Fillable I20 Request Form (University of Saint Thomas)

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I20 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verificationforF‐1/J‐1internationalstudentstatus
SectionC.FinancialInformation
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&
SUPPLIES TOTAL
ArtHistory(MA) 10290 333 9500 1575 2000 500 24198
Bus.(FTUSTMBA)(34credits) 45814 622 9500 1575 2000 2000 61511
Bus.(EveUSTMBA) 13536 222 9500 1575 2000 500 27333
Bus.(HealthCare) 28880 222 9500 1575 2000 1650 43827
Bus.(Analytics) 13536 222 9500 1575 2000 500 27333
Bus.(RealEstate) 12636 222 9500 1575 2000 500 26433
Bus.(MSAccountancy) 11376 222 9500 1575 2000 1650 26323
CatholicStudies(MA) 15435 222 9500 1575 2000 500 29232
Divinity(Layperson,MA) 14148 286 9500 1575 2000 500 28009
Divinity(Seminary) 21898 286 9500 1575 2000 500 35759
Education(MA) 9270 252 9500 1575 2000 500 23097
Education(EdD) 12300 252 9500 1575 2000 500 26127
Education(EdD–Org.Dev.) 15162 222 9500 1575 2000 500 28959
Engineering(MS,MMSE) 12522 222 9500 1575 2000 500 26319
English(MA) 10290 222 9500 1575 2000 500 24087
Law(JD,LLM) 39870 377 12500 1575 3761 1650 59733
Music(MA) 10290 222 9500 1575 2000 500 24087
Psychology(MA) 9270 352 9500 1575 2000 700 23397
Psychology(PsyD) 12300 452 9500 1575 2000 700 26527
SocialWork(MSW)(20credits) 15990 272 9500 1575 2000 1000 30337
SocialWork(doctorate) 12300 272 9500 1575 2000 1000 26647
Software(MS,MSS,MSDD,cert.) 12522 222 9500 1575 2000 600 26419
The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/
Supporting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
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 Request Form (University of Saint Thomas)

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Completed 23 July 2020

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