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I20EX - NSU I-20 Extension

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3301CollegeAve|FortLauderdale,FL33314
HorvitzAdministrationBuilding,Room253
+1(954)262‐7240|intl@nova.edu
www.nova.edu/internationalaffairs
I‐20ProgramExtensionRequestForm
PROCESSINGTIME:FIVE(5)BUSINESSDAYS
Document:I20EX/Revised:January2018
PartI:ToBeCompletedbyStudent
AnextensionofaprogramenddateonyourI‐20willNOTextendthevalidityofyourvisainyourpassport.Ifyourvisahasexpired,
youareallowedtoremainintheUnitedStates.However,ifyoudeparttheUnitedStates,youwillneedtoplantoapplyforanew
visapriortoreenteringtheU.S.inF‐1status.AvisacannotberenewedinsidetheUnitedStates.
First(Given)Name  Last(Family)Name 
NSUN# N SEVISID N
EmailAddress @mynsu.nova.edu Telephone 
HaveyoualreadyappliedforOPT? Yes No
CurrentI‐20ProgramEndDate 
Haveyoualreadyappliedforgraduation? Yes No
PartII:ToBeCompletedbyAcademicAdvisor/ProgramDirector/DepartmentChair
ThisformisdesignedtofacilitatethecommunicationofinformationrequiredbyU.S.CitizenshipandImmigrationServices(USCIS)forstudentswho
willnotcompletetheirstudieswithintherecommendedtimeframefortheirlevelofstudy.Youcanfindtherelevantregulatorycitationonthe
backofthisform.Ifyouhaveanyquestionsabouttheregulationsorthecompletionofthisform,pleaseemailintl@nova.edu.
Student’sProgramofStudy
&De
g
reeLevel
Student’sNewProgram
Com
p
letionDate
(seereverse)
Thestudentismakingnormalprogresstowardscompletionhis/hereducationalobjective.Thestudentexperiencedadelayinhisor
herprogramduetothefollowingreason(s)(checkallthatapply):

Achangeofmajororfieldofstudy
Achangeinresearchtopic/advisor
Unexpectedresearchproblems
MedicalCondition
Originalprogramenddateisunreasonablefortheaveragestudentinthisprogram
Other(Pleaseexplain):
Provideanexplanationofspecifictasksrequiringthestudent’sphysicalpresenceintheUS;describewhythesetaskscouldnotbe
completedremotely:
Advisor’sName
Email
@nova.edu
Signature
Date
Phone
Bysigningthisform,theappropriateAcademicAdvisor,ProgramDirector,orDepartmentChairconfirmsthatthestudent
meetstheconditionssetbyregulationsregardinganextension,asoutlinedonthebackofthisdocument.
Submit Form by Email
click to sign
signature
click to edit
2
I‐20ProgramExtensionRequestForm
Regulations
Belowarethetworegulatorycitationsthatgovernstudent’seligibilityforaprogramextension.
Whendeterminingastudent’seligibilityforprogramextension,twoconditionsmustbemet:
1. Thestudent’sphysicalpresenceintheUnitedStatesmustberequired.Workthatmaybecompletedremotelyfrom
outsidetheUnitedStateswouldnotqualifyforaprogramextension–
8CFR214.2(f)(6)(iii)(C)
Ifthestudentisnotrequiredtotakeanyadditionalcoursestosatisfytherequirementsforcompletion,butcontinuesto
beenrolledforadministrativepurposes,thestudentisconsideredtohavecompletedthecourseofstudyandmusttake
actiontomaintainstatus.SuchactionmayincludeapplicationforchangeofstatusordeparturefromtheU.S.
2. Thereasonforthestudent’sextensionisreasonableforsomeonemakingnormalprogresstowardaparticulardegree
andacademicinnature–
8CFR214.2(f)(7)(iii)
AnF‐1studentwhoisunabletomeettheprogramcompletiondateontheFormI‐20maybegrantedanextensionbythe
DSOiftheDSOcertifiesthatthestudenthascontinuallymaintainedstatusandthatthedelaysarecausedbycompelling
academicormedicalreasons,suchaschangesofmajororresearchtopics,unexpectedresearchproblems,or
documentedillnesses.Delayscausedbyacademicprobationorsuspensionarenotacceptablereasonsforprogram
extensions.ADSOmaynotgrantanextensionifthestudentdidnotapplyforanextensionuntilaftertheprogramend
datenotedontheFormI‐20.AnF‐1studentwhoisunabletocompletetheeducationalprogramwithinthetimelistedon
FormI‐20andwhoisineligibleforprogramextensionpursuanttothisparagraph(f)(7)isconsideredoutofstatus.
TheOfficeofInternationalAffairslackstheexpertisetodeterminetheacademicreasonablenessofaparticularstudent’srequest
andrequireassistancefromtheappropriateacademicprogramstaffinmakingthisdetermination.
Bysigningthisform,theappropriateAcademicAdvisor,ProgramDirector,orDepartmentChairconfirmsthatthestudent
meetstheconditionssetbyregulationsregardinganextension.
Weappreciateyourassistanceinthismatter.PleasecontacttheOfficeofInternationalAffairsusingthecontactinformationon
thefrontofthisformifyouhaveanyquestions.
ProgramCompletionDate(ProgramEndDate)
Forimmigrationpurposes,theprogramendateisthedatethatalldegreerequirementsarecompleted.Programend
datesmaynotextendedtoaccommodategraduationceremonies,degreeconferraldates,and/orexternal
examinationdates.
LEVEL I‐20ENDDATE
Undergraduatestudents
Graduateandprofessionalstudentswithout
thesis/dissertations
Thelastdayoffinalexamsweekforthelasttermof
enrollment,aslistedinthepublishedAcademic
Calendar.
Graduateandprofessionalstudentsin
programsrequiringathesisordissertation
Thesubmissiondateofthefinalversionofthe
dissertation/thesis,withrevisions,tothecollege.
Programcompletionisgenerallydeterminedbycompletionofcoursework(andsuccessfuldefenseofathesis/dissertationif
applicable).Unnecessaryenrollmentoron‐campusemploymentforanyadditionalsemester(s)beyondcompletionofprogram
requirementsisnotpermittedandcouldresultinalossofpost‐completionvisabenefits(suchasOPTorAcademicTraining).
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I20EX - NSU I-20 Extension

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Completed 1 November 2019

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