Fillable I20 DS2019 Request Form (University of Saint Thomas)

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I20 DS2019 Request Form (University of Saint Thomas)

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I-20/DS-2019 Request Form
Eligibility verification for F-1/J-1 international student status
INSTRUCTIONS TO THE APPLICANT
This information is required for issuance of the Form I-20 or DS-2019, the document you will need in order to secure an F-1 or J-1 visa at the United
States consular post in your country of residence; change nonimmigrant status in the U.S. to F-1 student; or transfer to the University of St. Thomas
from another SEVP - approved school in the U.S.
This form must be completed and returned to the Office of International Student & Scholar Services by email or in person (ASC218). Please
complete all applicable sections below. Required sections left incomplete will delay the issuance of the Form I-20 or DS-2019. For more
information, please contact International Student & Scholar Services at (651) 962-6654 or oiss@stthomas.edu.
Section A. Applicant Information
Name (Official name exactly as it appears in passport):
Family Name First Name Middle Name
Date of Birth: St Thomas ID #: □ Male □ Female
Month/Day/Year
Country of Birth: Country of Citizenship:
Field of Study: Degree Objective: □ Master’s □ Doctorate □ JD □ Certificate
First semester at St. Thomas: Email:
Permanent Address Outside the U.S.: Local Address in U.S. (if applicable):
Phone Phone
Include Country Code
Section B. Reason for I-20/DS-2019 Request
□
New I-20 to attend St. Thomas (currently not in the U.S.) □ New I-20 to attend St. Thomas transferring from another U.S. school*
□
Change of Status from to F-1 within the U.S. □ F-2 Dependent I-20
□
New DS-2019 to attend St. Thomas (currently not in U.S) □ New DS-2019 to attend St. Thomas transferring from another sponsor
□
Change in education level/New degree □ Return from Leave of Absence:
Expected Return Semester
□
Other (please explain):
* Students currently in the U.S. in F-1 student status who wish to transfer their SEVIS record from another SEVP approved school must
complete section G. – SEVIS Pre-Transfer Information Form (page 4).
I-20/DS-2019 Request Form
Eligibility verification for F-1/J-1 international student status
Section C. Financial Information
2019-20 Estimated minimum costs of attending St. Thomas full-time for one academic year (9 months)
GRADUATE PROGRAM
TUITION
FEES*
LIVING
COSTS**
HEALTH
INSURANCE
MISCELLANEOUS**
BOOKS &
TOTAL
Art History (MA)
7500
231
9500
1575
2000
21306
Bus. (FT UST MBA) (34 credits)
47180
622
9500
1575
2000
62877
Bus. (Eve UST MBA)
14064
231
9500
1575
2000
27870
Bus. (Health Care)
29200
231
9500
1575
2000
44156
Bus. (Analytics)
14064
231
9500
1575
2000
27870
Bus. (Real Estate)
13020
231
9500
1575
2000
26826
Bus. (MS Accountancy)
11820
231
9500
1575
2000
26776
Catholic Studies (MA)
10290
231
9500
1575
2000
24096
Divinity (Lay person, MA)
14580
297
9500
1575
2000
28452
Divinity (Seminary)
22554
297
9500
1575
2000
36426
Education (MA)
7920
261
9500
1575
2000
21756
Education (EdD)
10740
261
9500
1575
2000
24576
Engineering (MS, MMSE)
13674
231
9500
1575
2000
27480
English (MA)
7500
231
9500
1575
2000
21306
Law (JD, LLM)
42298
423
12500
1575
3761
63707
Law (MSL)
43260
377
12500
1575
2000
61712
Music (MA)
7500
231
9500
1575
2000
21306
Psychology (MA)
9480
352
9500
1575
2000
23607
Psychology (PsyD)
12576
452
9500
1575
2000
26803
Social Work (MSW)
15990
272
9500
1575
2000
30337
Social Work (doctorate)
13572
272
9500
1575
2000
27919
Software
13674
231
9500
1575
2000
27570
T
he amounts indicated above are estimates; actual expenses may vary, for more information on tuition, fees and payment
schedules visit http://www.stthomas.edu/businessoffice/students/tuition/
S
upporting financial documents (bank statements or scholarship award letters) must be submitted along with this form with
a sum of at least the total cost of attendance listed above. Statements can be no older than three (3) months old at the time
of receipt.
Section D. Dependent Information
If your spouse or children will accompany you to the United States, you must provide proof of additional funding.
Spouse: $6,000; Child: $3,000 per year. Please attach a copy of dependent’s passport ID page.
Dependents (Spouse/Children) accompanying you to the U.S. Do not list dependents who hold U.S. passports or were born in the
U.S.
Name of Date of Birth Relationship Country of Birth Country of Citizenship
Dependent(s)
I-20/DS-2019 Request Form
Eligibility verification for F-1/J-1 international student status
Section E. Sources of Financial Support
Sources of Financial Support:
□
Applicant’s Personal Funds: $
□
Funding from a Parent or Family Member $
□
Funding from a Third Party Sponsor $
□
Scholarship awarded by the University of St. Thomas $
□
Scholarship awarded by a Third Party (Government/ Private) $
TOTAL ………………………………………………….……………………………………………………………..……………$
