Please contact The International Office with any Questions at:
InternationalPrograms@nwacc.edu or 479-986-4069 479-619-2224
I-20 Program Extension Form
For Students in F-1 Status (Section A)
All non-immigrants in F-1 student status are required by federal regulations to complete their academic program requirements
OR obtain a program extension no later than the completion date listed under the Student’s Form I-20. Failure to complete the
program requirements or obtain a program extension by the I-20 end date is a violation of non-immigrant status and
must be reported to Immigration & Customs Enforcement.
__________________________________________ __________________
Student Name NWACC ID#
______________________________________________ _______________________________
Phone Number NWACC Email
_______________________ _________________________________ __________________________
Date of Birth Current Major SEVIS ID#
New Expected Completion Semester and Year: ______________________________________________
Semester and Year you began CURRENT Program: ___________________________________________
Please Check all that apply to support your need for a program extension:
___Change of major/programs ___Loss of credits upon transfer from other institutions
___Difficulty with English Language ___Difficulty with American educational methods
___Delays due to CO-OP/Internship/etc...
___Medical condition or illness (student must attach a doctor’s statement if this is selected)
___Other compelling academic reasons (please attach letter with further details/explanation)
Checklist of documents needed for extension approval:
Please email or deliver ALL of these items to the International Programs Office.
___I-20 Program Extension Form (both pages)
___Updated Proof of Financial Support (from within the last 6 months)
___Current I-20 from program study
___Passport
___I-94 (from most recent entry into the U.S. if applicable)
