519 Clearlake Road, Building 11, Second Floor, Cocoa, Florida 32922
Phone: 321-433-7341 – Email: iss@easternflorida.edu
I-20 Request Form and Proof of Finances Instructions (AA/AS)
Please read the instructions and requirements carefully before submitting your financial documents.
What is a Form I-20?
The Certificate of Eligibility Form I-20 is a U.S. government form that EFSC uses to certify that you are
eligible for F-1 status. You need an I-20 to obtain an F-1 student visa and to keep lawful F-1 status when
transferring or changing schools in the U.S.
What financial proof do I need to submit to get an I-20?
Bank statement or bank letter showing a minimum of $22,426.00 USD
I-20 Request Form
What are the Financial Support Document Requirements?
Can I have a sponsor?
Yes, if the bank statement is from someone else’s account, then they are your sponsor
All sponsors must complete the Sponsor Section of the I-20 Request Form
You may have more than one sponsor
What if I have an Athletic Scholarship?
If you are receiving an athletic scholarship, write “LOI” as the scholarship name
All athletes must submit a bank statement of $1,000 USD for mandatory health insurance and emergency
fee purposes
If your scholarship does not include books and/or room and board, you are required to show proof of
finances for each item not included
What is the deadline to apply to EFSC?
Where do you live?
Fall (August)
Spring (January)
Summer (May)
Apply from outside the U.S.
June 15
October 15
February 15
Transfer within the U.S.
July 15
November 15
March 15
Acceptable Documents
Bank statement -OR- bank letter
on letterhead dated within last
30 days
All balances must show a specific
dollar amount
NOT Accepted
Employer letters, stocks or
bonds, personal statements,
asset appraisals, investment
accounts, etc.
Balance listed as “enough” or
“sufficient funds”
International Student Services
1519 Clearlake Road, Building 11, Second Floor, Cocoa, Florida 32922
Phone: 321-433-7341 – Email: iss@easternflorida.edu
Sample Bank Letter
You may choose to submit a copy of your bank statement or a letter from the bank similar to the one
shown below.
Date
Eastern Florida State College
1519 Clearlake Rd.
Cocoa, FL 32922
RE: STUDENT'S NAME
Dear Sir/Madam:
At the request of our customer STUDENT/SPONSOR NAME, whose local address is STUDENT/SPONSOR
ADDRESS, it is our pleasure to inform you of their banking relationship with our bank.
STUDENT/SPONSOR NAME has an active account with our bank and maintains this account in good
standing. The account currently has a minimum balance equivalent to $22,426.00 USD.
This letter is provided on behalf of our customer and without liability to the bank and its staff.
Sincerely,
BANK OFFICIAL’S SIGNATURE
Official seal
BANK LETTERHEAD
International Student Services
1519 Clearlake Road, Building 11, Second Floor, Cocoa, Florida 32922
Phone: 321-433-7341 – Email: iss@easternflorida.edu
Please type or print clearly and complete ALL applicable fields. Send supporting documents with this form to the
International Student Services Office (ISS): iss@easternflorida.edu.
Purpose:
___ Initial Attendance
___ Defer Attendance
___ Transfer in U.S.
___ Change of Status
___ New Program/Level
Dependent(s)
Accompanying you:
___ No
___ Yes (Contact ISS for
additional documents)
Student Information
Name: ________________________________________________________
Last (Surname) First (Given) Middle
Date of Birth: ____/____/____ Gender: ____Male ____Female
Month Day Year
Country of Birth: ______________Country of Citizenship:_________________
International Address:
_______________________________________________________________
Number and Street City State/Province/Territory Country Postal Code
U.S. Address: only for those currently residing in the U.S.
_______________________________________________________________
Number and Street / Apartment # City State Zip Code
Email Address: ___________________________________________________
Starting Term:
___ Fall (August)
___ Spring (January)
___ Summer (May)
Immigration Information
Choose the option that best fits your situation.
___ I am currently outside of the U.S., hold no immigration status and will apply for a student visa at a U.S.
Embassy or consulate before entering the U.S.
___ I am enrolled in a U.S. high school or college and would like to transfer my current F-1 visa status to EFSC
(requires additional documentation).
___ I am in the U.S. and enrolled at EFSC. I would like to change my program level.
___ I am in the U.S. in the following visa status (Not F-1): ________________
___ I will depart the U.S. and apply for an F-1 visa for re-entry
___ I will apply to change my visa status to F-1 from inside the U.S.
How do you want to receive your I-20?
___ By Mail: Upon acceptance you will receive directions on how to pay for the shipping of your I-20.
___ Hold for pick up: You consent to the release of your educational records to the person below.
Name: ____________________________________________ Relationship: __________________________
Email: ____________________________________________ Phone: _______________________________
I-20 Request Form
Associate Degree (AA/AS)
AA/AS - Estimated Annual Full Time Tuition, Fees and Living Expenses
*The figures below are estimates only. Your total overall program cost may be more than the amount listed.
Academic Expenses
Living Expenses
Tuition ($405.76/credit hour)
$9,738.00
Room & Board (Off-Campus)
$5,760.00
Books
$1,200.00
Personal Expenses
$2,763.00
SUBTOTAL
$10,938.00
Health Insurance
$850.00
Transportation
$2,115.00
SUBTOTAL
$11,488.00
TOTAL ESTIMATED ANNUAL COSTS: $22,426.00
Your Financial Requirement
Your minimum annual financial requirement
$22,426.00
(Dependents: Add $3,000.00 for spouse and $1,000.00 per child)
+
$
YOUR TOTAL
$
How will you support your expenses? (amounts should match total above)
Personal funds (only if bank statement is in student’s name)
$
Scholarship Name (athletes write LOI in box and include proof of health insurance $1,000)
$
Funds from sponsor (sponsor must fill out and sign section below)
$
Sponsor Information (if applicable)
Sponsor Name: _______________________________________ Relationship to student: __________________
Sponsor Address: _____________________________________________________________________
Number and Street City State/Province/Territory Country Postal Code
Sponsor Email: ________________________________________ Sponsor Phone: ________________________
I hereby certify that I will be financially responsible for the expenses of the above named student during his/her stay at
Eastern Florida State College. I am able to provide the amount indicated above for one academic year.
Sponsor Signature: ____________________________________________________ Date: ____/____/____
Month Day Year
Student Signature
I hereby certify that the information provided in this application is complete, accurate, and true. I understand the
information will be provided by the U.S. Department of Homeland Security through the SEVIS system to issue the form I-20.
Furthermore, I understand that all changes requested must be submitted in writing to International Student Services. I
authorize International Student Services to access my I-94 arrival and departure records for immigration and on-campus
employment purposes.
Student Signature: ____________________________________________________ Date: ____/____/____
Required Month Day Year
International Student Services
1519 Clearlake Road, Building 11, Second Floor, Cocoa, Florida 32922
Phone: 321-433-7341 – Email: iss@easternflorida.edu
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I-20 Request Form (Eastern Florida State College)

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Completed 24 July 2020

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