USD
Section F. Financial Certification of Sponsor (Required of all students with funding from a parent, relative or private sponsor)
Name of Sponsor: Relationship to Applicant:
I guarantee that the sum of (US Dollars) $ will be available for the above named student for the first academic
year at St. Thomas. The same amount will be provided for each subsequent year of study at St. Thomas.
Signature of Sponsor Date:
Section G. Certification of Student
I promise to provide the university with proof of approved health insurance at the minimum levels specified and/or purchase the
approved policy available through the Health Services Office. I understand that providing false or misleading information can result
in the denial of my application or my admission to St. Thomas being withdrawn.
Signature of Applicant: Date:
0
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SEVIS Pre-Transfer Information Form
and Information about Transferring to the University of St. Thomas
Timeline for SEVIS Transfers
There can be up to a five-month gap between the end of your current classes or OPT and the start of your program start date at the
University of St. Thomas. The transfer must be initiated within 60 days of the end of your previous program or OPT, also known as the
“60-day grace period”. Failure to set up a transfer within that window will result in a violation of your F-1 status and most likely require
reinstatement, which is both costly and time intensive.
If the gap between the end of your previous program or OPT and the start the new program is more than 5 months, transferring is not an
option and you will need to exit the U.S. before the end of your 60-day grace period and re-enter no earlier than 30 days before the start
of the new program on a new I-20/SEVIS record.
Transferring During/After OPT
Any employment authorizations gained while your SEVIS record has been under the control of your current school will cease upon the
release of your SEVIS record to the University of St. Thomas. A Designated School Official (DSO) at your current school will set the release
date for your SEVIS record to transfer to the control of the University of St. Thomas. It is important that you discuss your plans with them
regarding your OPT employment to make sure that your record isn’t prematurely transferred, causing you to lose out on any
employment opportunities that you are expecting.
Transferring to the Correct Campus
The University of St. Thomas has two campuses in the Twin Cities and it is important to have your SEVIS record transferred to the correct
one. See the Table below for information on which campus you should transfer to.
St. Paul Campus
School Code: SPM214F00191000
Minneapolis Campus
School Code: SPM214F00191001
• Graduate Engineering & Software
• School of Social Work
• College of Arts & Sciences (English, Catholic Studies)
• School of Divinity
• Opus College of Business
• School of Law
• School of Education
• Graduate School of Prof. Psychology
SEVIS Pre-Transfer Information Form
To be completed by student and DSO/International Advisor at current school
Section H. SEVIS Pre-Transfer Information Form
This section is only required for students currently in the U.S. who wish to transfer their SEVIS record from another SEVP approved
school. Please print this page and submit it to a designated school official or international student advisor at your current school for
completion. The completed form should be scanned and emailed to oiss@stthomas.edu.
St. Thomas School Code: SPM214F00191000
Part 1: To be completed by the student
Family Name: First Name:
St Thomas ID #: SEVIS ID#:
I hereby authorize my current International Student Advisor to transfer my record to the University of St. Thomas after receiving
confirmation from a St. Thomas Designated School Official (DSO).
Student Signature: Date:
Part 2: To be completed by an International Student Advisor or Designated School Official
□
Student has maintained status, and is eligible for transfer; she/he was registered for a full course of study the preceding term.
Term: Year: 20
Recommended SEVIS Release Date:
□
Student was authorized for post-completion OPT and is eligible for transfer.
Recommended SEVIS Release Date:
□
Student did not register but physically reported; transfer is recommended.
Recommended SEVIS Release Date:
□
Student was NOT registered for a full course of study during the preceding term. St. Thomas should advise the student to apply for
reinstatement with Immigration and Customs Enforcement (ICE).
Name/Title of person completing this form:
Name of institution:
Address of institution:
City, State, Zip:
Telephone & Fax:
E-mail Address:
Advisor/Official Signature: Date:
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I20 DS2019 Request Form (University of Saint Thomas)

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Completed 26 July 2020

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